Penentran yaralanma sonrasý yabancý cismin çýkarýlmasý önemli bir problemdir. Otuz iki yaþýnda erkek hastanýn inþaat demiri üzerine düþme sonrasý demir parçasý sol umlikusun lateralinden girip skapula arkasýndan çýkmýþtý. Fizik muayene ve gerekli radyolojik tetikler yapýldýktan sonra hasta ameliyata alýndý. Demir çubuðun konumundan dolayý fizik muayene, radyolojik tetkikler, entübasyon ve ameliyat, hafif sol lateral dekübit pozisyonda yapýlarak demir parçasý çýkarýldý. Sonuç olarak, bu tür olgular az görülmekle birlikte; acil ve cerrahi ekibin koordineli olarak çalýþmasý çok önemlidir.
Anahtar Kelimeler: : torakoabdominal yaralanma, acil torakotomi, acil laparotomiThe removal of the foreign body form the body after a penetrant injury is critical. A 32-year-old male patient presented to our facility after falling on an iron reinforcement bar (rebar) while working on a construction site. The iron bar had entered the lateral side of the patient’s left umbilicus and exited from the posterior scapula. After a physical examination and the necessary radiological investigations, the patient was operated on. Due to the position of the iron bar, the physical examination, radiological examinations, intubation and surgery were conducted with the patient slightly left of the lateral decubitus position, and the iron bar was removed. Although such cases are encountered only rarely, we consider it to be crucial for the emergency and surgical teams to work in coordination.
Keywords: thoracoabdominal injury, emergency thoracotomy, emergency laparotomy