Delayed presentation of colonic impalement injury by picture frame glass fragment treated using hand-assisted laparoscopic colectomy

This is a case of impalement injury with delayed presentation. A 60-year-old man experienced a traumatic injury after a fall on top of a broken picture frame, which caused a small laceration to his left upper abdominal wall. Sixteen months after the injury, he developed a tender left abdominal wall...

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Bibliographic Details
Published inSurgical laparoscopy, endoscopy & percutaneous techniques Vol. 18; no. 6; p. 619
Main Authors Crawford, David L, McVay, Wendy B
Format Journal Article
LanguageEnglish
Published United States 01.12.2008
Subjects
Abdominal Injuries - diagnosis
Abdominal Injuries - surgery
Colectomy - methods
Colon - injuries
Colon - surgery
Colonoscopy
Foreign-Body Migration - diagnosis
Foreign-Body Migration - surgery
Glass
Humans
Laparoscopy
Male
Middle Aged
Time Factors
Tomography, X-Ray Computed
Wounds, Penetrating - diagnosis
Wounds, Penetrating - surgery
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Summary:This is a case of impalement injury with delayed presentation. A 60-year-old man experienced a traumatic injury after a fall on top of a broken picture frame, which caused a small laceration to his left upper abdominal wall. Sixteen months after the injury, he developed a tender left abdominal wall and lower abdominal cramping pain. Colonoscopy identified a shard of glass in the left colon. The glass presumably impaled his abdominal wall as a result of his previous traumatic injury and migrated to the left colon. Laparoscopic surgery was used to safely and efficiently remove the impaled glass shard and affected portion of colon. Such a case has never been reported.
ISSN:1534-4908
DOI:10.1097/SLE.0b013e3181889d53