41,029 results match your criteria abdominal trauma


Trauma Scores and Their Prognostic Value for the Outcome Following Pediatric Polytrauma.

Front Pediatr 2021 3;9:721585. Epub 2021 Sep 3.

Department of Pediatric Surgery, Dr. von Hauner Children's Hospital, Ludwig-Maximilians-University, Munich, Germany.

The management and prognostic assessment of pediatric polytrauma patients can pose substantial challenges. Trauma scores developed for adults are not universally applicable in children. An accurate prediction of the severity of trauma and correct assessment of the necessity of surgical procedures are important for optimal treatment. Read More

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September 2021

Delayed traumatic small bowel obstruction diagnosed by point-of-care ultrasound (POCUS).

Authors:
Yi Li Lauren Querin

Am J Emerg Med 2021 Sep 2. Epub 2021 Sep 2.

Department of Emergency Medicine, University of North Carolina, 170 Manning Dr. CB# 7594, Chapel Hill, NC 27599-7594, United States. Electronic address:

Delayed small bowel obstruction is a rare complication of blunt abdominal trauma and is typically diagnosed by computed tomography (CT) imaging. A 22-year-old man initially presented to Emergency Department 12 h after a motor vehicle collision and CT imaging was unrevealing for any intra-abdominal injury. The patient returned 4 days later with new abdominal pain, vomiting, and watery stool. Read More

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September 2021

Madona O. Gogiya, Igor V. Belozorov, Vira V. Zlatkina, Iuliia M. Mozgova, Maksym E. Vodka, Oleksandr E. Feskov, Mykhailo S. Myroshnychenko OBESITY EFFECT ON THE COURSE OF ABDOMINAL TRAUMA.

Wiad Lek 2021 ;74(8):1829-1833

KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE.

Objective: The aim was to determine the role of obesity in the development of fatal complications and deaths in victims with abdominal trauma.

Patients And Methods: Materials and methods: The study was conducted on the basis of the Department of Polytrauma at the Municipal Health Care Institution of Kharkiv City Council "O.I. Read More

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January 2021

A case of two traumatic penetrations of a duodenal diverticulum caused by a kick to the upper abdomen.

Int J Surg Case Rep 2021 Sep 6;87:106388. Epub 2021 Sep 6.

Department of Surgery, Ureshino medical Center, 4279-3 Ureshino, Saga 843-0393, Japan.

Introduction And Importance: A duodenal diverticulum is a pseudodiverticulum that lacks a proper muscular layer. Cases of traumatic penetration or perforation of a duodenal diverticulum are relatively rare.

Case Presentation: A 67-year-old woman was injured when her roommate kicked her in the upper abdomen, and was transferred to our hospital 6 h after the injury with upper abdominal pain and lethargy. Read More

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September 2021

Global FAST for Patient Monitoring and Staging in Dogs and Cats.

Vet Clin North Am Small Anim Pract 2021 Sep 14. Epub 2021 Sep 14.

Hill Country Veterinary Specialists and FASTVet.com, Spicewood, TX, USA; Oncura Partners, Fort Worth, TX, USA. Electronic address:

Please verify if FAST should be expanded at first use - "focused assessment with sonography for trauma"?: Global FAST consists of abdominal FAST, thoracic FAST, and Vet BLUE combined as a single point-of-care ultrasound examination used as an extension of the physical examination. By applying its unbiased set of 15 data imaging points, information is gained while avoiding image interpretation errors, such as satisfaction of search error and confirmation bias error, through selective POCUS imaging. Moreover, Global FAST is used for integrating information from both cavities, rapidly screening for the Hs and Ts of cardiopulmonary resuscitation, and staging localized versus disseminated disease, helpful diagnostically and prognostically for patient work-up. Read More

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September 2021

A Case of Psoas Muscle Abscess With Hematuria, Detected Initially by Point-of-Care Ultrasound in the Emergency Department.

J Emerg Med 2021 Sep 14. Epub 2021 Sep 14.

Department of Emergency Medicine, Cathay General Hospital, Taipei, Taiwan.

Background: Psoas muscle abscess (PMA) is a collection of pus in the psoas muscle. It is considered a rare clinical entity and is often misdiagnosed due to highly vague symptoms. We report that point-of-care ultrasound (POCUS) serves as a useful and noninvasive tool for early detection of PMA. Read More

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September 2021

Association of venous thromboembolism following pediatric traumatic spinal injuries with injury severity and longer hospital stays.

J Neurosurg Spine 2021 Sep 17:1-7. Epub 2021 Sep 17.

1Computational Neurosciences Outcomes Center, Department of Neurosurgery, Harvard Medical School, Brigham and Women's Hospital; and.

