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CASE REPORT
Year : 2011  |  Volume : 27  |  Issue : 2  |  Page : 272-274

Penetrating abdominal injury in a polytrauma patient: Anaesthetic challenges faced


1 Department of Anaesthesiology, A. J. Institute of Medical Sciences, Kuntikana, Mangalore - 575 004, India
2 Department of Plastic and Reconstructive Surgery, A. J. Institute of Medical Sciences, Kuntikana, Mangalore - 575 004, India
3 Department of Urology, A. J. Institute of Medical Sciences, Kuntikana, Mangalore - 575 004, India

Correspondence Address:
Thrivikrama Padur Tantry
Department of Anaesthesiology, A. J. Institute of Medical Sciences, Kuntikana, Mangalore - 575 004
India
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Source of Support: None, Conflict of Interest: None


PMID: 21772699

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Penetrating abdominal injuries are potentially life threatening due to the associated hemorrhagic shock and visceral injury. Through and through penetrating injury with polytrauma is rarely encountered. We report a case presenting with in situ projecting heavy metallic rod in a through and through penetrating abdominal injury along with foreign body in a road traffic accident. Anaesthetic management was difficult due to inability to position in supine, rapidly progressing hemorrhagic shock and hypoxia due hemopneumothorax. Two operating tables were used with adequate intervening space to accommodate the posteriorly projecting metallic rod during intubation in supine position. Intensive monitoring and resuscitation resulted in uneventful successful outcome.


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