A RARE FOREIGN BODY IN THE CHEST UNDER COVID-19 EPIDEMIC CONDITIONS

  • Ihor D. Duzhyi Department of Surgery, Traumatology, Orthopedics and Tuberculosis, Medical Institute, Sumy State University, Sumy, Ukraine
  • Stanislav O. Holubnychyi 2Municipal Non-Profit Enterprise of Sumy Regional Council “Sumy Regional Clinical Hospital”, Sumy, Ukraine
  • Yuriy I. Miroshnichenko 2Municipal Non-Profit Enterprise of Sumy Regional Council “Sumy Regional Clinical Hospital”, Sumy, Ukraine
  • Oleh M. Yasnikovskyi Department of Surgery, Traumatology, Orthopedics and Tuberculosis, Medical Institute, Sumy State University, Sumy, Ukraine
  • Ihor Ya. Hresko Department of Surgery, Traumatology, Orthopedics and Tuberculosis, Medical Institute, Sumy State University, Sumy, Ukraine https://orcid.org/0000-0002-6092-135X
  • Stepan Ya. Pak Department of Surgery, Traumatology, Orthopedics and Tuberculosis, Medical Institute, Sumy State University, Sumy, Ukraine https://orcid.org/0000-0002-5650-1651
Keywords: pleura, suicide, foreign body

Abstract

 One of the negative factors of civilization around the world is the significant growth of injury rate. The manifestations of the latter include suicidal acts that occur in the process of social and individual life. Sometimes people commit suicide because of having incurable diseases. Alcohol addiction contributes to suicide risk.

Study Objectives. To share with the general medical community the rare case of suicidal trauma which seemed fatal but resolved favorably, though it was not immediately verified. Only after performing a radiological examination in two projections, the subject of suicidal action was detected.

Materials and Methods. We observed a case of a suicide victim: a 55-year-old patient who, being impaired by alcohol, decided to commit suicide after learning about COVID-19 mortality. One hour later he was admitted to the emergency department.

Results and Discussion. After stabbing himself with a kitchen knife, a 55-year-old patient called an ambulance and was delivered in satisfactory condition to the emergency surgical department 1 hour after the injury. There were no signs of bleeding or its consequences or manifestations of vena cava compression. Hemodynamics was stable; there were no external respiration disorders. Clinical blood test was within normal range. Revision of the wound in the lower neck was performed. At a depth of 2.5 cm, something perceived as a sternal notch was located manually, which later turned out to be a foreign body. Due to the location of the injury, it was decided to hospitalize the injured patient for observation. Plain and lateral radiography was performed. Longitudinal sternotomy was chosen for access. Under the entrance wound in the neck, in the lateral mediastinum above the root of the lung, a knife was found above the diaphragm penetrating the parenchyma of the lower lobe. After removing the knife, the lung wound was sutured. The postoperative period ended successfully.

Conclusions. Before surgery, an imaging study with at least two different views is mandatory for all chest wounds. If possible, thoracotomy should be scheduled for the daytime.

Author Biographies

Ihor D. Duzhyi, Department of Surgery, Traumatology, Orthopedics and Tuberculosis, Medical Institute, Sumy State University, Sumy, Ukraine

д.мед.н., професор, завідувач кафедри хірургії, травматології, ортопедії та фтизіатрії Сумського державного університету. Адреса: 40000, м. Суми, вул. Троїцька, 48. Телефон: 099‑008-12-59, електронна адреса – gensurgery@med.sumdu.edu.ua

Stanislav O. Holubnychyi, 2Municipal Non-Profit Enterprise of Sumy Regional Council “Sumy Regional Clinical Hospital”, Sumy, Ukraine

к.мед.н., завідувач торакального відділення КНП СОР «Сумська обласна клінічна лікарня». Телефон: 050-926-58-54, електронна адреса – s.holubnychyi@med.sumdu.edu.ua

Yuriy I. Miroshnichenko , 2Municipal Non-Profit Enterprise of Sumy Regional Council “Sumy Regional Clinical Hospital”, Sumy, Ukraine

к.мед.н., лікар-хірург торакального відділення КНП СОР «Сумська обласна клінічна лікарня». Телефон: 050-948-13-35, електронна адреса – y.miroshnychenko@med.sumdu.edu.ua

Oleh M. Yasnikovskyi , Department of Surgery, Traumatology, Orthopedics and Tuberculosis, Medical Institute, Sumy State University, Sumy, Ukraine

аспірант кафедри хірургії, травматології, ортопедії та фтизіатрії Сумського державного університету. Адреса: м. Суми, вул. Охтирська 21/1, кв. 53. Телефон: 099‑420‑66‑98, електронна адреса – o.yasnikovskyi@med.sumdu.edu.ua

Ihor Ya. Hresko, Department of Surgery, Traumatology, Orthopedics and Tuberculosis, Medical Institute, Sumy State University, Sumy, Ukraine

к.мед.н., старший викладач кафедри хірургії, травматології, ортопедії та фтизіатрії Сумського державного університету. Адреса: 40000, Суми, вул. Троїцька 48. Телефон: 099‑22‑01‑821, електронна адреса: i.gresko@med.sumdu.edu.ua, ORCID: https://orcid.org/0000-0002-6092‑135X

Stepan Ya. Pak, Department of Surgery, Traumatology, Orthopedics and Tuberculosis, Medical Institute, Sumy State University, Sumy, Ukraine

асистент кафедри акушерства, гінекології та планування сім'ї Сумського державного університету, м. Сумы, вул. Косівщинська, 96/2, кв. 8. Телефон: 0507192040, електронна адреса: stepanpak08@ukr.net, ORCID: https://orcid.org/0000-0002-5650-1651

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Published
2021-09-29
How to Cite
Ihor D. Duzhyi, Stanislav O. Holubnychyi, Yuriy I. Miroshnichenko, Oleh M. Yasnikovskyi, Ihor Ya. Hresko, & Stepan Ya. Pak. (2021). A RARE FOREIGN BODY IN THE CHEST UNDER COVID-19 EPIDEMIC CONDITIONS. Eastern Ukrainian Medical Journal, 9(3), 256-261. https://doi.org/10.21272/eumj.2021;9(3):256-261