A CASE OF PENETRATING CHEST INJURY WITH OMENTAL HERNIATION IN A CHILD

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  • 大網脱出を伴った小児胸部刺創の1例

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Abstract

<p>　　An eight-year-old boy with a stab wound to the left lower anterior chest was transported to our hospital 8 hours after the injury. He was hemodynamically stable and was found to have omental herniation from his chest wound. The CT showed left hemopneumothorax and minimal hemoperitoneum. After thoracic tube drainage, surgical repair was performed for the diaphragm and liver and to address bleeding near the stomach, ribs, and pericardium. He was discharged with no complications on postoperative day 19. Children suffer injuries to multiple organs more easily than adults when injured by the same weapon because of their smaller trunk. In this case, we suspected that the abdominal organ injuries had occurred through the diaphragm and were able to repair these organs. In cases of penetrating chest injuries in children with a diaphragmatic injury, abdominal organ injuries should therefore be suspected.</p>

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