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2012 JOURNAL OF UNIVERSAL SURGERY
Vol. 1 No. 2:2 doi: 10.3823/803

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Penetrating Intra-abdominal Injury Caused by High-pressure Water Jet

Bulent Calik
Buca Seyfi Demirsoy State Hospital, Surgery Department, Turkey. * Correspondence:

calikbulentdr@yahoo.com

Abstract
Increasing application is being found in industry for the highpressure water jet. In the literature, nearly all the reported cases of high-pressure jet injury have been from jets of oil, grease, or paint and usually to the hand. There were few penetrating intraabdominal injury cases due to high pressure jet. We presented a man age the 17 who had 1 cm penetrating wound and 5-mm incision at the level of the gallbladder in the liver and 5mm seromusculer incision in front of the gastric antrum. High pressure water jet injuries should be considered surgical emergencies. A high index of suspicion of associated internal injuries and aggressive surgical intervention are required

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Key words: abdominal trauma, liver, penetrating trauma, water jet

Introduction
Increasing application is being found in industry for the highpressure water jet. In the literature, nearly all the reported cases of high-pressure jet injury have been from jets of oil, grease, or paint and usually to the hand. There were few penetrating intraabdominal injury cases due to high pressure jet (1-3). A recent accident is described below.

Case Report
The patient, a man aged 17, was cleaning a car. As the lance was withdrawn the water jet was accidentally directed towards his abdomen. He was not wearing any protective clothing. After the accident he had right sided abdominal pain and bleeding at the abdominal skin. He was seen at our Emergency Department one hour after the accident . On the examination arterial blood pressure was low (90/60 mmHg), and tashycardia was present (120/dk). We detected 1 cm

penetrating wound and ten cm echymosis and superficial abrasion around of the wound in the right middle part of the abdomen. Widespread abdominal dephans and rebound was detected. The bowel sound were diminished. The haemoglobin level was 15. 6 mg/dL and the white cell count 13,300/ mm3. (85% neutrophils). Abdominal ultrasound examination showed fluid around the liver. The abdomen was explored under general anaesthesia through superior and inferior umblical median incision. There were detected 5-mm incision at the level of the gallbladder in the liver and 5mm seromusculer incision in front of the gastric antrum. Omentum had local hematoma. 100 cc serohemoragic liquid was observed in the peritoneal cavity. Primary repair was performed to the incisions. One drain were placed through the entry wound. Postoperatively the patient was given intramuscular cephalotin. He went home on the seven day after operation. He was last seen in the outpatient department two weeks later, when he was observed to be well and back at his previous work.

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com ✓ Journal of Universal Surgery is an open access peer review journal. ear nose throat surgery. 1 No. George B. orthopedics. Chisholm CD. Omentum had local hematoma. Medicalia. De Beaux JL. 5) Neill and George described multiple perforations of the ileum and caecum caused by high-pressure water jet and Gardner reported a case in which a high-pressure water jet struck the abdominal wall at a tangentcausing a wound 10-cm long together with surgical emphysema. Br Med J. 14. High pressure water jet injuries should be considered surgical emergencies. (1989) High-pressure water injection injury to the hand.org Where Doctors exchange clinical experiences.(4. 9(4): 175-9. J Wound Care.iMedPub Journals 2012 JOURNAL OF UNIVERSAL SURGERY Vol. A high index of suspicion of associated internal injuries and aggressive surgical intervention are required. (1969) Penetrating intra-abdominal injury caused by high-pressure water jet. Calder IM. You can also access lots of medical publications for free. 7(2): 165-7 3. Tejero-Trujeque R. Neill RW. 4. 10. One drain were placed through the entry wound. (1980) High-pressure water jet injury. neurosurgery. Our patient had 5-mm incision at the level of the gallbladder in the liver and 5mm seromusculer incision in front of the gastric antrum. Br Med J. Curka PA. Primary repair was performed to the incisions urgently.3823/803 Our Site: http://www. (2000) High-pressure water jet injuries: a surgical emergency. 5). gynecology and obstetrics and dermatosurgery. thoracic surgery. 280 (6229): 1417-8. 2:2 doi: 10. urology. review their cases and share clinical knowledge.jusurgery. cardiothoracic surgery. Br Med J. 280 (6231): 1620. 2. He recovered completely after seven day operation.imedpub. ✓ Our next goal in the near future is to publish a textbook in each surgical specialties and authors of articles will be invited to participate. Follow us: Publish with iMedPub http://www. Boustred D. Join Now! http://medicalia.imedpub. All subjects from general surgery. plastic surgery. Reducing these accident is more importantly.com/ http://www. 5.com/ Discussion There were few penetrating intraabdominal injury cases due to high pressure jet in the literature. References 1.100 cc serohemoragic liquid was observed in the peritoneal cavity.ning. including the wearing of a full suit of polyvinyl chloride clothing.com © Copyright iMedPub Submit your manuscript here: 2 . In this case recovery was uneventful (4. Strict safety precautions must be apply when using high-pressure water jet. (1980) High-pressure water jet injury. 2 (5653): 357-8. Am J Emerg Med.

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