High-Velocity Penetrating Abdominal Injury Secondary to a Motorized Wire Brush in the Workplace.


West Florida


Regional Medical Center Bayonet Point

Document Type

Case Report

Publication Date



occupational injuries, penetrating abdominal injury, penetrating trauma, removal of foreign body, undifferentiated abdominal pain


Surgery | Trauma


Penetrating injuries are one of the most common types of workplace accidents. The majority of these injury patterns are due to non-missile type, low-velocity sharp objects. We present an uncommon presentation of subacute abdominal pain secondary to non-missile type, high-velocity workplace injury. It is important to keep a wide differential in mind when evaluating patients with lingering abdominal pain without an obvious cause. Additionally, collecting the patient's employment history, occupational exposures, and job tasks are important when a workplace injury is suspected. We present the case of a 59-year-old male with abdominal pain for five weeks. Outpatient CT scan of the abdomen/pelvis demonstrated a metallic foreign body within the abdominal cavity. The patient underwent laparoscopic removal of the intra-abdominal foreign body while utilizing fluoroscopy. He recovered without sequelae and he was free of abdominal pain at six months postoperatively. Overall, it is important to maintain a wide differential when evaluating atypical abdominal pain.

Publisher or Conference