CASE REPORT

Management of penetrating injury in Jombang Public Hospital district: a case report

Reynard Budy Setiawan , Hanafi Sayogo, Fakhri Surahmad, Edwin Danardono

Reynard Budy Setiawan
General Surgery Resident, Universitas Airlangga, Surabaya, Indonesia. Email: [email protected]

Hanafi Sayogo
Senior Staff, General Surgery, Department of Surgery Jombang Public Hospital, Jombang, Indonesia

Fakhri Surahmad
Senior Staff, Urologist, Department of Surgery Jombang Public Hospital, Jombang, Indonesia

Edwin Danardono
Senior Staff, Digestive Surgeon, Department of Surgery, Dr. Sutomo General Hospital, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Online First: December 01, 2019 | Cite this Article
Setiawan, R., Sayogo, H., Surahmad, F., Danardono, E. 2019. Management of penetrating injury in Jombang Public Hospital district: a case report. Bali Medical Journal 8(3): S795-S798. DOI:10.15562/bmj.v8i3.1563


Background: A penetrating injury is due to the mechanical force which is piercing in nature and caused by sharp-pointed objects. Penetrating trauma from the inguinal region to the thoracic region is a case with high morbidity and mortality when not sufficient early surgical assessment and good management. The penetrating injury needs early medical assessment and proper management, and this can be done in type B hospital.

Case Description: Twenty-two years old male came to the emergency department in Jombang Public Hospital District after fell from 4 meters height in a construction project. We found 12 mm metallic foreign body has stabbed from right groin projected to left anterior axillary line ICS 4, and patient hemodynamically was stable without any signs of peritonitis. External genital examination showed bloody urethral discharge. We performed chest X-Ray, FAST sonography, prone and lateral KUB X-Ray, urethrographic and emergency exploratory laparotomy for foreign body extraction.

Conclusion: Penetrating injury management involved supportive and surgical management toward damaged organs and extracted foreign body. The recommendation of penetrating injury is to keep the foreign body not to be manipulated since the foreign body can create a tamponade effect that can prevent massive bleeding.

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