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2016 ; 78
(2
): 147-8
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Penetrating Injury to the Gallbladder by a Needle Fish
#MMPMID27303126
Sarma DR
; Jeyasekharan SS
Indian J Surg
2016[Apr]; 78
(2
): 147-8
PMID27303126
show ga
Penetrating abdominal trauma is a major killer worldwide. Various modes and
mechanisms of injury have been described in world literature. We describe an
unusual case of penetrating intra-abdominal injury caused by a 2-ft-long needle
fish at sea. The mode and mechanism of injury is rare and the consequences life
threatening. There is paucity in the literature of such trauma and its
presentation. This case report describes injury sustained by a fisherman at sea
by a needle fish, causing biliary peritonitis from an isolated penetrating injury
to the gallbladder. Typically, these fishes are known to jump up to 6 ft above
the surface of the water and are voracious carnivores, feeding on smaller fishes
in deep sea. The fisherman, having sustained the injury, had blood tinged bile
oozing from the wound and attended casualty in severe abdominal pain and nausea.
Diagnosis was prompt, and even though the presentation to the casualty was
delayed, immediate resuscitative measures and surgery ensured successful
management of the patient.
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