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Horn injury" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "307" "paginaFinal" => "308" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Yelco Chicote Carasa, Enrique Solano Lorente, Marcos Valiente Fernández" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Yelco Chicote" "apellidos" => "Carasa" "email" => array:1 [ 0 => "yelcochicote@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Enrique Solano" "apellidos" => "Lorente" ] 2 => array:2 [ "nombre" => "Marcos Valiente" "apellidos" => "Fernández" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "UCITE - UCI de Trauma y Emergencias, Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "[Herida por asta de toro: ¿trauma penetrante o contuso?" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1059 "Ancho" => 1255 "Tamanyo" => 156607 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 44-year-old male was admitted to the Intensive Care Unit (ICU) due to bullhorn trauma, with penetrating wounds in the right groin and popliteal fossa and a non-penetrating injury in the left flank region (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The computed tomography (CT) scan evidenced abdominal wall injury with bowel loop herniation (# in the figure) and grade V traumatic kidney injury (hilar avulsion) on the same side (asterisk). No open wound was observed in that zone – only skin bruising (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">In some cases, when the horn is not sufficiently sharp, injuries consistent with penetrating trauma are produced, though the skin remains intact because of its elasticity, producing what is known as a “sheathed goring” injury. The shaded area in the CT scan shows the trajectory of the horn injury, with the hernia being contained only by the skin.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The patient presented an Injury Severity Score (ISS) of 42 and required nephrectomy with herniorraphy. The subsequent course was uneventful.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">No funding was obtained for this article.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Authors’ contributions</span><p id="par0025" class="elsevierStylePara elsevierViewall">Yelco Chicote: Drafting of the manuscript and figure editing.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Enrique Solano: Data compilation.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Marcos Valiente: Figure editing and compilation. Supervision and corrections.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interest</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that there was no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Authors’ contributions" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflict of interest" ] 3 => array:2 [ "identificador" => "xack741406" "titulo" => "Acknowledgements" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2023-12-01" "fechaAceptado" => "2023-12-09" "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1059 "Ancho" => 1255 "Tamanyo" => 156607 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack741406" "titulo" => "Acknowledgements" "texto" => "<p id="par0045" class="elsevierStylePara elsevierViewall">Thanks are due to the Departments of Intensive Care Medicine and Radiology of</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004800000005/v1_202404281348/S2173572724001000/v1_202404281348/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004800000005/v1_202404281348/S2173572724001000/v1_202404281348/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724001000?idApp=WMIE" ]
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