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Mediastinal impalement with a fibreglass sheet

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Singapore Med J 2014; 55(9): e148-e149; http://dx.doi.org/10.11622/smedj.2014129
Mediastinal impalement with a fibreglass sheet

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Wimalachandra WS, Asmat A
Correspondence: Dr Atasha Asmat, atasha_asmat@ttsh.com.sg

ABSTRACT
Mediastinal impalement injuries are uncommon and often fatal. There have been very few reported cases of survival following mediastinal impalement. Patients who present with these injuries always undergo operative intervention regardless of their underlying haemodynamic status or associated injuries. We herein present a case of mediastinal impalement injury, where a sheet of fibreglass had fractured the manubrium and entered the anterior mediastinum with no associated great vessel injury. The fibreglass sheet was removed via a partial sternotomy and the patient made an uneventful postoperative recovery.

Keywords: impalement injury, mediastinum, thoracic
Singapore Med J 2014; 55(9): e148-e149; http://dx.doi.org/10.11622/smedj.2014129

http://smj.org.sg/sites/default/files/5509/5509cr4.pdf

REFERENCES

1. Hyde MR, Schmidt CA, Jacobson JG, Vyhmeister EE, Laughlin LL. Impalement injuries to the thorax. Ann Thorac Surg 1987; 43:189-90
http://dx.doi.org/10.1016/S0003-4975(10)60394-3
 
2. Burack JH, Kandil E, Sawas A, et al. Triage and outcome of patients with mediastinal penetrating trauma. Ann Thorac Surg 2007; 83:377-82.
http://dx.doi.org/10.1016/j.athoracsur.2006.05.107
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