MyMedR

Fulltext A complete transection of larynx

Noorizan Y, Chew YK, Khir A, Brito-Mutunayagam S

Med J Malaysia, 2009 Jun;64(2):179-80.

PMID: 20058586 MyJurnal

Acute laryngeal injury is a rare, potentially lethal injury. It often poses difficulty in airway management. Commonly described are external laryngeal or blunt injuries. We report a case of penetrating neck injury resulting in complete transection of cricoid cartilage. A lady presented with a large, deep slash wound in her neck from a knife injury. There was complete laryngotracheal separation. The airway was secured before she was taken to the operating theatre. A tracheostomy was performed. Exploration revealed the cricoid ring was cut horizontally into two. Anastomosis of the cartilaginous framework was undertaken. Fibreoptic laryngoscopy showed bilateral vocal cords paralysis. After two months the patient recovered without airway compromise, she regains her voice. Repeat laryngoscopy showed good mobility of the vocal cords. In conclusion surgical reconstruction should be meticulously done to ensure good respiratory and phonatory abilities.

Matched MeSH terms: Wounds, Penetrating/surgery*

Bird-related eye injuries

Shriwas SR

Trop Doct, 1993 Jul;23(3):140.

PMID: 8356755

Matched MeSH terms: Wounds, Penetrating/etiology*

Fulltext A case of traumatic cholecystectomy

Shahrudin MD

Med J Malaysia, 1996 Mar;51(1):159.

PMID: 10968002

Matched MeSH terms: Wounds, Penetrating/etiology*

Nail in the ethmoidal sinus: an unusual entry

Elango S, Htun YN

J Otolaryngol, 1993 Jun;22(3):206.

PMID: 8371334

Matched MeSH terms: Wounds, Penetrating/surgery*

A rare penetrating injury through the axilla caused by stilt pole in a Bajau Laut boy

Atan AA, Chong JS, Oon ZS, Abu Bakar I

Med J Malaysia, 2020 09;75(5):597-599.

PMID: 32918436

An 8-year-old child of Bajau Laut descent (a stateless tribe in Eastern Borneo and the Sulu archipelago) presented following a fall, with penetrating injury through the axilla caused by a stilt pole, exiting at the supero-anterior aspect of the left shoulder. Due to the lack of comprehension of modern medical treatment and poor language skills, the parents refused to consent for detailed radioimaging studies, nor surgical removal and exploration in the operating theatre. The removal of retained stilt pole was done in casualty area in Hospital Tawau, followed by local exploration under sedation and local analgesia. Despite the horrific injury, there was no limb-threatening neurovascular injury sustained. Management of such injury in the nomadic Bajau Laut population provides valuable insight and about the challenges and decisions of management.

Matched MeSH terms: Wounds, Penetrating/surgery*

Fulltext A case of impalement injury of finger

Ohn MH, Ohn KM

BMJ Case Rep, 2020 Dec 12;13(12).

PMID: 33310836 DOI: 10.1136/bcr-2020-239234

Matched MeSH terms: Wounds, Penetrating/surgery*

Fulltext Damage control resuscitation: A case of thoraco-abdominal impalement

Nur AK, Mohd Mokhtar MA, Izzat I, Abdul Halim S, Nor Elayni B

Med J Malaysia, 2016 04;71(2):77-8.

PMID: 27326948 MyJurnal

Damage Control Resuscitation and Surgery is the concept of controlled hypotension, haemostatic resuscitation and abbreviated surgical procedures following severe trauma; the practice of which has resulted in improved mortality and morbidity. We describe a rare case of thoraco-abdominal impalement successfully managed based on the concept of Damage Control Resuscitation.

Matched MeSH terms: Wounds, Penetrating

Fulltext Traumatic transection of aorta

Ho CK, Yip KT, Eng JB, Rajan L, Tan BH

Med J Malaysia, 2001 Sep;56(3):374-7.

PMID: 11732086

A 16 year-old man presented with fracture of both his femurs after a road traffic accident. Chest radiograph revealed mediastinal widening. Subsequent CT scan and arch aortogram confirmed the findings of traumatic aortic arch transection at the isthmus. He underwent successful surgical repair. High index of suspicion and prompt actions are important in managing this potentially fatal but treatable condition.

Matched MeSH terms: Wounds, Penetrating/diagnosis*; Wounds, Penetrating/etiology; Wounds, Penetrating/surgery*

Fulltext Penetrating cardiac injury without tamponade

Aung T

Med J Malaysia, 1997 Dec;52(4):441-3.

PMID: 10968125

A case of unsuspected penetrating cardiac injury is presented. It was recognised by the presence of bleeding into peritoneal cavity even after the source of bleeding from intra-abdominal organs had been stopped. It highlights the importance of high index of suspicion of associated cardiac injury in high epigastric penetrating injury.

