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Case of the Month – February 2018

By Dr Matthew Bastian-Jordan

History:

Young male presented with whipper snipper injury. Hit a rock. Penetrating injury?

Imaging:

CT upper abdomen and pelvis.

Findings:

CT showed abdominal wall wound with free intraperitoneal gas and metallic foreign body.

Management:

Diagnostic laparoscopy has confirmed the metallic foreign body to have entered the abdomen and was lodged within a loop of small bowel requiring an enterotomy, removal and closure.

Additional History:

The patient was using metallic blades and hit a rock snapping the tip off and flying into his abdomen (he was not wearing a shirt!)

 

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