{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T23:50:06Z","timestamp":1789602606044,"version":"build-2803163510"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T00:00:00Z","timestamp":1675900800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Impalement thoracoabdominal injuries are potentially life-threatening due to the associated bleeding and multiple visceral injuries. They are uncommon and often result in severe surgical complications, requiring prompt treatment and extensive care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We present a 45-year-old male patient who fell from a 4.5-meter-high tree and landed on a Schulman iron rod stick, which pierced the patient's right midaxillary line, exiting from his epigastric region and leading to multiple intraabdominal injuries and right pneumothorax. The patient was resuscitated and immediately shifted to the operating theater. The main operative findings were moderate hemoperitoneum, gastric and jejunum perforations, and liver laceration. A right chest tube was inserted, and injuries were repaired with segmental resection, anastomosis, and colostomy procedure with uneventful post-operative recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Providing efficient and prompt care is crucial for patient survival. This includes securing the airways, providing cardiopulmonary resuscitation, and aggressive shock therapy to stabilize the patient's hemodynamic status. The removal of impaled objects is strongly discouraged outside the operation theater.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Thoracoabdominal impalement injury is rarely reported in the literature; appropriate resuscitative care, prompt diagnosis, and early surgical intervention may minimize mortality and improve the patient's outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.107930","type":"journal-article","created":{"date-parts":[[2023,2,10]],"date-time":"2023-02-10T12:39:24Z","timestamp":1676032764000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Thoraco-abdominal impalement injury with an iron rod"],"prefix":"10.1097","volume":"104","author":[{"given":"Menawar","family":"Dajenah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anessa","family":"Thabet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Ghaleb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Badheeb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaid","family":"Dajenah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-15-20260313","doi-asserted-by":"crossref","first-page":"742","DOI":"10.4103\/0019-5049.147172","article-title":"Penetrating abdomino-thoracic injury with an iron rod: An anaesthetic challenge","volume":"58","author":"Kaur","year":"2014","journal-title":"Indian J Anaesth"},{"key":"R4-15-20260313","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/j.jemermed.2008.03.033","article-title":"Transabdominal impalement: absence of visceral or vascular injury a rare possibility","volume":"41","author":"Mohan","year":"2011","journal-title":"J. Emerg. Med"},{"key":"R5-15-20260313","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.ijscr.2020.01.030","article-title":"Thoraco-abdominal impalement injury with two construction iron bars - A rare case report","volume":"67","author":"Sankpal","year":"2020","journal-title":"Int J Surg Case Rep"},{"key":"R6-15-20260313","doi-asserted-by":"crossref","first-page":"117","DOI":"10.2478\/v10035-011-0019-3","article-title":"Penetrating abdomino-thoracic injuries: report of four impressive, spectacular and representative cases as well as their challenging surgical management","volume":"83","author":"Eder","year":"2011","journal-title":"Pol. Przegl. Chir"},{"key":"R7-15-20260313","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R8-15-20260313","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.jviscsurg.2016.05.003","article-title":"Management of penetrating abdominal and thoraco-abdominal wounds: A retrospective study of 186 patients","volume":"153","author":"Barbois","year":"2016","journal-title":"J Visc Surg"},{"key":"R9-15-20260313","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.cjtee.2018.08.002","article-title":"Thoracic impalement injury: a survivor with large metallic object in-situ","volume":"21","author":"Muhammad Afzal","year":"2018","journal-title":"Chin. J. Traumatol"},{"key":"R10-15-20260313","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1177\/0025802418755588","article-title":"A forensic evaluation of impalement injuries","volume":"58","author":"Byard","year":"2018","journal-title":"Med Sci Law"},{"key":"R11-15-20260313","first-page":"236","article-title":"An unusual case of transorificial abdomino-thoracic impalement injury in a child","volume":"4","author":"Shah","year":"2016","journal-title":"Bull. Emerg.Trauma"},{"key":"R12-15-20260313","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1007\/s12262-013-0825-4","article-title":"Management of severe thoracic impalement trauma against two-wheeled horse carriage: a case report and literature review","volume":"76","author":"Ruano","year":"2014","journal-title":"Indian J. Surg"},{"key":"R13-15-20260313","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1089\/lap.2020.0552","article-title":"Laparoscopic Management of Blunt and Penetrating Abdominal Trauma: a single-center experience and review of the literature","volume":"31","author":"Pau","year":"2021","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"R15-15-20260313","first-page":"227","article-title":"Difficulties in the Management of Impalement Injuries Sustained in rural India","volume":"13","author":"Govindaraju","year":"2020","journal-title":"J emerg traumaShock"},{"key":"R17-15-20260313","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1097\/00005373-198303000-00018","article-title":"Impalement injuries: the preferred approach","volume":"23","author":"Ketterhagen","year":"1983","journal-title":"J. Trauma"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223000585?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223000585?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.107930","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T12:00:59Z","timestamp":1773403259000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.107930"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":13,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.107930","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2023,3]]}}}