PMC4823470_01
shows the penetrating wooden stick.
gr1.jpg
PMC4823470_01_gr1.jpg
fig0005
A 39 year-old male fell from a 3 m high ladder and landed on a wooden stick (shown in Fig. 1).
shows the penetrating stick entering the patient's left lumbar region.
gr2.jpg
PMC4823470_01_gr2.jpg
fig0010
The stick penetrated the patient from his left lumbar region (shown in Fig. 2) and the tip of it was palpable in the right upper quadrant of the abdomen but there was no exit wound. (shown in Fig. 3).
shows the tip of the stick found subcutaneously with no visible exit wound.
gr3.jpg
PMC4823470_01_gr3.jpg
fig0015
The stick penetrated the patient from his left lumbar region (shown in Fig. 2) and the tip of it was palpable in the right upper quadrant of the abdomen but there was no exit wound. (shown in Fig. 3).
axial image that shows the object impaled traversing the tail of the pancreas as revealed by the CT.
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PMC4823470_01_gr4.jpg
fig0020
In addition, the stick was in contact with the left kidney and the posterior wall of the stomach (shown in Fig. 4).
intraoperative picture of the injury at the posterior wall of the stomach.
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PMC4823470_01_gr5.jpg
fig0025
The wooden stick impaled, was entering the abdomen through the posterior peritoneum right by the ligament of Treitz, traversing the posterior wall of the stomach (shown in Fig. 5), the tail of the pancreas and the ligamentum teres hepatis.