Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26451644
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Int+J+Surg+Case+Rep
2015 ; 16
(ä): 112-5
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Self-inflicted oral penetration injury: An intravenous drip pole advanced from
the mouth to the retroperitoneum
#MMPMID26451644
Takaki S
; Yamaguchi O
; Morimura N
; Goto T
Int J Surg Case Rep
2015[]; 16
(ä): 112-5
PMID26451644
show ga
INTRODUCTION: Patients with oral penetration injuries require a systematic
physical examination. These patients should be managed by a multidisciplinary
medical team. Airway management, operative procedures, and transfusion needs of
the patient with an oral penetration injury should be discussed before surgery.
PRESENTATION OF CASE: A 63-year-old man with a history of recurrent hepatic duct
cancer attempted suicide by advancing an intravenous pole through his mouth,
neck, and thorax, ultimately penetrating into the right retroperitoneal space. A
multidisciplinary team assembled by code blue emergently treated the patient,
initially with fiberoptic intubation. The injured right lower lung was resected
under one lung ventilation via a double lumen tube after tracheostomy.
Fortunately, the pole did not injure any other organs or major vessels. Despite
successful removal of the pole after lung resection, the patient died 14 days
postoperatively due to his primary hepatic duct cancer. DISCUSSION: We highlight
the need for a multidisciplinary approach to this patient's management and
discuss particular aspects of airway and transfusion management. CONCLUSION: A
systematic and multidisciplinary approach allowed successful removal of the drip
pole and stabilization of the patient's respiratory and hemodynamic status.