Ulus Travma Acil Cerrahi Derg. 2012; 18(5): 453-454 | DOI: 10.5505/tjtes.2012.08931

Chi-chen CHANG,1 Hung-jung LIN,1 Ning-ping FOO,2 Kuo-tai CHEN1

Chi-chen Chang¹, Hung-jung Lin¹, Ning-ping Foo², Kuo-tai Chen^1
1Emergency Department, Chi-mei Medical Center
²Department Of Emergency Medicine, Chi-mei Medical Center, Liouying

We report a 52-year-old woman presenting with stab wounds on her back and upper extremities. A knife retained in her chest wall was not discovered in the emergency department. This case reminds us that an obvious foreign body can be missed even after obtaining a detailed history, complete physical examination and plain film. Particularly, a retained foreign body increases the risk of infection and may cause further internal organ injury. We suggest that patients undergo computed tomography (CT) scanning whenever a penetrating wound cannot be explored adequately or the trauma surgeons are unable to perform detailed examinations on the injured patients. The CT images could delineate the course and severity of the penetrating injury, and decrease the risk of a retained foreign body.

Keywords: Foreign body, imaging; penetrating chest trauma; stab wound.

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Gizli þeytan: göðüs duvarý içinde beklenmedik biçimde kalmýþ býçak

Chi-chen Chang¹, Hung-jung Lin¹, Ning-ping Foo², Kuo-tai Chen^1
1Chi-mei Týp Merkezi, Acil Servis,liouying, Tayvan
²Chi-mei Týp Merkezi, Acil Týp Kliniði,liouying, Tayvan

Bu yazýda, sýrtýnda ve üst ekstremitelerinde býçak yaralarýyla gelen 52 yaþýnda bir kadýn olgu sunuldu. Göðüs duvarýnda kalmýþ býçak acil servis bölümünde fark edilmemiþti. Olgu bize, ayrýntýlý hasta öyküsü, tam bir fiziksel inceleme ve düz film çekilmesine raðmen belirgin bir yabancý cismin gözden kaçabildiðini hatýrlatmaktadýr. Çýkartýlmamýþ bir yabancý cisim enfeksiyon riskini arttýrabileceði gibi ilerde iç organ hasarýna neden olabilir. Penetran yara yeterince incelenemediðinde veya travma cerrahý yaralý hastalarda ayrýntýlý inceleme yapamýyorsa hastalarýn bilgisayarlý tomografi taramasýndan geçmesini öneririz. Bilgisayarlý tomografi görüntüleri penetran yaralanmayý, þiddetini ve yabancý bir cisim riskini aydýnlatabilir.

Anahtar Kelimeler: Yabancý cisim, görüntüleme; penetran göðüs travmasý; býçak yarasý.

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