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Stab Wound Extension for the Eviscerated Small Bowel with Severe Ischemic Changes
자창으로 탈장된 소장의 허혈 예방을 위한 감압술
J Acute Care Surg 2018;8:71−73
Published online October 30, 2018;  https://doi.org/10.17479/jacs.2018.8.2.71
© 2018 Korean Society of Acute Care Surgery.

Chan Kyu Lee, M.D.*, Chan Yong Park, M.D., Ph.D., Kwang Hee Yeo, M.D.*, Ho Hyun Kim, M.D.*
이찬규, 박찬용, 여광희, 김호현

*Department of Trauma Surgery, Pusan National University Hospital, Busan, Department of Trauma Surgery, Wonkwang University Hospital, Iksan, Korea
Kwang Hee Yeo, M.D.
Department of Trauma Surgery, Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea
Tel: +82-51-240-7369
Fax: +82-51-240-7719
E-mail: songyu0428@gmail.com
Received July 6, 2017; Revised June 20, 2018; Accepted September 22, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
An abdominal stab wound with evisceration is an indication of an emergency laparotomy. We encountered a case of a very severe ischemic change in the eviscerated small bowel as a result of stabbing. The patient was considered to have a high possibility of progressing to strangulation of the small bowel. Therefore, a stab wound extension was performed as a decompression in the emergency department before definite surgery in the operating room. Most of the small bowel could be saved except for the segment with the damage caused by the stab injury. The patient was discharged without complications.
Keywords : Abdominal stab wound, Eviscerated small bowel, Decompressive wound extension, Emergency room


October 2018, 8 (2)
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