2017 Volume 37 Issue 5 Pages 809-812
Case 1: A 65-year-old man was transported to our hospital by medical helicopter after stabbing himself in the abdomen with a kitchen knife. The stabbing had occurred on the day prior to the request for emergency help. The kitchen knife had been removed, a large quantity of intestinal tract had exited the wound, and some clothing had attached to the intestinal tract. Although an enhanced CT examination showed no signs of visceral injury, we performed an emergency operation to return the intestinal tract to the abdominal cavity. No visceral injuries were seen, and the intestinal tract was easily returned to the abdominal cavity using an isolation bag. Case 2: A 43-year-old man who was stabbed in the abdomen with a kitchen knife during a fight with another person was transported to our hospital. Upon arrival, the kitchen knife had not been removed from the wound, and the patient's vital signs were stable. An enhanced CT examination showed that the kitchen knife was located in the vicinity of the pancreas and stomach, and we performed an emergency operation. Although the kitchen knife had passed through the greater omentum and reached the omental bursa, no visceral injuries were seen. While abdominal stab wounds are relatively rare, surgeons must be able to respond quickly and know how to treat such injuries.
