Search Our Scientific Publications & Authors

Scand J Trauma Resusc Emerg Med 2019 Feb 13;27(1):18. Epub 2019 Feb 13.

Neuroscience Research Australia, 139 Barker Street, Randwick, Sydney, NSW, 2031, Australia.

Background: Prehospital undertriage occurs when the required level of care for a major trauma patient is underestimated and the patient is transported to a lower-level emergency care facility. One possible reason is that the pattern of injuries exceeding a certain severity threshold is not easily recognizable in the field. The present study aims to examine whether the injury patterns of major road trauma patients are associated with trauma centre transport decisions in Sweden, controlling for the distance from the crash to the nearest trauma centre and other patient characteristics. Read More

Emerg Radiol 2019 Feb 12. Epub 2019 Feb 12.

Department of Radiology, Karolinska Institute, Stockholm, Sweden.

Purpose: BCVI may lead to ischemic stroke, disability, and death, while being often initially clinically silent. Screening criteria for BCVI based on clinical findings and trauma mechanism have improved detection, with Denver criteria being most common. Up to 30% of patients do not meet BCVI screening criteria. Read More

PLoS One 2019 7;14(2):e0211530. Epub 2019 Feb 7.

Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.

Background: The aim of this study is to review patient characteristics, injury patterns, and outcomes of trauma cases admitted to pediatric intensive care in Children's Health Queensland, Brisbane, Queensland, Australia.

Methods: Routinely recorded data collected prospectively from the Children's Health Queensland Trauma Service registry from November 2008 to October 2015 were reviewed. Demographic and clinical characteristics of trauma cases in children under 16 years of age are described, and their association with age and mortality analyzed. Read More

JAMA Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Traumatology, University Medical Center Utrecht, Utrecht, the Netherlands.

Importance: Prehospital trauma triage protocols are used worldwide to get the right patient to the right hospital and thereby improve the chance of survival and avert lifelong disabilities. The American College of Surgeons Committee on Trauma set target levels for undertriage rates of less than 5%. None of the existing triage protocols has been able to achieve this target in isolation. Read More

Clin Toxicol (Phila) 2019 Jan 28:1-9. Epub 2019 Jan 28.

a National Poisons Centre , University of Otago , Dunedin , New Zealand.

Introduction: Sodium hypochlorite is used as a bleaching and disinfecting agent and is commonly found in household bleach.

Objective: The objective is to review critically the epidemiology, mechanisms of toxicity, clinical features, diagnosis, and management of hypochlorite poisoning.

Methods: PubMed was searched from January 1950 to June 2018 using the terms "Hypochlorite", "Sodium Hypochlorite", "Sodium Oxychloride", "Hypochlorous Acid", "Bleach", "Chlorine Bleach", in combination with the keywords "poisoning", "poison", "toxicity", "ingestion", "adverse effects", "overdose", and "intoxication". Read More

Anaesthesist 2019 Feb 25;68(2):104-107. Epub 2019 Jan 25.

Abteilung für Kinderkardiologie, Hessisches Kinderherzzentrum, Zentrum für Kinderheilkunde und Jugendmedizin am Standort Gießen, UKGM, Feulgenstr. 10-12, 35392, Gießen, Deutschland.

After a minor blow to the neck from the handlebars of a bike, a 5-year-old boy developed a massive subcutaneous emphysema with respiratory distress. Orotracheal intubation was performed. A computed tomography (CT) scan of the neck and thorax showed a pneumomediastinum and a bilateral pneumothorax. Read More

Tuberk Toraks 2018 Dec;66(4):345-348

Department of Chest Surgery, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.

Tracheal ruptures are rarely seen and potentially high life-threatening injuries. Cervical tracheal injuries occur due to the penetrant trauma rather than the blunt trauma. On the other hand, total cervical tracheal rupture due to the blunt trauma is so rare. Read More

BMC Emerg Med 2019 Jan 23;19(1):13. Epub 2019 Jan 23.

Department of Trauma, University Hospital and University of Zurich, Zürich, Switzerland.

