This study aims to evaluate the immediate post-operative results of this particular case report. Accidents at the workplace are frequent in Africa due to lack of adequate protective equipment. The traumatic injuries sustained can be potentially life-threatening. Impalement injuries related to these accidents are even more rarely encountered in surgical practice. We are reporting on a particular case of a 14-year old male patient who was admitted at the department of visceral surgery at the National Hospital of Donka, Conakry, Guinea, for emergency evaluation and treatment of a penetrating abdominal injury by impalement on a wooden bar that had occurred following a fall from a building at a construction site. The bar penetrated from the left flank and exited through the right flank, resulting in evisceration and incarceration of the small bowel. An emergency operation was performed to remove the foreign object and to reestablish anatomic continuity in the patient and resection of a 90cm-long necrotic segment of the terminal ileum.
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