S31.640

Clinical Causes: Accidental stabbing or puncture injuries from sharp objects such as knives, nails, or metal fragments. Occupational accidents, especially in construction, manufacturing, or gardening activities. Falls onto sharp objects resulting in localized puncture wounds. Violent encounters or assaults involving stabbing instruments.

Key Symptoms: Pain localized to the upper right abdomen, which may worsen with movement or pressure. Swelling or tenderness around the wound site. Possible bleeding from the puncture site. Signs of internal injury such as nausea, vomiting, or abdominal distension. Fever or signs of infection if bacteria enter the wound. In severe cases, signs of peritonitis like severe abdominal pain, rigidity, or rebound tenderness.

Diagnosis Path: Physical examination to assess the wound, locate the entry point, and evaluate for signs of internal injury. Imaging tests such as X-rays to detect the presence and location of foreign objects. Ultrasound examinations to evaluate the abdominal cavity for fluid or organ damage. Computed Tomography (CT) scans for detailed visualization of the injury extent and assessment of intra-abdominal penetration.

Treatment Protocols: Immediate wound care: cleaning, debridement, and removal of any accessible foreign body under sterile conditions. Assessment for internal injury, often through imaging and physical assessment. Surgical intervention: procedures such as laparoscopy or laparotomy may be necessary to identify and repair internal damage, extract retained foreign objects, and prevent infection. Antibiotic therapy to prevent or treat infections. Monitoring for signs of complications such as abscess formation, peritonitis, or organ injury. Postoperative care includes pain management, wound care, and sometimes physical activity restrictions during recovery.