Penetrating injury of the skull and brain are relatively uncommon events, representing about 0.4% of all head injuries. Transorbital penetrating brain injury is an unusual occurrence in emergency practice and presents with controversial management. We report the case of a 10-year-old boy who fell forward on a bamboo stick while playing with other children, causing a penetrating transorbital inj...

INTRODUCTION Penetrating thoracoabdominal injuries are potentially life threatening due to the associated hemorrhagic shock and visceral injury. Through and through penetrating injury with polytrauma is rarely encountered. CASE PRESENTATION Here we report on a 25-year-old male with penetrating thoracoabdominal injury caused by a metallic (iron) bar projecting from a pillar of a construction s...

OBJECTIVES To share results and recommendations for management of penetrating cochlear injury. METHODS A patient underwent repair of a penetrating cochlear injury after a projectile led to a traumatic cochleostomy with a narrow miss of the facial nerve and intracranial carotid artery. RESULTS Postoperatively, the patient's audiogram demonstrated a pure tone average of 47.5 dB for air conduc...

Abstract Background : Damage control surgery is the practice of delaying definitive management traumatic injuries by controlling hemorrhage in operating room and restoring normal physiology intensive care unit prior to therapy. Presently, damage or “abbreviated” laparotomy used extensively for abdominal trauma an unstable patient. The application a approach thoracic less established there pauci...

probably have occurred since man first raised a weapon against another of his kind. Three such cases were described in the Smith Papyrus written between 2500 and 3000 B.C.,1 and Homer recorded in the Iliad results of various wounds of the chest inflicted during the siege of Troy.2 As early as about 1267, Theodoric at least suspected certain basic principles of pulmonary physiology and wrote con...

Penetrating trauma is a rare cause of myocardial infarction. Our report describes a 47-year-old female who presented with a gunshot wound from a shotgun and had an ST-elevation myocardial infarction. The patient received emergent coronary angiography, which demonstrated no evidence of coronary atherosclerotic disease but did show occlusion of a marginal vessel secondary to a pellet. The patient...

PURPOSE To evaluate associations between baseline structural and functional ocular characteristics and the risk of developing posttraumatic glaucoma after penetrating ocular injury. DESIGN Prospective cohort study. METHODS Data from the United States Eye Injury Registry (USEIR) were obtained from a total of 3,627 patients who experienced penetrating ocular injury. The risk of posttraumatic ...

The case of a patient with an air gun pellet injury to the right colon is reported. This was treated conservatively, and the pellet was passed per rectum 12 hours after the injury. Gunshot wounds to the abdomen do not necessarily warrant immediate laparotomy. Sieving of bowel motions may identify if the foreign body has been passed.

Penetrating gunshot injury is a rarely seen but a life threatening condition. Priorly stabilization of the patient’s vital signs with saline infusion, and compression of bleeding sites should be provided. Then transfer into an advanced life support facilities must be the second step. Here we present a 17-year-old female patient who had a penetrating gunshot injury during the ongoing war in Koba...

A 38-year-old man presented to a regional Western Australian hospital after being stabbed in his left eye with a knife. Computerized Tomography (CT) revealed a 7 cm knife blade within the globe extending along the skull base. After transfer to a tertiary hospital, a cerebral angiogram was performed, excluding significant cerebral vascular involvement. Through a multidisciplinary approach with t...