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Stab wounds

Annelise Maree Cocco, Savitha Bhagvan, Clare Bouffler, Jeremy Hsu
BACKGROUND: Penetrating abdominal trauma is uncommon in Australia. There are multiple potential approaches to the patient without an indication for immediate laparotomy. This study examined the management of patients with a penetrating anterior abdominal injury in a Level 1 trauma centre, and in particular investigated the outcomes of those patients who underwent diagnostic laparoscopy. METHODS: A retrospective review was undertaken of all patients presenting to a Level 1 trauma centre with an anterior abdominal stab wound over a 15-year period...
March 14, 2019: ANZ Journal of Surgery
Asif Masroor Farooqui, Clare Cunningham, Nick Morse, Onyekwelu Nzewi
Clamshell thoracotomy for thoracic injuries is an uncommon emergency department procedure. The survival rates following emergency thoracotomy are very low at 9%-12% for penetrating trauma and 1%-2% for blunt trauma. We report an unusual case of survival after emergency department clamshell thoracotomy for penetrating thoracic trauma with cardiac tamponade in a 23-year-old man with multiple stab wounds on the chest and abdomen. The patient was awake and alert on arrival in the emergency department. Bilateral chest decompression by needle thoracostomy released air and blood...
March 4, 2019: BMJ Case Reports
Kai Qian, Nanyang Yang, Chunming Lin, Heng Wan, Fangyong Fu, ZhengjunLiu, Zhiqi Lin, Hao Liu
Portopulmonary hypertension (PoPH) is a well-recognized complication of portal hypertension. This study reports a case of portopulmonary hypertension that was secondarily caused by post-traumatic mesenteric arteriovenous fistula. A 38-year-old man with a history of knife stabbing wounds in the abdomen in 2003 was admitted to the hospital with exertional shortness of breath and a mechanic murmur over the umbilical region. Computed Tomography indicated signs of portopulmonary hypertension and mesenteric arteriovenous fistula...
February 22, 2019: Annals of Vascular Surgery
Ayako Ro, Shoetsu Chiba, Morihisa Sagi, Norimasa Kageyama, Makiko Hayashida, Toru Ikawa, Yukino Oide, Kazue Ichiba, Toshiji Mukai
We present the first report of pneumopericardium observed by autopsy and on postmortem computed tomography (PMCT) images. The subject was a woman who died of self-inflicted stab wounds to the abdomen. The PMCT scan revealed air in the pericardial sac, a "flattened heart" sign, and retroperitoneal hemorrhage. Medicolegal autopsy revealed two abdominal stab wounds near the xiphoid process that had cut the apical pericardium and adjacent diaphragm and liver. Examination of the open thorax confirmed that the pericardial sac was distended with air...
February 20, 2019: Journal of Forensic Sciences
Gustavo Parra-Romero, Gabriel Contreras-Cantero, Diego Orozco-Guibaldo, Andrea Domínguez-Estrada, José de Jesús Mercado-Martín Del Campo, Luis Bravo-Cuéllar
Introduction: Trauma is a leading cause of morbimortality in the world. Intraabdominal compartment is the third most affected anatomical region and bleeding from this origin is difficult to identify, therefore the importance to predict possible lesions to the abdominal cavity. Objective: To describe and analyze the sociodemographic profile and injuries found in patients with abdominal trauma in a western hospital in Mexico. Method: Consecutive patients included in the local registry GDL-SHOT were analyzed...
2019: Cirugia y Cirujanos
Nick Nash, Charles W Kimbrough, Michael Mackowski, Matthew V Benns, Jason W Smith, Brian G Harbrecht, Matthew Bozeman
The incidence of obesity has been increasing in the United States, and the medical care of obese patients after injury is complex. Obesity has been linked to increased morbidity after blunt trauma. Whether increased girth protects abdominal organs from penetrating injury or complicates management from obesity-associated medical comorbidities after penetrating injury has not been well defined. All patients admitted with penetrating injury between January 1, 2010, and December 31, 2013, at a university-affiliated Level I center trauma center were reviewed...
