Penetrating liver injury caused by a metal fragment from a blast accident in a factory: a case report
Penetrating abdominal injuries are rare in countries that do not allow legal possession of firearms by the public. We report a case of a 27-year-old male patient with a penetrating liver injury caused by metal fragments released in a blast accident. On the day of the accident, there was a metal expl...
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| Language: | English |
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Korean Society of Traumatology
2022-08-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0085.pdf |
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| author | Chan Hee Park Jeong Woo Lee |
| author_facet | Chan Hee Park Jeong Woo Lee |
| author_sort | Chan Hee Park |
| collection | DOAJ |
| description | Penetrating abdominal injuries are rare in countries that do not allow legal possession of firearms by the public. We report a case of a 27-year-old male patient with a penetrating liver injury caused by metal fragments released in a blast accident. On the day of the accident, there was a metal explosion, and multiple fragments of the metal lodged in the patient’s abdomen. The metal fragments were widely distributed over the abdomen and limited to the subcutaneous layer. A computed tomography scan showed that one metal fragment had penetrated near the right upper quadrant. First, we tried exploratory laparoscopy to accurately locate and remove the presumed metal fragment under the liver, on the side of the gallbladder, and near the duodenum. However, we could not find the metal fragment and converted the procedure to open laparotomy. The metal fragment was found to be completely lodged in segment 4, the quadrate lobe to the left of the gallbladder. To remove the fragment, a 2-cm incision was made on the liver surface where the metal fragment was found. The patient's general postoperative condition was satisfactory, with no findings of bile leakage or bleeding. In conclusion, clinicians who do not have experience with these injuries can still provide adequate treatment by selecting a treatment method based on the patient's condition as well as the velocity of trauma. The laparoscopic approach, as a less invasive procedure, may be worthwhile for treating penetrating trauma. Additionally, laparoscopic exploratory laparotomy may be considered in selected cases. |
| format | Article |
| id | doaj-art-03d62f90e01d49d0852b95a2224227ba |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-03d62f90e01d49d0852b95a2224227ba2025-01-16T04:51:18ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-08-0135Suppl 1S8S1410.20408/jti.2021.00851190Penetrating liver injury caused by a metal fragment from a blast accident in a factory: a case reportChan Hee Park0Jeong Woo Lee1 Division of Trauma Surgery, Department of Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Korea Division of Trauma Surgery, Department of Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, KoreaPenetrating abdominal injuries are rare in countries that do not allow legal possession of firearms by the public. We report a case of a 27-year-old male patient with a penetrating liver injury caused by metal fragments released in a blast accident. On the day of the accident, there was a metal explosion, and multiple fragments of the metal lodged in the patient’s abdomen. The metal fragments were widely distributed over the abdomen and limited to the subcutaneous layer. A computed tomography scan showed that one metal fragment had penetrated near the right upper quadrant. First, we tried exploratory laparoscopy to accurately locate and remove the presumed metal fragment under the liver, on the side of the gallbladder, and near the duodenum. However, we could not find the metal fragment and converted the procedure to open laparotomy. The metal fragment was found to be completely lodged in segment 4, the quadrate lobe to the left of the gallbladder. To remove the fragment, a 2-cm incision was made on the liver surface where the metal fragment was found. The patient's general postoperative condition was satisfactory, with no findings of bile leakage or bleeding. In conclusion, clinicians who do not have experience with these injuries can still provide adequate treatment by selecting a treatment method based on the patient's condition as well as the velocity of trauma. The laparoscopic approach, as a less invasive procedure, may be worthwhile for treating penetrating trauma. Additionally, laparoscopic exploratory laparotomy may be considered in selected cases.http://jtraumainj.org/upload/pdf/jti-2021-0085.pdfblast injurieshemoperitoneummetal fragmentpenetrating liver injurycase reports |
| spellingShingle | Chan Hee Park Jeong Woo Lee Penetrating liver injury caused by a metal fragment from a blast accident in a factory: a case report Journal of Trauma and Injury blast injuries hemoperitoneum metal fragment penetrating liver injury case reports |
| title | Penetrating liver injury caused by a metal fragment from a blast accident in a factory: a case report |
| title_full | Penetrating liver injury caused by a metal fragment from a blast accident in a factory: a case report |
| title_fullStr | Penetrating liver injury caused by a metal fragment from a blast accident in a factory: a case report |
| title_full_unstemmed | Penetrating liver injury caused by a metal fragment from a blast accident in a factory: a case report |
| title_short | Penetrating liver injury caused by a metal fragment from a blast accident in a factory: a case report |
| title_sort | penetrating liver injury caused by a metal fragment from a blast accident in a factory a case report |
| topic | blast injuries hemoperitoneum metal fragment penetrating liver injury case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2021-0085.pdf |
| work_keys_str_mv | AT chanheepark penetratingliverinjurycausedbyametalfragmentfromablastaccidentinafactoryacasereport AT jeongwoolee penetratingliverinjurycausedbyametalfragmentfromablastaccidentinafactoryacasereport |