title: Penetrating injury of pelvis, abdomen and thorax in a child with a trident (trishula).
abstract: Penetrating abdominal injuries are uncommon in the pediatric age group and are associated with a high mortality. A seven year old girl suffered penetrating injury to perineum when she fell onto the trident (trishula - traditional three pronged spear) implanted alongside Lord Shiva's idol. The rod caused perforations of the transverse mesocolon, ileum at 3 places, right lobe of liver, diaphragm, parietal pleura, and exited from 7th intercostal space. Surgical repair of each damaged site was undertaken. Despite delayed presentation, the child survived following surgery.
authors.affiliation: Dept. of Pediatric Surgery, King George's Medical University (Upgraded King George's Medical College), Lucknow. India.
authors.forename: Jile
authors.initials: J
authors.lastname: Dar Rawat
authors.forename: Prabudh
authors.initials: P
authors.lastname: Goel
authors.forename: Vijaymahantesh
authors.initials: V
authors.lastname: S Kunnur
authors.forename: Bb
authors.initials: B
authors.lastname: Kushwaha
authors.forename: Renu
authors.initials: R
authors.lastname: Kushwaha
keywords:  Child;  Injury;  Trident;  Trishula; Thoraco-abdomino-pelvic impalement