Background: Whether enhanced prehospital volume therapy leads to outcome improvements in severely injured patients with severe traumatic brain injury (TBI) remains controversial. The aim of this study was to investigate the influence of prehospital volume therapy on the clinical course of severely injured patients with severe TBI.

Methods: Data for 122,672 patients from TraumaRegister DGU (TR-DGU) was analyzed. Read More

Rev Col Bras Cir 2019 Jan 17;46(1):e2011. Epub 2019 Jan 17.

Hospital do Trabalhador, Serviço de Cirurgia Geral e Trauma, Curitiba, PR, Brasil.

Objective: by using a 3D printer, to create a low-cost human chest cavity simulator that allows the reproduction of the closed chest drainage technique (CCD), comparing its effectiveness with that of the animal model.

Methods: it was made a 3D printing of the bony framework of a human thorax from a chest computerized tomography scan. After printing the ribs, we performed tests with several materials that contributed to form the simulation of the thoracic cavity and pleura. Read More

Eur J Pediatr 2019 Jan 21. Epub 2019 Jan 21.

Division of Neonatology, Careggi University Hospital of Florence, Largo Brambilla, 3, 50134, Florence, Italy.

Congenital diaphragmatic hernia (CDH) occurs in approximately 1 in 2500 to 5000 infants. The use of lung ultrasound (LUS) for its diagnosis has been reported in only two case reports. The aim of this study was to report the LUS pattern of CDH in a case series of infants with respiratory distress. Read More

J Forensic Sci 2019 Jan 21. Epub 2019 Jan 21.

Forensic Osteology Laboratory, Department of Forensic Science, Laurentian University, Sudbury, Ontario, P3E 2C6, Canada.

Studies on ballistic trauma to the ribs and thorax, cranium, and long bones demonstrate the potential of obtaining a bullet caliber from an entrance wound. In order to validate prior research on caliber estimation in bone tissue and assess the viability of bullet type determination based on the macroscopic evidence at the entrance wound, thirty fleshed pork (Sus scrofa) shoulders (humeri) were shot with either lead or copper jacketed bullets in one of three calibers; 0.22, 9 mm, or 0. Read More

J Vasc Bras 2018 Jul-Sep;17(3):262-266

Universidade Federal do Amazonas - UFAM, Hospital Universitário Getúlio Vargas - HUGV, Manaus, AM, Brasil.

Bullet embolization of the arterial or venous systems is a rare complication of penetrating gunshot injuries. A 29-year-old man presented at the emergency department with a gunshot wound to the left arm, which had transfixed the arm and entered the thorax, with no exit wound. Initial radiographies showed a projectile in the upper left thigh. Read More

Stapp Car Crash J 2018 Nov;62:193-269

National Highway Traffic Safety Administration, Vehicle Research and Test Center.

Thoracic injuries continue to be a major health concern in motor vehicle crashes. Previous thoracic research has focused on 50 percentile males and utilized scaling techniques to apply results to different demographics. Individual rib testing offers the advantage of capturing demographic differences; however, understanding of rib properties in the context of the intact thorax is lacking. Read More

Stapp Car Crash J 2018 Nov;62:1-65

Department of Biomedical Engineering and Mechanics, Virginia Tech.

A total of 20 full-scale frontal sled tests were conducted using the Hybrid III (HIII), THOR-M and post-mortem human surrogates (PMHSs) to evaluate the thoracic biofidelity of the HIII and THOR-M under various belted restraint conditions. Each surrogate was tested under three belted restraint conditions: knee bolster, knee bolster and steering wheel airbag, and knee bolster airbag and steering wheel airbag. In order to assess the relative biofidelity of each ATD, external thoracic deflections were quantitatively compared between the ATDs and PMHSs using an objective rating metric. Read More

Am Surg 2018 Dec;84(12):e517-e518

Medicine (Baltimore) 2018 Dec;97(52):e13737

Department of Molecular and Biomedical Sciences, Jožef Stefan Institute, Ljubljana, Slovenia.

Rationale: Two clinical cases are reported of envenomation by the nose-horned viper (Vipera ammodytes ammodytes) venom of a 9-year-old boy and of an 84-year-old woman.

Patient Concerns: Both patients had been bitten on their extremities by such a snake in August near Split, a town in southern Croatia.