Matched MeSH terms: Wounds, Penetrating/diagnosis*

Radial artery injury by a cat fish (Pangasius sutchi) spine sting

Ahmad R, Zaini IZ, Mohamed NA, Roslanuddin MS

Southeast Asian J Trop Med Public Health, 2013 Jul 4;44(4):703-6.

PMID: 24050106

Peripheral vascular injuries result from penetrating or blunt trauma to the extremities. We describe here an unusual cause of a radial artery injury by the spine from the pectoral fin of Pangasius sutchi in a 51 year-old man and we review the literature.

Matched MeSH terms: Wounds, Penetrating/complications*

Epidermal Regeneration of Cultured Autograft, Allograft, and Xenograft Keratinocytes Transplanted on Full-Thickness Wounds in Rabbits

Hanifi N, Halim AS, Aleas CF, Singh J, Marzuki M, Win TT, et al.

Exp Clin Transplant, 2015 Jun;13(3):273-8.

PMID: 26086837

Skin grafting has been evolving as an important application in reconstructive surgery. Mixed reports about the survival of allogeneic and xenogeneic keratinocytes require further substantiation to determine the role of these cells in wound healing.

Matched MeSH terms: Wounds, Penetrating/pathology; Wounds, Penetrating/physiopathology; Wounds, Penetrating/surgery*

Computed tomography of the thorax with 3D reconstruction in penetrating chest injury

Michael A, Yahya ZO, Mdrazali I, Hanif H

Med J Malaysia, 2017 02;72(1):75-76.

PMID: 28255150 MyJurnal

Penetrating chest wounds is less common but more deadly then blunt trauma. Majority of penetrating chest trauma can be managed conservatively with observation and simple thoracotomy. This case report highlights a bizarre occupational hazard causing a penetrating chest injury and the option of non-invasive management with the aid of computed tomography with 3D reconstruction.

Matched MeSH terms: Wounds, Penetrating

Case series of haemothorax secondary to avulsed bullae vessel

Low QJ, Hatta Z, Cheo SW, Syed RSH, Goh KS

Med J Malaysia, 2019 Oct;74(5):431-432.

PMID: 31649221

Haemothorax refer to the bleeding in the pleural space. It is commonly due to iatrogenic, blunt or penetrating chest trauma. Non-traumatic haemothorax is a rare entity that can potentially lead to life threatening complications. The initial management of both traumatic and non-traumatic haemothorax includes resuscitation and stabilisation of the patient. We would like to present two cases of non-traumatic haemothorax secondary to an avulsed bullae vessel.

Matched MeSH terms: Wounds, Penetrating

An unusual cause of a penetrating injury to the anterior urethra: a thorny situation

Tan GH, Ho CC, Bahadzor B, Praveen S, Goh EH, Afdzillah AR, et al.

Clin Ter, 2013;164(1):35-7.

PMID: 23455741 DOI: 10.7417/T.2013.1509

Concurrent penetrating injury to the male external genitalia and the anterior urethra is uncommon. This case illustrates an unusual cause of such an injury, and its subsequent management and outcome. A 69-year-old man had his scrotum and anterior urethra pierced by a long thorn when he fell in his farm. He presented with urine leakage from the scrotal wound each time he micturated. Cystoscopic examination confirmed the cause and extent of the injury, and also facilitated the extraction of the thorn. The injury was allowed time to heal by urinary diversion with a urinary catheter. There were no stricture or fistula formations and the patient remained symptom-free at 3 months follow-up. Careful cystoscopic examination was both diagnostic and therapeutic in this case. A conservative approach is a feasible option in the management of selected cases of penetrating anterior urethral injury.

Matched MeSH terms: Wounds, Penetrating/diagnosis; Wounds, Penetrating/surgery*

Penetrating wounds caused by needle-fish in Oceania

Barss PG

Med J Aust, 1985 12 9;143(12-13):617-8, 621-2.

PMID: 3831754

Needle-fish are slender silvery fish with long pointed beaks. They are commonly seen swimming beneath the surface near fringing reefs in the Indo-Pacific area. Such areas are also frequented by Melanesian villagers. The speed of needle-fish, together with their tendency to leap out of the water when bright lights are used for fishing and at other times, occasionally result in deep, penetrating injuries to swimmers, waders, and, in particular, to fishermen who are working at night from small canoes. Injuries from needle-fish are a relatively common occupational hazard of subsistence village life in Oceania, and probably also for some fishermen in other coastal environments, such as those in Japan and Malaysia.

Matched MeSH terms: Wounds, Penetrating/etiology*; Wounds, Penetrating/epidemiology

Pleuroscopic retrieval of a sewing needle from the pleural cavity under conscious sedation by a chest physician

Tie ST, Wong JL, Kannan SK, Rahman JA

J Bronchology Interv Pulmonol, 2012 Jul;19(3):246-8.

