Matsuyama et al., "Transorbital penetrating injury
by a chopstick--case report," Neurol Med Chir (Tokyo), vol.
Trauma including blunt or penetrating injury
, proptosis and uveitis are common in birds.
The most common mode of blunt abdominal injury in this study was road traffic accidents having 38 of 75 patients, followed by assault in the form of "gadtapatu." Of 25 cases of penetrating abdominal trauma, 23 were due to stab injury and 2 due to accidental injury suggesting stab injury as the most common mode of penetrating injury
. Half of the patients with abdominal trauma had acceleration injury due to assault in the form of gardapatu and stabbing while another half of the patients had deceleration injury due to road traffic accident and fall from height.
Nevertheless commonly described etiologic factors for TPNI include motor vehicle accident (MVA), penetrating injury
, gunshot wound (GSW), crush, compression, traction, ischemia, occupational injury, sports-related injury, and explosion-related injury (1,3).
Neuroradiological consultation (BH, JW) was obtained and the question of a penetrating injury
was raised (Figure 2 right).
Pars plana vitrectomy for severe penetrating injury
with posterior segment involvement.
He also had 'wedging' of one of his vertebrae, resulting from compression of the spine or extreme bending - and it was also discovered he had a penetrating injury
to his backside.
A penetrating injury
could have the same end result.
Cardiac laceration is common in patients with sharp penetrating injury
.4 Surgical approach is indicated in penetrating ventricular injury and VSD.15 If the patient is vitally stable then workup can be done to trace the path of the bullet and plan specific surgical management or decide to manage conservatively.6 Both of our patients were stable and underwent pre-operative workup including CT scanning and pre-operative transthoracic echocardiography.
"He suffered a large sharp force trauma, possibly from a sword or staff weapon, and a penetrating injury
from the tip of an edged weapon.
"The most likely injuries to have caused the king's death are the two to the inferior aspect (lower part) of the skull -- a large sharp-force trauma possibly from a sword or staff weapon, such as a halberd or bill, and a penetrating injury
from the tip of an edged weapon," said Guy Rutty, a pathologist at the University of Leicester.
Surgical options for repair of penetrating injury
depend on factors such as level of injury and surgeon's capabilities.