Treating a patient with lower limb injury from shark attack – a case report

  • Uroš Ahčan Department of Plastic, Reconstructive and Aesthetic Surgery and Burns Unit University Clinical Centre Ljubljana Zaloška cesta 2 1525 Ljubljana
  • Vedran Radonić Department of Surgery Clinical Hospital Split Ulica Vjekoslava Spinčiča 1 21000 Split
  • Anže Militarov Department of Surgery General Hospital Jesenice Cesta maršala Tita 112 4270 Jesenice
  • Manja Leban Department of Plastic, Reconstructive and Aesthetic Surgery and Burns Unit University Clinical Centre Ljubljana Zaloška cesta 2 1525 Ljubljana
Keywords: bite wound, debridement, skin grafting, vacuumassisted closure, hyperbaric oxygen therapy

Abstract

Background: Every year a number of people are attacked by sharks worldwide; however, death as a consequence is quite unusual. In recent years, the number of reported shark attacks worldwide has been around 67 per year with fatalities averaging 5 persons annually. Shark attacks in the Adriatic Sea are very rare.

Case report: In 2008, a great white shark attack happened in the Adriatic Sea, in which a man suffered a severe injury to his lower extremity and profuse bleeding that led to haemorrhagic shock.

Conclusion: The expeditious intervention at the site of attack and the exemplary cooperation of medical teams in two centres in the neighbouring countries of Croatia and Slovenia has saved the life of the unusually injured patient and resulted in a satisfactory functional outcome.

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References

Florida Museum of Natural History. Ichthyology. Available at: http://www.flmnh.ufl.edu/fish/sharks/attacks/howwhen.htm

Florida Museum of Natural History. International Shark Attack File: 2011 Summary. Available at: http://www.flmnh.ufl.edu/fish/sharks/isaf/2011summary.html.

Lipej L, De Maddalena A, Soldo A. Sharks of the Adriatic Sea. Koper: Univerza na Primorskem, Znanstveno-raziskovalno središče: Zgodovinsko društvo za južno Primorsko; 2004. p. 199.

Bouachour G, Cronier P, Gouello JP, Toulemonde JL, Talha A, Alquier P. Hyperbaric Oxygen Therapy in the Management of Crush Injuries: A Randomized Double-Blind Placebo-Controlled Clinical Trial. J Trauma 1996; 41(2): 333–9.

Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann PlastSurg 1997; 38(6): 563–76; discussion 577.

de Bruijn IL, Geertzen JH, Dijkstra PU. Functional outcome after peroneal nerve injury. Int J Rehabil Res. 2007; 30(4): 333–7.

How to Cite
1.
Ahčan U, Radonić V, Militarov A, Leban M. Treating a patient with lower limb injury from shark attack – a case report. ZdravVestn [Internet]. 1 [cited 15Nov.2019];83(1). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/1082
Section
Case report, short scientific article