Diagnoses: Clinical manifestation of envenomation was severe in the case of the boy, being characterized by a severe coagulopathy. Read More

Scand J Trauma Resusc Emerg Med 2018 Dec 27;26(1):111. Epub 2018 Dec 27.

Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, SE-501 90, Borås, Sweden.

Background: In patients who call for the emergency medical service (EMS), there is a knowledge gap with regard to the final assessment after arriving at hospital and its association with field assessment.

Aim: In a representative population of patients who call for the EMS, to describe a) the final assessment at hospital discharge and b) the association between the assessment in the field and the assessment at hospital discharge.

Methods: Thirty randomly selected patients reached by a dispatched ambulance each month between 1 Jan and 31 Dec 2016 in one urban, one rural and one mixed ambulance organisation in Sweden took part in the study. Read More

BMC Med Educ 2018 Dec 27;18(1):320. Epub 2018 Dec 27.

HTRG - Heidelberg Trauma Research Group, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Trauma and Reconstructive Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, D-69118, Heidelberg, Germany.

Background: There is an increasing need for objective and validated educational concepts. This holds especially true for surgical procedures like chest tube insertion (CTI). Thus, we developed an instrument for objectification of learning successes: the assessment scale based on Objective Structured Assessment of Technical Skill (OSATS) for chest tube insertion, which is evaluated in this study. Read More

Int J Radiat Biol 2018 Dec 21:1-42. Epub 2018 Dec 21.

a Departments of Radiation Oncology , Medical College of Wisconsin (MCW) , Milwaukee , USA.

Purpose: Defined animal models are needed to pursue the FDA Animal Rule for approval of medical countermeasure for radiation injuries. This study compares WAG/RijCmcr rat and non-human primate (NHP) models for acute radiation syndrome (ARS) and delayed effects of acute radiation exposure (DEARE).

Materials And Methods: Irradiation models include total body irradiation, partial body irradiation with bone marrow sparing and whole thorax lung irradiations. Read More

BMC Surg 2018 Dec 20;18(1):119. Epub 2018 Dec 20.

Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Guangxi Medical University, No.166 Da Xuedong Road, Nanning, 530007, Guangxi, China.

Background: Spleen leaves its normal anatomical position and appears in other locations, which is called ectopic spleen. It is most commonly found in the abdomen or pelvis with seeding of the peritoneum, omentum or mesentery. A few of cases of thoracic splenosis associated with traumatic diaphragmatic rupture have been reported. Read More

Ann Thorac Surg 2018 Dec 17. Epub 2018 Dec 17.

Northern General Hospital, Sheffield, United Kingdom- Department of Cardiothoracic Surgery.

Cardiac gunshot injuries are rare in the United Kingdom but are associated with significant morbidity and mortality. We present the case of a young male who was shot at close range with a small caliber air rifle. The projectile entered the thorax via the right axilla but was identified at the cardiac apex on initial imaging. Read More

J Otol 2018 Jun 9;13(2):44-53. Epub 2018 Mar 9.

Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, MS, USA.

Blast overpressure has become an increasing cause of brain injuries in both military and civilian populations. Though blast's direct effects on the cochlea and vestibular organs are active areas of study, little attention has been given to the ear's contribution to the overall spectrum of blast injury. Acute autonomic responses to blast exposure, including bradycardia and hypotension, can cause hypoxia and contribute to blast-induced neurotrauma. Read More

Injury 2018 Dec 6. Epub 2018 Dec 6.

Department of Traumatology, University Medical Centre Utrecht, Utrecht, the Netherlands; Department of Surgery, Diakonessenhuis Utrecht/Zeist/Doorn, Utrecht, the Netherlands. Electronic address:

Introduction: Severe thoracic injuries are time sensitive and adequate triage to a facility with a high-level of trauma care is crucial. The emergency medical services (EMS) providers are required to identify patients with a severe thoracic injury to transport the patient to the right hospital. However, identifying these patients on-scene is difficult. Read More

GMS J Med Educ 2018 15;35(4):Doc48. Epub 2018 Nov 15.

University of Heidelberg, Department of General, Visceral, and Transplantation Surgery, Heidelberg, Germany.