Objective: Venous thromboembolism (VTE) can cause significant morbidity and mortality in hospitalized patients, and may disproportionately occur in patients with limited mobility following spinal trauma. The authors aimed to characterize the epidemiology and clinical predictors of VTE in pediatric patients following traumatic spinal injuries (TSIs).

Methods: The authors conducted a retrospective cohort analysis of children who experienced TSI, including spinal fractures and spinal cord injuries, encoded within the National Trauma Data Bank from 2011 to 2014. Read More

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September 2021

[Urogenital Injury in Polytrauma Patients: a Five-year Epidemiological Study].

Acta Chir Orthop Traumatol Cech 2021 ;88(4):307-312

Urologická klinika 3. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha.

INTRODUCTION The authors present an overview of polytrauma patients with urinary tract injuries managed in the Level I trauma centre. The purpose of this study was to evaluate the frequency of injuries to the urinary system, the mechanism of their injury and the method of treatment in the cohort of polytrauma patients treated in the trauma centre. MATERIAL AND METHODS Between 2012 and 2016, a total of 231 polytrauma patients were treated, of whom 47 (20. Read More

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January 2021

Closed incision Negative Pressure Therapy (ciNPT): does depression affect underlying tissues?

Eur Rev Med Pharmacol Sci 2021 Sep;25(17):5458-5462

Department of Emergency and Trauma Surgery, Policlinico Gemelli, Catholic University of Sacred Heart, Rome, Italy.

Objective: Closed incision Negative Pressure Therapy (ciNPT) has become a widespread practice in recent years. Described benefits concern the rate of wound infection, based on the assumption that negative pressure spreads inside the wound removing collections and edema. The study aims to clarify this technical point, on which experimental scientific evidence is lacking in literature. Read More

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September 2021

Colorectal barotrauma following compressed air spray to the perineum.

Forensic Sci Med Pathol 2021 Sep 17. Epub 2021 Sep 17.

Department of Forensic Medicine, Research Laboratory LR12SP14, Teaching Hospital Fattouma Bourguiba, 5000, Monastir, Tunisia.

Colorectal injuries caused by high-pressure air compressors are rare and reported especially among industrial workers. They may appear because of intended or accidental injury. In the present paper, we report a case of colorectal injuries due to air insufflation from a distance towards the anus with the clothes on, as a means of a practical joke. Read More

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September 2021

Colon Perforation As Initial Presentation of Refractory and Complicated Sclerosing Mesenteritis.

Cureus 2021 Aug 13;13(8):e17142. Epub 2021 Aug 13.

Internal Medicine, Saint Michael's Medical Center, Newark, USA.

Sclerosing mesenteritis (SM), a benign chronic fibrosing inflammatory disease of the mesentery, is a rare disease discovered in 1924. The prevalence of the disease is less than 1%. The exact etiology of the disease is not clear. Read More

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Functional Outcome of Staged Reconstruction of Blast Injury of the Hand.

Authors:
V Y Sabo

Niger J Clin Pract 2021 Sep;24(9):1404-1409

Department of Surgery, Plastic Surgery Unit, University of Abuja Teaching Hospital, Gwagwalada-Abuja, Nigeria.

The purpose of this study is to describe the details of initial care, reconstruction and rehabilitation of blast injury to the hand of an adult scavenger staff of a recycling plant from an IED and determine the functional outcome of the treatment in terms of restoration of prehension of the hand. A detailed chronology of the clinical evaluation of a Nigerian adult admitted on the 14 of August, 2018 with blast injury to his left hand, the initial and subsequent care he received (while both on admission and after discharge) and the outcome of the treatment: return of prehension and time taken by patient to return to work. This patient was resuscitated and had initial care which comprised of serial debridement and fixation of fractures. Read More

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September 2021

Focused Ultrasound Examination of Canine and Feline Emergency Urinary Tract Disorders.

Vet Clin North Am Small Anim Pract 2021 Sep 14. Epub 2021 Sep 14.

Clinical Science and Services, The Royal Veterinary College, The University of London, Hawkshead Lane, Hatfield, AL9 7TA.

This article discusses the usefulness of ultrasound examinations in the management of the patient with an emergency urinary tract disorder. It discusses the use of previously described point-of-care ultrasound protocols such as the abdominal focused assessment with sonography for trauma, triage, and tracking protocol in the unstable azotemic patient. Point-of-care ultrasound examination can help direct investigations and expedite the diagnosis of specific causes of azotemia. Read More

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September 2021

Team dynamics in emergency surgery teams: results from a first international survey.

World J Emerg Surg 2021 Sep 16;16(1):47. Epub 2021 Sep 16.

Department of Clinical, Diagnostic and Pediatric Sciences, University of Pavia, Polo Didattico "Cesare Brusotti" Viale Brambilla, 74, 27100, Pavia, Italy.

