Management of a patient with cardiac arrest, intestinal ischemia necrosis, multiple fractures, hemorrhagic shock, renal failure, disseminated intravascular coagulation, and thrombosis after severe abdominal crush injury: A case report

Yang,Xiaokun; Tang,Nan; Li,Le; Xu,Guisen; Dai,Juan; Tao,Kai; He,Chunyang; Huangfu,Chaoji

doi:10.3892/etm.2022.11313

June-2022 Volume 23 Issue 6

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June-2022 Volume 23 Issue 6

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Case Report Open Access

Management of a patient with cardiac arrest, intestinal ischemia necrosis, multiple fractures, hemorrhagic shock, renal failure, disseminated intravascular coagulation, and thrombosis after severe abdominal crush injury: A case report

Authors:
- Xiaokun Yang
- Nan Tang
- Le Li
- Guisen Xu
- Juan Dai
- Kai Tao
- Chunyang He
- Chaoji Huangfu
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Affiliations: Department of Emergency Medicine, The General Hospital of Western Theater Command, Chengdu, Sichuan 610083, P.R. China, School of Nursing, Lanzhou University, Lanzhou, Gansu 730010, P.R. China, Department of Hyperbaric Oxygenation Medicine, The General Hospital of Western Theater Command, Chengdu, Sichuan 610083, P.R. China, Center for Disease Control and Prevention, Western Theater Command, Lanzhou, Gansu 730020, P.R. China

Copyright: © Yang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Article Number: 386
|
Published online on: April 12, 2022

https://doi.org/10.3892/etm.2022.11313
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Abstract

Abdominal crush injury has been widely reported. However, abdominal crush injury cases involving most of the organ systems have seldom been reported. In the present case report, a 58‑year‑old man was hit in the abdomen by a 4‑ton machine tool. The case described a rare combination of cardiac arrest, intestinal ischemia necrosis, multiple fractures, hemorrhagic shock, renal failure, disseminated intravascular coagulation and thrombosis after severe abdominal crush injury. During the treatment, crush syndrome, anemia, electrolyte disorder, pleural effusion, pulmonary emphysema, compartment syndrome, respiratory failure, pulmonary hemorrhage, injury of the right common peroneal nerve and tibial nerve, septum abscess and malnutrition were also observed. Systemic and symptomatic treatments were performed for >3 months, after which the patient was discharged from hospital without any further risk of fatality. The related treatments were also described in detail in the present case report. This case represented one of the most complicated cases among abdominal crush injuries that have been reported, and the treatment experiences reported here will hopefully provide suitable reference points for similar cases.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Management of a patient with cardiac arrest, intestinal ischemia necrosis, multiple fractures, hemorrhagic shock, renal failure, disseminated intravascular coagulation, and thrombosis after severe abdominal crush injury: A case report

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