Chest tube insertion is a standard intervention for management of various injuries of the thorax. Efficient clinical training of this and similar bed-side procedures is equally demanded and improvable. Here, we propose a nouveau means of assessment and feedback using an Objective Structured Assessment of Technical Skills (OSATS) tool. Read More

Thorax 2019 Mar 11;74(3):282-290. Epub 2018 Dec 11.

Department of Respiratory and Sleep Medicine, Royal North Shore Hospital, St Leonards, New South Wales, Australia.

Rationale: Highly prevalent and severe sleep-disordered breathing caused by acute cervical spinal cord injury (quadriplegia) is associated with neurocognitive dysfunction and sleepiness and is likely to impair rehabilitation.

Objective: To determine whether 3 months of autotitrating CPAP would improve neurocognitive function, sleepiness, quality of life, anxiety and depression more than usual care in acute quadriplegia.

Methods And Measurements: Multinational, randomised controlled trial (11 centres) from July 2009 to October 2015. Read More

Trauma Case Rep 2018 Dec 28;18:52-55. Epub 2018 Nov 28.

Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Republic of Korea.

A combined laparotomy and thoracotomy is required in a few trauma patients. The anterior approach is a standard procedure used in such cases; however, a different approach may be required. Recently, we managed a patient who presented with a crush injury to the left side of his chest with associated bowel herniation. Read More

Case Rep Surg 2018 5;2018:6107982. Epub 2018 Nov 5.

Department of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa 236-0004, Japan.

Most substernal goiters can be managed through the transcervical approach, but a sternotomy is required in some cases. This report is about a large substernal goiter, which was resected via a transcervical and full sternotomy approach. The patient was a 57-year-old female, who visited our hospital for surgical treatment for a large substernal goiter. Read More

J Crit Care 2019 Apr 3;50:118-121. Epub 2018 Dec 3.

Department of Surgery, Division of Trauma and Critical Care, 96 Jonathan Lucas St. CSB 416, Medical University of South Carolina, Charleston, SC 29425, USA. Electronic address:

The use of Airway Pressure Release Ventilation (APRV) in patients with traumatic brain injury (TBI) remains controversial. Some believe that elevated mean airway pressures transmitted to the thorax may cause clinically significant increases in Central Venous Pressure (CVP) and intracranial pressure (ICP) from venous congestion. We perform a retrospective review from 2009 to 2015 of traumatically injured patients who were transitioned from traditional ventilator modes to APRV and also had an ICP monitor in place. Read More

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):587-593

Department of Radiology, Dr. Aşkım Tüfekçi State Hospital, Adana-Turkey.

Background: The aim of this study was to investigate the characteristics of shrapnel distribution in the body and a possible relationship to the type of weapon and type of location of the conflict.

Methods: The records of 246 patients admitted to a level-III trauma center with any kind of firearm injury were examined retrospectively. Ninety patients who had at least 1 radiologically-proven piece of shrapnel in their body were included in the study. Read More

Cancer Invest 2018 5;36(9-10):504-511. Epub 2018 Dec 5.

a Radiation Oncology Section , Department of Surgical and Biomedical Sciences , University of Perugia and Perugia General Hospital , Italy.

Introduction: To evaluate the incidence of toxicity in breast cancer with helical tomotherapy (HT).

Materials And Methods: 51 patients with breast cancer were assigned to postoperative radiotherapy by means of HT to the chest wall/breast plus draining nodes. During HT treatment, toxicity was monitored and were assessed using the Common Terminology Criteria for Adverse Events 4. Read More

Ned Tijdschr Geneeskd 2018 11 27;163. Epub 2018 Nov 27.

Noordwest Ziekenhuisgroep, afd. Chirurgie, locatie Alkmaar.

Posterior sternoclavicular luxations are uncommon and potentially life threatening. When clinically suspected, a computed tomography angiography is the gold standard to investigate whether important structures located in the mediastinum are at risk. A fast reduction should be performed to reduce pain and prevent acute and late complications. Read More

Insights Imaging 2018 Dec 27;9(6):989-1005. Epub 2018 Nov 27.

