Document Type : Case Report


Department of Surgery, ABVIMS and Dr. Ram Manohar Lohia Hospital and Post Graduate Institute of Medical Education and Research, New Delhi, India


Objective: objectives: Penetrating abdominal trauma secondary to bamboo stick injury is a rare entity in the developed world. Most of such kind of trans abdominal penetrating bamboo stick injury is associated with multiple solid and hollow viscus injuries. In developing countries like India, where nearly 70% of the population reside in rural areas, it is not that uncommon. Aim of this report is to recognition of risk factors and explain optimum surgical management in trans-abdominal bamboo stick injury.
Case Presentation: Here we describe a case of penetrating trans abdominal bamboo stick injury resulting due to fall
over a branch of bamboo stick with multiorgan damage, which was successfully managed
by early surgical exploration in our institute.
Conclusion: There are many factors
which can prognosticate the penetrating trauma cases. The most important factors include
a long interval between injury and surgical exploration, presence or absence of shock, and
other associated organ injuries at the time of admission. Early recognition of the severity of
injury with surgical management is utmost necessary. These patients have high morbidity
and mortality rates due to multiorgan damage and post-operative infection


Main Subjects

1. TraumaRegister DGU, 20 years of trauma documentation in Germany--actual trends and developments. Injury 2014; 45 Suppl 3: S14-9. doi: 10.1016/j.injury.2014.08.012.
2. Gill RC, Saleem O, Mannan F, Begum S, Zafar H. Penetrating trauma to abdomen with Transfixed Wooden
Branch without Intra-Peritoneal Breach: a close call. SAJ Case Rep 2018; 5(3): 304.
3. Mohan R, Ram DU, Baba YS, Shetty A, Bhandary S. Transabdominal impalement: absence of visceral or
vascular injury a rare possibility. J Emerg Med 2011; 41(5):495-8. doi:10.1016/j.jemermed.2008.03.033.
4. Demetriades D, Murray J, Charalambides K, Alo K, Velmahos G, Rhee P, et al. Trauma fatalities: time and
location of hospital deaths. J Am Coll Surg 2004; 198(1):20-6. doi: 10.1016/j.jamcollsurg.2003.09.003.
5. Swaid F, Peleg K, Alfici R, Matter I, Olsha O, Ashkenazi I, et al. Concomitant hollow viscus injuries in patients with blunt hepatic and splenic injuries: an analysis of a National Trauma Registry database. Injury 2014; 45(9): 1409-12. doi:10.1016/j.injury.2014.02.027.
6. Cigdem MK, Onen A, Siga M, Otcu S. Selective nonoperative management of penetrating abdominal
injuries in children. J Trauma 2009; 67(6): 1284-6. doi: 10.1097/TA.0b013e3181bbd932.
7. Thomson BN, Knight SR. Bilateral thoracoabdominal impalement: avoiding pitfalls in the management of
impalement injuries. J Trauma 2000; 49(6): 1135-7. doi: 10.1097/00005373-200012000-00029.
8. Horowitz MD, Dove DB, Eismont FJ, Green BA. Impalement injuries. J Trauma 1985; 25(9): 914-6. doi: