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Articles
Published: 2025-02-28

Worker falls with impalement by a steel bar that results in a penetrating scrotal injury: a case report

Department of Urology, King Abdulaziz Hospital, P.O.Box19011 Makkah, 21955, Saudia Arabia
Department of Urology, King Abdulaziz Hospital, P.O.Box 19011 Makkah, 21955, Saudia Arabia
Department of Urology, King Abdulaziz Hospital, P.O.Box 19011 Makkah, 21955, Saudia Arabia
Department of Urology, King Abdulaziz Hospital, P.O.Box 19011 Makkah, 21955, Saudia Arabia
Male External Genital Injury, Penetration Scrotal Trauma, Acute Scrotum, Sharp Genital Trauma, Occupational Hazard, Fall with Impalement, Saudia Arabia

Abstract

Background: Scrotal injuries constitute the great bulk of genito-urinary traumas. Penetrating scrotal injuries are infrequent when compared to blunts. Moreover, impalement injuries by hard metals are rarer, especially when no permanent harm is left. 

Case presentation: A 38-year-old male construction site worker was brought to the accident and emergency (A&E) department after falling from a 3 meters-high building. On arrival, his look was horrific, as a large steel bar was penetrating his right chest causing pneumothorax. A second bar penetrated his scrotum from bottom to up. The patient was frightened by the accident. Vitals were normal, with no signs of major blood loss. The chest trauma was dealt with by the relevant team, while the scrotal injury necessitated emergency surgery. Operatively, the steel bar was found to travel miraculously across the scrotal contents sparing vital structures. Subsequently, the bar was removed leaving no permanent damage. The patient was discharged home uneventfully.

Conclusion: A steel bar might cause an eerily external genital injury that passes throughout the scrotum without notable content damage.



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References

  1. Mevorach RA. Scrotal trauma [Internet]. emedicine.medscape.com; 2021 [cited 2024 Dec 5]. Available from: https://emedicine.medscape.com/article/441272-overview#showall
  2. Selikowitz SM. Penetrating high-velocity genitourinary injuries. Part II: Ureteral, lower tract, and genital wounds. Urology. 1977;9(5):493-9. doi: 10.1016/0090-4295(77)90239-4.
  3. Brandes SB, Buckman RF, Chelsky MJ, Wessells H. External genitalia gunshot wounds: a ten-year experience with fifty-six cases. J Trauma. 1995;39(2):266-71. doi: 10.1097/00005373-199508000-00013.
  4. García-Perdomo HA. Importance of defining the best treatment of a genital gunshot wound: a case report. World J Clin Cases. 2014;2(10):587-90. doi: 10.12998/wjcc.v2.i10.587.
  5. Sankpal J, Rahul K, Phadke A, Sankpal S. Thoraco-abdominal impalement injury with two construction iron bars - A rare case report. Int J Surg Case Rep. 2020;68:274-6. doi: 10.1016/j.ijscr.2020.02.044. Epub 2020 Mar 13. PMID: 32173314; PMCID: PMC7154314.
  6. Konstandaras D, Tsalis C. A rare case of a transabdominal impalement after a fall from a ladder. Int J Surg Case Rep. 2016;22:40-3. doi: 10.1016/j.ijscr.2016.03.011. Epub 2016 Mar 29. PMID: 27046102; PMCID: PMC4823470.
  7. Williams M, Jezior J. Management of combat-related urological trauma in the modern era. Nat Rev Urol. 2013;10(9):504-12. doi: 10.1038/nrurol.2013.148.


How to Cite

1.
Katib A, Filfilan A, Dakkak B, Bugis B. Worker falls with impalement by a steel bar that results in a penetrating scrotal injury: a case report. J Ideas Health [Internet]. 2025 Feb. 28 [cited 2025 Apr. 26];8(1):1262-4. Available from: https://jidhealth.com/index.php/jidhealth/article/view/404