Imaging Science, University of Rochester Medical Center, 601, Elmwood Avenue, Rochester, NY, 14642, USA.

Thoracic hernias are characterised by either protrusion of the thoracic contents outside their normal anatomical confines or extension of the abdominal contents within the thorax. Thoracic hernias can be either congenital or acquired in aetiology. They can occur at the level of the thoracic inlet, chest wall or diaphragm. Read More

Injury 2019 Jan 16;50(1):101-108. Epub 2018 Oct 16.

Department of Radiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Bruna stråket 11B, 413 45, Gothenburg, Sweden. Electronic address:

Aim: To estimate and compare lung volumes from pre- and post-operative computed tomography (CT) images and correlate findings with post-operative lung function tests in trauma patients with flail chest undergoing stabilizing surgery.

Patients And Methods: Pre- and post-operative CT images of the thorax were used to estimate lung volumes in 37 patients who had undergone rib plate fixation at least 6 months before inclusion for flail chest due to blunt thoracic trauma. Computed tomography lung volumes were estimated from airway distal to each lung hilum by outlining air-filled lung tissue either manually in images of 5 mm slice thickness or automatically in images of 0. Read More

Eur J Trauma Emerg Surg 2018 Dec;44(6):803-804

Department of Surgery, University Medical Center Utrecht, Utrecht, Netherlands.

Risk Manag Healthc Policy 2018 18;11:177-187. Epub 2018 Oct 18.

Non-communicable Disease Center of Excellence and Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand,

Purpose: The aim of this study was to determine the incidences and factors associated with perioperative cardiac arrest in trauma patients who received anesthesia for emergency surgery.

Patients And Methods: This retrospective cohort study was approved by the medical ethical committee, Faculty of Medicine, Maharaj Nakorn Chiang Mai Hospital, Thailand. Data of 19,683 trauma patients who received anesthesia between January 2007 and December 2016, such as patient characteristics, surgery procedures, anesthesia information, anesthetic drugs, and cardiac arrest outcomes, were analyzed. Read More

Praxis (Bern 1994) 2018 Nov;107(23):1243-1248

1 Institut für klinische Notfallmedizin, Spital Limmattal.

CME: Significance of Thoracic Sonography in Thoracic Trauma Abstract. Trauma patients should be treated according to international guidelines. Depending on the severity of the trauma, an immediate threat to life must be ruled out and sonography is part of the complementation of diagnostics. Read More

Acta Orthop Belg 2017 Dec;83(4):512-520

Aim of the present study was to investigate the prevalence and type of acute injuries sustained by 137 racing drivers. An ad hoc questionnaire was developed and was completed by 137 drivers with a mean age (SD) of 42 (15) years. Approximately half of the drivers had < 10 years of experience in auto racing (49%). Read More

Chirurg 2018 Nov 12. Epub 2018 Nov 12.

Klinik für Allgemein‑, Viszeral‑, Thorax- und Gefäßchirurgie, Klinikum Südstadt, Südring 81, 18059, Rostock, Deutschland.

The treatment of choice in acute appendicitis is still the surgical removal of an inflamed vermiform appendix. There is still some disagreement regarding the optimal access route, i.e. Read More

Can J Surg 2018 12;61(6):S208-S218

From the Department of National Defense, Royal Canadian Medical Services, Ottawa, Ont. (Kao); Critical Care Western, Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ont. (Kao, Martin, Rui); and the Centre for Critical Illness Research, Lawson Health Research Institute, London, Ont. (Kao, Martin, Rui).

Background: Acute lung contusion from blunt chest trauma (BCT) is characterized by an intense inflammatory response in the pulmonary parenchyma, which is associated with acute lung injury (ALI), acute respiratory distress syndrome and ventilator-associated pneumonia. We hypothesized that aerosolized indomethacin may reduce pulmonary inflammation and ALI in a rat model of BCT.

Methods: Sprague-Dawley rats were anesthetized and received a tracheotomy for administration of aerosolized medication through a catheter. Read More

Sports Biomech 2018 Nov 9:1-13. Epub 2018 Nov 9.

a Interuniversity Laboratory of Locomotion Biology , Department of Sciences and Techniques of Physical and Sports Activities, University of Lyon , Lyon , France.

