A rare case of blast injury of the chest and spine on the background of a congenital malformation in the form of a complete mirror image arrangement of internal organs

The aim is to demonstrate a clinical case of blast injury of the chest and spine against the background of a complete mirror image arrangement of internal organs. Clinical case. The injured S., 37 years old, received a blast injury during mortar shelling. Upon admission, the injured person compla...

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Main Authors: E.M. Khoroshun, V.V. Makarov, V.V. Nehoduiko, S.A. Shypilov, S.V. Tertyshnyi, K.S. Slesarenko
Format: Article
Language:English
Published: Group of Companies Med Expert, LLC, Kyev, Ukraine 2024-09-01
Series:Хірургія дитячого віку
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Online Access:http://psu.med-expert.com.ua/article/view/317083
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author E.M. Khoroshun
V.V. Makarov
V.V. Nehoduiko
S.A. Shypilov
S.V. Tertyshnyi
K.S. Slesarenko
author_facet E.M. Khoroshun
V.V. Makarov
V.V. Nehoduiko
S.A. Shypilov
S.V. Tertyshnyi
K.S. Slesarenko
author_sort E.M. Khoroshun
collection DOAJ
description The aim is to demonstrate a clinical case of blast injury of the chest and spine against the background of a complete mirror image arrangement of internal organs. Clinical case. The injured S., 37 years old, received a blast injury during mortar shelling. Upon admission, the injured person complained of aching pain in the area of the X rib on the left and in the lumbar region. The pain worsened during movement. He has known about the malformations of internal organs since childhood, but only about the right-sided location of the heart. The final established diagnosis is combined blast injury of the chest and spine. Closed chest injury on the left, closed fracture of the X rib on the left. Closed fracture of the lumbar processes L3-4 on the right. Congenital malformation. A complete mirror image arrangement of internal organs. The injured person was taken to a territorial hospital base for further treatment, where he received painkillers, anti-inflammatory therapy, and prescribed multivitamins. The total bed-day was 7 days. The injured was taken to the Military Medical Commission and discharged in satisfactory condition to implement the decision of the Military Medical Commission. Conclusions. A congenital malformation in the form of a complete mirror image arrangement of internal organs is a rare pathology. Diagnosing a complete mirror image arrangement of internal organs is not difficult and is an accidental finding during the examination for the injury in this case. Anamnestic data help in the diagnostic search. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of a participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.
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spelling doaj-art-5436d2df4e6c4c3eace45006918ff8682025-01-17T20:37:25ZengGroup of Companies Med Expert, LLC, Kyev, UkraineХірургія дитячого віку2304-00412521-13582024-09-013(84)11311610.15574/PS.2024.3(84).113116355703A rare case of blast injury of the chest and spine on the background of a congenital malformation in the form of a complete mirror image arrangement of internal organsE.M. Khoroshun0https://orcid.org/0000-0003-1258-1319V.V. Makarov1https://orcid.org/0000-0002-4224-0294V.V. Nehoduiko2https://orcid.org/0000-0003-4540-5207S.A. Shypilov3https://orcid.org/0000-0002-1689-2213S.V. Tertyshnyi4https://orcid.org/0000-0002-4949-5409K.S. Slesarenko5https://orcid.org/0009-0008-0649-9398Military Medical Clinical Center of the Northern Region, KharkivMilitary Medical Clinical Center of the Northern Region, KharkivMilitary Medical Clinical Center of the Northern Region, KharkivMilitary Medical Clinical Center of the Northern Region, KharkivOdesa National Medical UniversityMilitary Medical Clinical Center of the Southern Region, OdesaThe aim is to demonstrate a clinical case of blast injury of the chest and spine against the background of a complete mirror image arrangement of internal organs. Clinical case. The injured S., 37 years old, received a blast injury during mortar shelling. Upon admission, the injured person complained of aching pain in the area of the X rib on the left and in the lumbar region. The pain worsened during movement. He has known about the malformations of internal organs since childhood, but only about the right-sided location of the heart. The final established diagnosis is combined blast injury of the chest and spine. Closed chest injury on the left, closed fracture of the X rib on the left. Closed fracture of the lumbar processes L3-4 on the right. Congenital malformation. A complete mirror image arrangement of internal organs. The injured person was taken to a territorial hospital base for further treatment, where he received painkillers, anti-inflammatory therapy, and prescribed multivitamins. The total bed-day was 7 days. The injured was taken to the Military Medical Commission and discharged in satisfactory condition to implement the decision of the Military Medical Commission. Conclusions. A congenital malformation in the form of a complete mirror image arrangement of internal organs is a rare pathology. Diagnosing a complete mirror image arrangement of internal organs is not difficult and is an accidental finding during the examination for the injury in this case. Anamnestic data help in the diagnostic search. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of a participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.http://psu.med-expert.com.ua/article/view/317083complete mirror image arrangementinternal organsblast injurychestspine
spellingShingle E.M. Khoroshun
V.V. Makarov
V.V. Nehoduiko
S.A. Shypilov
S.V. Tertyshnyi
K.S. Slesarenko
A rare case of blast injury of the chest and spine on the background of a congenital malformation in the form of a complete mirror image arrangement of internal organs
Хірургія дитячого віку
complete mirror image arrangement
internal organs
blast injury
chest
spine
title A rare case of blast injury of the chest and spine on the background of a congenital malformation in the form of a complete mirror image arrangement of internal organs
title_full A rare case of blast injury of the chest and spine on the background of a congenital malformation in the form of a complete mirror image arrangement of internal organs
title_fullStr A rare case of blast injury of the chest and spine on the background of a congenital malformation in the form of a complete mirror image arrangement of internal organs
title_full_unstemmed A rare case of blast injury of the chest and spine on the background of a congenital malformation in the form of a complete mirror image arrangement of internal organs
title_short A rare case of blast injury of the chest and spine on the background of a congenital malformation in the form of a complete mirror image arrangement of internal organs
title_sort rare case of blast injury of the chest and spine on the background of a congenital malformation in the form of a complete mirror image arrangement of internal organs
topic complete mirror image arrangement
internal organs
blast injury
chest
spine
url http://psu.med-expert.com.ua/article/view/317083
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