Traumatic evisceration secondary to a stone as a projectile

A 59-year-old male come to the emergency room for traumatic evisceration secondary to the explosion of a modified blender attached to a knife-sharpening stone (Fig. 1).

Figure 1

During urgent surgery, two stone fragments were removed from the abdominal cavity, requiring the resection of a 90-cm segment of the small intestine (Fig. 2), side-to-side anastomosis, and a colostomy due to laceration of the sigmoid mesocolon that caused ischemia. Last of all, the abdominal wall was closed using an onlay polypropylene mesh.

Figure 2

Traumatic abdominal evisceration is a very rare injury in polytrauma patients. High-energy trauma is considered the main mechanism of injury, causing an interruption in the abdominal wall and evisceration of the abdominal content. Thus, it is usually accompanied by a significant abdominal wall defect that makes the reconstructive process difficult and requires a multidisciplinary approach for its treatment.

Diagnosis

Traumatic evisceration.