The tennis serve generates high musculoskeletal loads at the shoulder complex, making athletes particularly vulnerable to chronic injuries, especially adolescent players. Chronic injuries are commonly related to altered scapular kinematics. This study explored the effects of a history of shoulder problems involving humerothoracic and scapulothoracic kinematics during the tennis serve at low speed in adolescent competitive players with and without a history of dominant shoulder problems. Read More

J Intellect Disabil Res 2019 Mar 8;63(3):193-204. Epub 2018 Nov 8.

Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.

Background: Falls are common among older people with intellectual disability (ID) and are also a major contributor to injuries in this population. Yet, fall characteristics have only been sparsely studied, and the results are inconsistent. The aim of the present study was to investigate type of falls, places where they occurred and activities that caused them, as well as health outcomes and health utilisation patterns after falls, among older people with ID in comparison with their age peers in the general population. Read More

Trauma Surg Acute Care Open 2018 9;3(1):e000201. Epub 2018 Oct 9.

Division of Trauma and Acute Care Surgery, Grady Memorial Hospital, Atlanta, Georgia, USA.

Background: Advancement in trauma care has led to the evolution of emergency resuscitative thoracotomy (ERT) for the revival of trauma patients. We now have more precise understanding of selecting suitable patients for achieving optimal outcomes. The aim of our study was to analyze the utilization and survival trends during the past 5 years, as well as factors that influence survival after ERT. Read More

Pediatr Surg Int 2019 Jan 3;35(1):97-105. Epub 2018 Nov 3.

Neonatal and Paediatric Surgery, Great Ormond Street Hospital, London, UK.

Aim Of The Study: Complex tracheo-oesophageal fistulae (TOF) are rare congenital or acquired conditions in children. We discuss here a multidisciplinary (MDT) approach adopted over the past 5 years.

Methods: We retrospectively collected data on all patients with recurrent or acquired TOF managed at a single institution. Read More

BMJ Case Rep 2018 Nov 3;2018. Epub 2018 Nov 3.

General Surgery, Mayo General Hospital, Castlebar, Ireland.

Acquired abdominal intercostal hernia (AAIH) is an infrequent occurrence whereby intra-abdominal contents herniate into intercostal space directly from the peritoneal cavity through an acquired defect in the abdominal wall musculature and fascia. These hernias are difficult to diagnose and should always be suspected when a chest wall swelling occur after major or minor trauma. Surgical repair is warranted in symptomatic patients. Read More

Biomed Res Int 2018 24;2018:8927290. Epub 2018 Sep 24.

Department of Biomedical Engineering, Tianjin University, Tianjin, China.

Purpose: To investigate the dose depositions to organs at risk (OARs) and associated cancer risk in cancer patients scanned with 4-dimensional computed tomography (4DCT) as compared with conventional 3DCT.

Methods And Materials: The radiotherapy treatment planning CT image and structure sets of 102 patients were converted to CT phantoms. The effective diameters of those patients were computed. Read More

Intensive Care Med Exp 2018 Oct 19;6(1):41. Epub 2018 Oct 19.

Institute of Anesthesiological Pathophysiology and Process Engineering, University Medical School, Helmholtzstrasse 8-1, 89081, Ulm, Germany.

Background: Both the hydrogen sulfide/cystathionine-γ-lyase (HS/CSE) and oxytocin/oxytocin receptor (OT/OTR) systems have been reported to be cardioprotective. HS can stimulate OT release, thereby affecting blood volume and pressure regulation. Systemic hyper-inflammation after blunt chest trauma is enhanced in cigarette smoke (CS)-exposed CSE mice compared to wildtype (WT). Read More

Medicine (Baltimore) 2018 Oct;97(42):e12823

Department of Anesthesia and Pain Medicine, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Introduction: Aortic dissection is a very rare but life-threatening condition associated with a high mortality. Unexpected sudden cardiac death due to aortic rupture following laparoscopic appendectomy is very rare and may be difficult to diagnose. However, early diagnosis of aortic dissection is essential for the timely treatment and outcome of aortic dissection. Read More