PMID: 23207471 DOI: 10.1097/LBR.0b013e31825c3228

We report a case of a young man who presented with a left-sided pneumothorax after suffering an accidental penetrating injury by a sewing needle to the anterior chest wall. Chest radiograph and the computed tomography of the thorax revealed that the needle was in the pleural cavity and there was an associated pneumothorax. An attempt at retrieval by direct incision failed. The sewing needle was successfully retrieved by a medical pleuroscopy. The patient recovered without any consequences and was discharged home after 24 hours of observation.

Matched MeSH terms: Wounds, Penetrating/radiography; Wounds, Penetrating/surgery*

Influence of gold nanoparticles on wound healing treatment in rat model: Photobiomodulation therapy

Lau P, Bidin N, Islam S, Shukri WNBWM, Zakaria N, Musa N, et al.

Lasers Surg Med, 2017 04;49(4):380-386.

PMID: 27859389 DOI: 10.1002/lsm.22614

BACKGROUND AND OBJECTIVE: The aim of this study is to investigate the effect of gold nanoparticles (AuNPs) in photobiomodulation therapy (PBMT) on wound healing process.

MATERIALS AND METHODS: AuNPs are synthesized by Q-switched Nd:YAG laser ablation technique. Cutaneous wound are induced on 45 Sprague Dawley rats on its dorsal part and then randomly divided into three groups. One group serves as non-treatment group (GC) and another two groups are subjected to AuNPs with and without PBMT. About 808 nm diode laser with output power of 100 mW is used as a light source for PBMT. The treatment was carried out daily with exposure duration of 50 seconds and total fluence of 5 J/cm2 . Wound area is monitored for 9 consecutive days using a digital camera, and histological examination is performed at 3rd, 6th, and 9th day through hematoxylin and eosin stain as well as Masson's trichrome stain.

RESULTS: The group of rats subjected to AuNPs with PBMT shows significantly accelerated wound closure compared to other groups. Histological results indicate that AuNPs and PBMT group is more effective in stimulating angiogenesis and triggers inflammatory response at early stage.

CONCLUSION: The application of AuNPs in PBMT has potential to accelerate wound healing due to enhanced epithelialization, collagen deposition and fast vascularization. Lasers Surg. Med. 49:380-386, 2017. © 2016 Wiley Periodicals, Inc.

Matched MeSH terms: Wounds, Penetrating/pathology; Wounds, Penetrating/therapy*

Retained haemodialysis-catheter guidewire in the head and neck: a multidisciplinary team approach

Xiao Hong C, Abd Wahab S, Azman M

BMJ Case Rep, 2020 Oct 27;13(10).

PMID: 33109696 DOI: 10.1136/bcr-2020-236484

Penetrating foreign body in the head and neck can be catastrophic from injury to the constellation of vascular and neural structures in the neck. Early recognition and prompt surgical intervention is imperative to save lives. Herein, we present an unusual case of iatrogenic foreign body-a coiled guidewire embedded in the deep neck space. The complications, radiological investigation and multidisciplinary surgical management are further discussed.

Matched MeSH terms: Wounds, Penetrating/diagnosis*; Wounds, Penetrating/etiology; Wounds, Penetrating/surgery

Fulltext The uncharted danger of living in the tropics: a needlefish impalement of the sigmoid colon

Assikin Muhamad, Aishath Azna Ali, Firdaus Hayati, Andee Dzulkarnaen Zakaria

Malaysian Journal of Medicine and Health Sciences, 2020;16(3):337-339.

MyJurnal

Penetrating injury to the abdominal viscera is not uncommon unless when it is caused by marine life. We present a 39-year-old fisherman from a tropical country who had sustained a penetrating injury from a stab wound to the abdomen due to needlefish impalement. He sustained a small perforation of the sigmoid colon during exploratory laparotomy and primary repair was done. Although this incident is rare, there are cases involving seawater activities either for leisure, sport or diving for fishing. We highlight this rare incident and discuss the management plan.

Matched MeSH terms: Wounds, Penetrating

An unusual intra-vesicle foreign body following fall off a tropical fruit tree

S,Praveen, TW, Khor, L, James, GC, Teh, S, Febra

Journal of Surgical Academia, 2012;2(1):23-25.

MyJurnal

Penetrating injuries to bladder occur in 20 % of cases. Synchronous bladder and rectal perforation occur in 30-64 % of cases. The management of rectal and bladder injuries depend on whether it is an extra-peritoneal or intra-peritoneal injury. We hereby, report a case of penetrating trauma in a 13 year old boy who fell off a tropical fruit (Rambutan - Nephelium lappaceum) tree. He sustained an extra-peritoneal rectal injury with intra-peritoneal bladder injury. The rectal injury was repaired primarily via per anal route while the bladder injury needed an open repair following laparotomy. Upon removal of bladder clots, a leaf of the ‘Rambutan’ tree was found intra-vesically. It was removed and bladder repaired as per standard method. We review the literature on rare intra-vesicle foreign bodies and discuss the treatment of synchronous rectal and bladder injuries.

Matched MeSH terms: Wounds, Penetrating

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