06/06/2026
📍ሓደ መንእሰይ ተሓካሚ ፡ ብሰንኪ ዝበፅሖ ናይ ከብዲ መጉዳእቲ (penetrating abdominal injury)፡ ናብ ሃንደበታዊ ክፍሊ ሕክምና ሆስፒታል ትግሃት መፂኡ።
ብዶ/ር ኪዳነ ገ/ክርስቶስ - ስፔሻሊስት ሓፈሻዊ መጥባሕቲ 📞 0920336622 / 0723434277 ብዝተገበረሉ ዝተማለአ ምርመራን ሕክምናዊ መጥባሕትን ከምዝስዕብ ቀሪቡ ኣሎ፥
እቲ መጉዳእቲ ዘብፀሖ ሳዕቤንን ኩነታት መጉዳእትን ንምንፃር ናይ ከብዲ ራጂ (Plain Abdominal X Ray) ተላዒሉ።
እቲ ካብ ቅድሚትን (AP) ካብ ጎንን (lateral) ዝተላዕለ ናይ ራጂ ምስልታት ከም ዘርኣዮ ዘይስሩዕ ቅርፂ ዘለዎ፡ ጨረር ዘየሕልፍ (Radio-opaque) ባዕዳዊ ነገር(ሓፂን) ኣብ ከብዲ (left postero-lateral abdominal cavity) ከም ዝርከብ ኣረጋጊፁ።
እዚ ውፅኢት ራጂን ካልኦት ምርመራታትን መሰረት ብምግባር ናይ ከብዲ መጥባሕታዊ ምርመራ (Exploratory laparotomy) ተገይሩሉ። ኣብ እዋን እቲ መጥባሕቲ፡ ኣብ ግድግዳ እቲ ንጋድም ዝተሰርዐ ዓብዪ መዓንጣ (transverse colon) 1 ሳ.ሜ ብ 1 ሳ.ሜ ዝኾነ ሓደ ነዃል (perforation) ተረኺቡ። ይኹን 'ምበር ኣብ ካልእ ክፋል ዓብዪ መዓንጣ ዝኾነ ይኹን ተወሳኺ ቁስሊ (exit wound) ኣይተረኽበን።
ኣብ እዋን መጥባሕቲ ኣብ ውሽጢ ከብዲ (Peritoneal cavity) ሰፊሕን ጥንቃቐ ዝተመልኦን ኣለሻ እኳ እንተተገብረ፡ እቲ ባዕዳዊ ነገር - ሓፂን ግን ክርከብ ኣይተኻእለን። ኣብ ካልእ ኽፋላት መዓናጡን ወሰንቲ ኣካላትን (Solid organs) ብግቡእ ተፈቲሾም ዝኾነ ማህሰይቲ ከም ዘይበፅሖም ተረጋጊፁ። እቲ ኣብ ንጋድም ዝተሰርዐ ዓብዪ መዓንጣ (Transverse colon) ዝነበረ ነዃል ድማ ብቐጥታ ብምስፋይ (Primary closure) ተዓርዩ።
ኣብ እዋን መጥባሕቲ እቲ ናይ ሓፂን ባዕዲ ነገር ብዘይምርካቡን፡ ኣብቲ ዓብዪ መዓንጣ ድማ ሓደ ናይ መእተዊ ነዃል ጥራይ 'ምበር መውፅኢ ብዘይምርካቡ ፡ እቲ ባዕዳዊ ነገር- ሓፂን ኣብ ውሽጢ መተሓላለፊ ዓብዪ መዓንጣ (intraluminal) ከም ዝህሉ ገምጋም ተወሰደ።
ነዚ ንምክትታል ድማ ድሕሪ መጥባሕቲ ተወሳኺ ናይ ከብዲ ራጂ( X Ray) ተገይሩ። ኣብዚ ምስሊ ራጂ ከም ዘርኣዮ፡ እቲ ናይ ሓፂን ባዕዲ ነገር ብ መተሓላለፊ ዓብዪ መዓንጣ (Gastrointestinal tract) ናብ ታሕቲ ወሪዱ፡ ኣብ ውሽጢ ጫፍ ዓብዪ መዓንጣ ከባቢ መሃንቱስ(Rectum) ከም ዘሎ ኣርእዩ ።
ድሕሪ እዚ እቲ ተሓካሚ ብዘይ መጥባሕቲ ብጥንቃቐ ክከታተል (Conservatively managed) ተገይሩ። ኣብ ካልኣይ መዓልቲ ድሕሪ መጥባሕቲ፡ እቲ ተሓካሚ ነቲ ባዕዳዊ ሓፂን ብመሃንቱስ (Transanally) ብባዕሉ ብዘይ ዝኾነ ፀገም ኣውፂእዎ።
ኣብዚ ሐዚ እዋን እቲ ተሓካሚ ሓውዩ ኣብ ፅቡቅ ናይ ጥዕና ኩነታት ኮይኑ ብሰላም ናብ ገዝኡ ተፋንዩ ኣሎ ።
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A a young male patient presented to the emergency department of Tighat Hospital following a penetrating abdominal injury caused by an unknown metallic foreign body.
Pre-operative plain abdominal radiographs were obtained to evaluate the trajectory and resting place of the projectile. The anteroposterior (AP) and lateral views revealed a dense, irregularly shaped, radio-opaque metallic foreign body located in the left postero-lateral abdominal cavity.
The patient subsequently underwent an exploratory laparotomy. Intraoperatively, a solitary 1 cm by 1 cm perforation was identified on the wall of the transverse colon. Notably, there was no corresponding exit wound on the opposing bowel wall. An extensive and meticulous search of the peritoneal cavity was performed, but the metallic foreign body could not be located. The remaining bowel segments and solid organs were thoroughly inspected and found to be uninjured. The transverse colon perforation was repaired via primary closure.
Given the intraoperative absence of the foreign body and the isolated entry wound in the colon, intraluminal lodgment was suspected. A post-operative abdominal X-ray was performed to track the object. The imaging revealed that the metallic fragment had migrated distally through the gastrointestinal tract and was now situated in the pelvic midline, consistent with a location within the re**um.
The patient was managed conservatively following the X-ray confirmation of the object's intraluminal location. On the second postoperative day, the patient spontaneously expelled the jagged metallic fragment transanally without complication.
The patient's postoperative recovery remained entirely uneventful, and they were discharged in good condition shortly thereafter
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