Background: Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma's causes or the patient's personal and clinical information. In this perspective, the dynamics of how trauma teams function is fundamental to ensuring the best performance and outcomes. Read More

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September 2021

Abnormal Bedside Ultrasound Findings in a Complex Patient With Kawasaki Disease.

Cureus 2021 Aug 11;13(8):e17112. Epub 2021 Aug 11.

Emergency Medicine, Envision Physician Services, Plantation, USA.

We herein report a case of an 18-year-old female with Kawasaki disease who presented to the emergency department with epigastric abdominal pain and was subsequently found to have free fluid present in her abdomen visualized on bedside Focused Assessment with Sonography for Trauma (FAST) exam. Kawasaki disease is an acute vasculitis syndrome that primarily affects children and can have serious complications such as coronary artery aneurysms. The use of ultrasound in emergency departments is rapidly increasing, with the FAST being one of the most commonly performed bedside ultrasound examinations. Read More

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Pseudoaneurysm of the Abdominal Aorta at the Celiac Trunk After Penetrating Trauma.

Cureus 2021 Aug 11;13(8):e17111. Epub 2021 Aug 11.

Trauma/Surgery/Surgical Critical Care, St. Joseph's University Medical Center, Paterson, USA.

We report the case of a 33-year-old man who had received multiple gunshot wounds to the abdomen; consequently, he was diagnosed with a traumatic dissection of the abdominal aorta at the level of the superior mesenteric artery (SMA) extending to just below the renal arteries with a posterior pseudoaneurysm of the aorta. He had wounds in the right upper quadrant and in the left lower back. He demonstrated signs of peritonitis for which he was taken to the operating room for exploratory laparotomy. Read More

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Isolated pancreatic injury in an adolescent treated with Roux-en-Y pancreatojejunostomy: a case report and review of the literature.

J Med Case Rep 2021 Sep 16;15(1):474. Epub 2021 Sep 16.

Department of Gastrointestinal and Hepato-Pancreatic-Biliary Surgery, Ibn Sina Specialized Hospital, Khartoum, Sudan.

Background: Pancreatic injury presented as isolated injury in the pediatric population is exceptionally rare, with a conveyed incidence of less than 2% of all abdominal trauma injuries cases and a very controversial management approach for grade III injuries.

Case Presentation: A 16-year-old adolescent Sudanese boy was referred to our emergency department with a 5-day history of upper and left hypochondrial pain after blunt abdominal trauma to the epigastric region with a solid object. Grade III pancreatic body trauma with major duct involvement can be successfully treated operatively. Read More

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September 2021

[What (general/abdominal) surgeons should know about occupational medicine? : General vaccine recommendations and postexposure prophylaxis of hepatitis B, C and HIV].

Chirurg 2021 Sep 15. Epub 2021 Sep 15.

Bereich Arbeitsmedizin, Medizinische Fakultät, Otto-von-Guericke-Universität Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Deutschland.

This article deals with the general recommendations on vaccination and postexposure prophylaxis, which can be utilized for cuts and needlestick injuries. Cuts and needlestick injuries among surgeons are common occupational accidents. These should be interpreted as acute or emergency situations, especially if there was contact with infectious index patients or the danger of infection cannot be excluded. Read More

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September 2021

[Space-occupying lesion of the pancreaticoduodenal junction after blunt abdominal trauma in a young patient].

Radiologe 2021 Sep 15. Epub 2021 Sep 15.

Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Deutschland.

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September 2021

Case series of two successful pelvic ring reconstructions using a pedicled anterolateral thigh flap.

JPRAS Open 2021 Dec 10;30:84-90. Epub 2021 Aug 10.

Division of Plastic Surgery, MetroHealth, Cleveland, OH, United States.

Open pelvic ring fractures can have devastating functional consequences including prolonged disability, chronic pain, infection, and even death. These injuries are uncommon but often involve soft tissue defects. Without early and appropriate coverage, patients are likely to sustain infection, which can be fatal. Read More

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December 2021

Rectus Sheath Hematoma Secondary to Domestic Violence.

Cureus 2021 Aug 10;13(8):e17058. Epub 2021 Aug 10.

Radiology, Mediland Hospital, Baku, AZE.

Rectus sheath hematoma (RSH) is an infrequent condition that occurs when epigastric arteries bleed into the rectus sheath and sometimes acts like an acute abdomen. In view of the fact that it is a rare case without specific clinic signs, misdiagnosis and use of invasive manipulations for patients are possible. A 27-year-old woman applied to our clinic with abdominal pain, weakness, and nausea. Read More

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Challenges in the Management of Gram-Negative Bacterial Infections in Patients With Ventriculoperitoneal Shunt.

