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Research ArticleOriginal Article
Open Access

Patterns of pediatric thoracic penetrating injuries

A single-trauma-center experience in Riyadh, Saudi Arabia

Suliaman M. Alaqeel, Abdulaziz A. Howsawi, Mohammad K. Al Namshan and Jamila O. Al Maary
Saudi Medical Journal March 2021, 42 (3) 280-283; DOI: https://doi.org/10.15537/smj.2021.42.3.20200693
Suliaman M. Alaqeel
From the Department of Pediatric Surgery (Alaqeel, Al Namshan, Al Maary), King Abdullah Specialized Children’s Hospital, King Abdulaziz Medical City and from the Department of Family Medicine (Howsawi), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
MBBS
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  • For correspondence: [email protected]
Abdulaziz A. Howsawi
From the Department of Pediatric Surgery (Alaqeel, Al Namshan, Al Maary), King Abdullah Specialized Children’s Hospital, King Abdulaziz Medical City and from the Department of Family Medicine (Howsawi), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
MBBS
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Mohammad K. Al Namshan
From the Department of Pediatric Surgery (Alaqeel, Al Namshan, Al Maary), King Abdullah Specialized Children’s Hospital, King Abdulaziz Medical City and from the Department of Family Medicine (Howsawi), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
MBBS, MPH
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Jamila O. Al Maary
From the Department of Pediatric Surgery (Alaqeel, Al Namshan, Al Maary), King Abdullah Specialized Children’s Hospital, King Abdulaziz Medical City and from the Department of Family Medicine (Howsawi), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
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Article Figures & Data

Tables

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    Table 1

    - Overview of pre-hospital data.

    Pre-hospital datan (%)
    Place of injury
      Home3 (3.4)
      School2 (2.2)
      Street7 (7.9)
      ND*77 (86.5)
    Mode of transportation
      Ambulance21 (23.6)
      Private car67 (75.3)
      ND*1 (1.1)
    Duration from injury to ED
      <1 hour39 (43.8)
      1-2 hours7 (7.9)
      2-6 hours1 (1.1)
      Not specified42 (47.2)
    • ↵* Not documented

    • View popup
    Table 2

    - Type of injuries encountered in penetrating thoracic injuries.

    Type of injuryn (%)
    Pneumothorax63 (70.7)
    Hemothorax23 (25.8)
    Lung contusion/laceration7 (7.8)
    Diaphragm injury5 (5.6)
    Hemopericardium4 (4.49)
    Cardiac injury4 (4.49)
    Major vessel injury3 (3.4)
    Pneumomediastinum2 (2.2)
    Esophageal injury1 (1.1)
    Rib Fracture1 (1.1)
    Solid/visceral abdominal organ injury12 (13.4)
    • View popup
    Table 3

    - List of surgical interventions needed in managing penetrating thoracic injuries.

    Operative approach*n (%)
    Thoracotomy4 (4.49)
    Median sternotomy1 (1.1)
    Thoracoscopy2 (2.2)
    Laparotomy5 (5.6)
    Diagnostic Laparoscopy2 (2.2)
    Wound Exploration and closure1 (1.1)
    Bullet retrieval by IR*1 (1.1)
    • ↵* Multiple approaches were necessary in one patient. *Intervention radiology

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Saudi Medical Journal: 42 (3)
Saudi Medical Journal
Vol. 42, Issue 3
1 Mar 2021
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Patterns of pediatric thoracic penetrating injuries
Suliaman M. Alaqeel, Abdulaziz A. Howsawi, Mohammad K. Al Namshan, Jamila O. Al Maary
Saudi Medical Journal Mar 2021, 42 (3) 280-283; DOI: 10.15537/smj.2021.42.3.20200693

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Patterns of pediatric thoracic penetrating injuries
Suliaman M. Alaqeel, Abdulaziz A. Howsawi, Mohammad K. Al Namshan, Jamila O. Al Maary
Saudi Medical Journal Mar 2021, 42 (3) 280-283; DOI: 10.15537/smj.2021.42.3.20200693
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Keywords

  • penetrating injury
  • thorax
  • pediatric
  • outcome

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