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http://dx.doi.org/10.20408/jti.2021.0012

Thoracoabdominal injury with evisceration from a chainsaw assault: a case report  

Salami, Babatunde Abayomi (Department of Surgery, Olabisi Onabanjo University Teaching Hospital)
Ayoade, Babatunde Adeteru (Department of Surgery, Olabisi Onabanjo University Teaching Hospital)
Shomoye, El-Zaki Abdullahi (Department of Surgery, Olabisi Onabanjo University Teaching Hospital)
Nwokoro, Chigbundu Collins (Department of Surgery, Olabisi Onabanjo University Teaching Hospital)
Publication Information
Journal of Trauma and Injury / v.35, no.2, 2022 , pp. 118-122 More about this Journal
Abstract
The usual cause of penetrating thoracoabdominal injuries with evisceration are stab wounds with knives and other sharp weapons used during fights and conflicts. Evisceration of the abdominal viscera as a result of trauma, with its attendant morbidity and mortality, requires early intervention. Gunshot wounds can also cause penetrating thoracoabdominal injuries. We report the case of a 52-year-old male patient, a worker at a timber-processing factory, who was assaulted with a chainsaw by his colleague following a disagreement. He was seen at the accident and emergency department of Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria with a thoracoabdominal injury about 1.5 hours after the attack. He had a left thoracoabdominal laceration with abdominal evisceration and an open left pneumothorax. He was managed operatively, made a full recovery, and was discharged 16 days after admission. He was readmitted 4 months after the initial surgery with acute intestinal obstruction secondary to adhesions. He underwent exploratory laparotomy and adhesiolysis. He made an uneventful recovery and was discharged on the 9th postoperative day for subsequent follow-up.
Keywords
Chainsaw injury; Evisceration; Penetrating injury; Thoracoabdominal injury; Case report;
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Times Cited By KSCI : 1  (Citation Analysis)
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