Cureus 2021 Aug 9;13(8):e17035. Epub 2021 Aug 9.

Infectious Diseases, Creighton University School of Medicine, Omaha, USA.

Gram-negative bacterial infections of the central nervous system (CNS) have worse clinical outcomes. The most common bacteria include , Citrobacter species, Enterobacter species, Serratia species, and . There are multiple risk factors for CNS infection after shunt insertion, including younger age, obstructive hydrocephalus, shunt revision surgery, and trauma. Read More

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Diagnostic Laparoscopy for Abdominal Trauma in Infants and Children: "How We Do It".

J Laparoendosc Adv Surg Tech A 2021 Sep 14. Epub 2021 Sep 14.

Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.

Although once thought to be a point of contention, the use of minimally invasive surgery for the hemodynamically stable pediatric trauma patients has grown dramatically since its conception in the 1970s and becoming a widely acceptable option for select patient populations. An accumulation of literature over the decades has continued to support laparoscopy for both diagnostic and therapeutic purposes in the pediatric trauma patients as laparoscopy is likely to decrease morbidity, hospital cost, and negative laparotomy rates. In this review, we describe what we believe to be the critical aspects of diagnostic laparoscopy in the setting of pediatric trauma. Read More

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September 2021

Multidisciplinary team approach in critically ill COVID-19 patients reduced pronation-related complications rate: A retrospective cohort study.

Ann Med Surg (Lond) 2021 Oct 9;70:102836. Epub 2021 Sep 9.

Centre Hospitalier Universitaire de Montpellier, Department of Anesthesia and Intensive Care, 191 Av. du Doyen Gaston Giraud, 34295 Montpellier, France.

Background: In the pandemic scenario, critically ill COVID-19 patients' management presented an increased workload for Intensive Care Unit (ICU) nursing staff, particularly during pronation maneuvers, with high risk of complications. In this contest, some authors described an increase in complications incidence after pronation. An (IPT) was implemented to support this maneuver. Read More

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October 2021

Hand injuries in polytrauma patients.

Pol Przegl Chir 2021 Mar;93(4):21-27

Multiple Trauma Treatment Center, Pomeranian Medical University in Szczecin, Poland.

Hand and forearm injuries are relatively rare in polytrauma patients; their incidence is estimated at 2-5%. Hand and forearm injuries are usually not life threatening, and, therefore are considered of secondary importance, replaced by serious injuries of other body parts. However, they should be treated immediately after stabilization of the general condition of patients, as their delayed management may result in serious dysfunction of the hand. Read More

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The spectrum of blunt abdominal trauma in Pietermaritzburg.

S Afr J Surg 2021 Sep;59(3):90-93

Department of Surgery, University of the Witwatersrand, South Africa and Department of Surgery, University of KwaZulu-Natal, South Africa.

Background: This study reviews the Pietermaritzburg Metropolitan Trauma Service (PMTS) experience with the management of blunt abdominal trauma (BAT).

Methods: A retrospective review of the hybrid electronic medical registry (HEMR) between December 2012 and September 2019 was conducted. All patients admitted following BAT were included. Read More

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September 2021

Spontaneous Splenic Rupture in Atypical Pneumonia From Mycoplasma Infection.

Cureus 2021 Jul 30;13(7):e16753. Epub 2021 Jul 30.

Interventional Radiology, Ascension Providence Hospital, Southfield, USA.

Splenic rupture is a potentially life-threatening condition, often associated with chest or abdominal trauma. Atraumatic splenic rupture (ASR) is quite rare. When reported, it is usually attributed to underlying pathological conditions such as malignant neoplastic disorders, viral infections, or inflammatory processes. Read More

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Sigmoid volvulus after trauma, an uncommon twist: A case report.

Am J Emerg Med 2021 Aug 20. Epub 2021 Aug 20.

Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States.

Sigmoid volvulus occurs when a portion of sigmoid colon twists around its blood supply at the base of the mesentery, causing ischemia and necrosis. In developed nations, this is most commonly a condition of elderly, bed-bound, chronically constipated individuals. However, this condition may occur after blunt abdominal trauma, especially in individuals with underlying anatomic derangements from the aforementioned conditions. Read More

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Open Pelvic Fracture with Rectal Laceration: A Case Report.

Authors:
Sijan Bhattachan

JNMA J Nepal Med Assoc 2021 Aug 12;59(240):802-804. Epub 2021 Aug 12.

Department of Orthopaedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal.

Open pelvic fractures are rare but represent a serious clinical problem with high mortality rates. Acute mortality is often associated with haemorrhage and delayed mortality is most often associated with sepsis and multiple organ failure. An aggressive multidisciplinary approach is of paramount importance to prevent catastrophe. Read More

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