ABSTRACT
A 19-year-old female was brought to the Emergency Room as a trauma patient. During a tilting contest she fell off the horse and was penetrated by a spear used for tilting the ring. She was respiratorically as well as haemodynamically stable. The spear was supported but not removed by the paramedics. The spear penetrated the patient near the left iliac crest pointing at the heart. Further investigation at the Emergency Room is described briefly and guidelines for penetrating, impaled foreign bodies in the (thoraco)abdominal region are outlined.
Subject(s)
Abdominal Injuries , Wounds, Penetrating , Abdominal Injuries/diagnosis , Abdominal Injuries/etiology , Abdominal Injuries/surgery , Adult , Female , Foreign Bodies/surgery , Humans , Laparoscopy , Tomography, X-Ray Computed , Wounds, Penetrating/diagnosis , Wounds, Penetrating/etiology , Wounds, Penetrating/surgery , Young AdultABSTRACT
We report two cases of gallbladder torsion, which were diagnosed intraoperatively. This rare condition should be suspected in elderly women with acute abdominal pain of unknown origin. The treatment is cholecystectomy. Promptly treated, the prognosis is good.
