The patient is an 86-year-old male who was brought to the emergency room for a self-inflicted stab wound. He presented a revised trauma score of 12 points. After primary and secondary examination, and given his hemodynamic stability, a CT scan was done (Fig. 1A), which showed a 22cm knife situated in the left hypochondrium, piercing the omentum. However, we observed no injuries to adjacent organs, pneumoperitoneum or hemoperitoneum. Urgent laparoscopy was indicated, which allowed a safe extraction of the knife (Fig. 1B) and meticulous revision of the abdominal cavity, where no injuries were detected. Exploratory laparoscopy is a tool to consider in hemodynamically stable patients with stab wounds.
Please cite this article as: Romero Gallego JD, Ramos Durán JM, Saavedra Chacón MJ, Salas Díaz AS. Laparoscopia exploradora en politraumatizados: extracción de arma blanca. Cir Esp. 2017;95:403.
