Eurasian Journal of Emergency Medicine

A lucky open rib fracture after falling from a donkey [JAEM]
JAEM. 2019; 18(1): 58-60

A lucky open rib fracture after falling from a donkey

Hüseyin Fatih Sezer1, Hakan Dayanır2
1Department of Thoracic Surgery, Nyala Sudan Turkey Training and Research Hospital, Nyala, Sudan
2Department of Anesthesia and Reanimation, Nyala Sudan Turkey Training and Research Hospital, Nyala, Sudan

Introduction:
Open bone fractures are frequently seen in fingers (45%) and in long bones such as tibia and fibula (11,2%). Open fractures of the thorax due to rib fracture rarely result in antagonism. Rib fracture treatment is often conservative, but fracture-related complications may require surgical intervention. We presented a case report of a child who had open rib fracture in the left hemithorax after falling from a donkey and who was followed up by the family for a long period of time falsely, considering that it was a piece of wood.
Case report:
There was a story of a 9 year old female patient falling from a donkey 20 days ago. After the trauma, a hard, creamy colored piece of ribextending out about 2 cm from the surface of the skin in the patient's left hemithorax was thought to be a foreign bodyby the family. After the tetanus vaccination was performed, the necessary antibiotic treatment was started and the rib piece about 6 cm in length was removedunder local anesthesia. Follow-ups were normal and no complications are encountered yet.
Discussion and Conclusion:
As a result, chest wall should be intervened early to reduce or eliminate morbidity in compound rib fractures. Although initiation of treatment in the late period may reduce the chances of success of treatment, morbidity can be reduced by appropriate surgical intervention.

Keywords: Rib fracture, Open fracture, Trauma


Hüseyin Fatih Sezer, Hakan Dayanır. A lucky open rib fracture after falling from a donkey. JAEM. 2019; 18(1): 58-60

Corresponding Author: Hüseyin Fatih Sezer, Sudan


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