Abstract
We report a case of impalement injury in a patient who was saved by using an intra-aortic balloon occluder (IABO). A 66-year-old man fell from the height of 3m, and was penetrated his body from left thorax to pubes by an iron column. He was transferred to our emergency department because of hemorrhagic shock. He was inserted the thoracostomy tube to left thorax for left pneumothorax, and intubated. His blood pressure was stable for blood transfusion, but IABO was inserted because massive hemorrhage was expected. Computed tomography (CT) scans revealed that the iron column was through left thorax to pubes, and suspected injury of left external iliac artery and vein. Just after CT scans, suddenly his blood pressure fell with tachycardia. Immediately IABO was inflated, his blood pressure was increased. Under the support of IABO, the operation including partial resection of left external iliac artery, ligation of left external iliac vein, repair of the serosa of sigmoid colon, cyststomy and gauze packing, were performed. After the operation, his vital signs were stable. He was discharged from the ICU on the 12th hospital day.
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