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  4. Case Report

Vol. 10 No. 1 (2023)

January 2023

Rebar Impalement Trauma in a Construction Worker: a Case Report and Literature Review

  • Vahid Jomeh Zadeh
  • Tania Yeganeh
  • Tooraj Zandbaf
  • Kaveh Behnia
  • Ramin Hasani
  • Sepehr Shirzadeh

Journal of Practical Emergency Medicine, Vol. 10 No. 1 (2023), 1 January 2023 , Page e19
https://doi.org/10.22037/jpem.v10i1.41942 Published: 2023-08-14

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Abstract

Coincident impalement trauma to the neck and chest is infrequent but life-threatening. Our case was a 35-year-old man, who presented with rebar penetration injury to the neck and mediastinal area. He was conscious and his vital signs were stable. After initial imaging, the patient was transferred to the operation room for explorative surgery; however, as the rebar was loos in its site, we simply pulled out the rod. The patient developed acute respiratory distress syndrome (ARDS) during their administration and was eventually discharged without further complications and comorbidities.

Keywords:
  • Trauma
  • Mediastinal Penetrating Trauma
  • Penetrating Neck Trauma
  • Penetrating Trauma
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How to Cite

Jomeh Zadeh, V., Yeganeh, T., Zandbaf, T., Behnia, K., Hasani, R., & Shirzadeh, S. (2023). Rebar Impalement Trauma in a Construction Worker: a Case Report and Literature Review. Journal of Practical Emergency Medicine, 10(1), e19. https://doi.org/10.22037/jpem.v10i1.41942
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References

Roepke C, Benjamin E, Jhun P, Herbert M. Penetrating Neck Injury: What’s In and What’s Out? Ann Emerg Med. 2016;67(5):578–80.

Low GM, Inaba K, Chouliaras K, Branco B, Lam L, Benjamin E, et al. The use of the anatomic ‘zones’ of the neck in the assessment of penetrating neck injury. Am Surg. 2014;80(10):970–4.

Akcam TI, Ergonul AG, Ozdil A, Cakan A, Cagırıcı U. Rebar Impalement Injury Throughout Bilateral Hemithorax and Pericardium. Open J Thorac Surg. 2015;5(3):31–4.

Wang Y, Sun Y, Zhou T, Liu GH, Zhang XM, Yue JX, et al. Penetrating neck trauma caused by a rebar: A case report. Medicine (Baltimore). 2018;97(16):e0468.

Afzal RM, Armughan M, Javed MW, Rizvi UA, Naseem S. Thoracic impalement injury: a survivor with large metallic object in-situ. Chin J Traumatol. 2018;21(06):369–72.

Yoo B, Shin YC. Cardiac impalement injury by a steel rebar: A case report. Int J Surg Case Rep. 2020;66:174–7.

Hooda Z, O’kane L, Bustamante JP, Zaku B, Aniukwu J, Wessner S, et al. Successful surgical management of a combined abdominal and thoracic penetrating injury: a case report. J Surg Case Rep. 2023;2023(5):rjad245.

Zhang M, He Q, Wang Y, Pang S, Wang W, Wang D, et al. Combined penetrating trauma of the head, neck, chest, abdomen and scrotum caused by falling from a high altitude: A case report and literature review. Int Emerg Nurs. 2019;44:1–7.

Semerkant T. Thoracoabdominal Rebar Injury: A Case Report. Respir Case. 2020;9(3):122–4.

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