January 1, 2019: American Surgeon
Mabel Okiemute Etetafia
Penetrating injuries can lead to multiple retained foreign bodies. To present a case of a penetrating stab injury on to the right orbital region of a 37-year-old woman which resulted in lacerations on both eyelids, loss of vision in addition to the retention of glass particle and woven artificial hair strands at the anterior end of the floor of the orbit. The woven artificial hair strand, being flexible in nature, was apparently logged in by the penetrating force of the broken glass used as the stab injury object...
January 24, 2019: BMJ Case Reports
Shinya Yaguchi, Hitoshi Yamamura, Kousuke Kamata, Norihito Shimamura, Shinya Kakehata, Atsushi Matsubara
Case: Vertebral artery injury is a low-frequency but high-mortality injury. The surgical approach to a bleeding vertebral artery injury is one of the most difficult procedures in trauma surgery.A 64-year-old woman was transported to our emergency department after being stabbed in the middle side of the right neck with a large kitchen knife. Her initial hospital examination indicated a shock state, and computed tomography images revealed a right vertebral artery injury. We undertook angiography and transcatheter arterial embolization before the surgical operation...
January 2019: Acute Medicine & Surgery
Onur Saydam, Deniz Serefli, A Yaprak Engin, Mehmet Atay, Aysegul Kunt
Pseudoaneurysm of the deep femoral artery (FAP) due to penetrating trauma is less common and can be a challenging condition for surgeons. The conventional treatment strategy for FAP due to penetrating trauma is open surgical repair. With emerging technologies, less invasive techniques are being used in these patients. We report a 37-year-old male patient with delayed presentation of FAP secondary to a stab wound and treated successfully with ultrasound-guided thrombin injection.
December 25, 2018: Annals of Vascular Diseases
Modise Zacharia Koto, Oleh Yevhenovych Matsevych, Lendo Nsakala
BACKGROUND: The diagnosis of traumatic diaphragmatic injuries (TDIs) after penetrating thoracoabdominal trauma is challenging and conventional imaging is unreliable. Laparoscopy and thoracoscopy are minimally invasive modalities of choice in the diagnosis and management of TDI. A little is known on the value of thoracoscopy with single-lumen endotracheal tube intubation (SLETI) in the diagnosis of occult diaphragmatic injuries, and how it compares with laparoscopy. METHODS: A prospective study evaluated thoracoscopy with SLETI as a diagnostic tool for occult TDI...
January 10, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Radoslaw Pracon, Roman Grygoruk, Marek Konka, Cezary Kepka, Marcin Demkow
No abstract text is available yet for this article.
November 2018: Circulation. Cardiovascular Imaging
M M Donovan, V Y Kong, J L Bruce, G L Laing, W Bekker, V Manchev, M Smith, D L Clarke
INTRODUCTION: This study is a five-year follow-up of previously published review of the trauma workload at our institution. It aims to provide evidence about the quality of trauma care delivered by a major academic trauma service in South Africa to provide a temporal analysis of trauma trends in the city of Pietermaritzburg. MATERIALS AND METHODS: All trauma patients admitted by the Pietermaritzburg Metropolitan Trauma Service (PMTS) for the period December 2012-April 2018 were retrieved from the Hybrid Electronic Medical Registry (HEMR) for analysis...
December 18, 2018: World Journal of Surgery
Abigail C Gambrill, Regina L Faulkner, Caroline R McKeown, Hollis T Cline
Traumatic brain injuries introduce functional and structural circuit deficits that must be repaired for an organism to regain function. We developed an injury model in which Xenopus laevis tadpoles are given a penetrating stab wound that damages the optic tectal circuit and impairs visuomotor behavior. In tadpoles, as in other systems, injury induces neurogenesis. The newly generated neurons are thought to integrate into the existing circuit, however, whether they integrate via the same mechanisms that govern normal neuronal maturation during development is not understood...
December 5, 2018: Journal of Neurophysiology
Samir Kashyap, Gohar Majeed, Shokry Lawandy
Background: Brown-Sequard syndrome (BSS) is a well-known entity that is most commonly caused by a penetrating injury to the spinal cord (e.g., stab wound or gunshot wound). It is characterized by an ipsilateral weakness (damage to corticospinal tracts) and contralateral loss of pain and temperature two levels below the lesion (damage to lateral spinothalamic tracts). Although, rarely non-penetrating injuries, tumors, disc herniations, infections, autoimmune diseases, and epidural hematomas (non-penetrating trauma and spontaneous) have contributed to BSS syndromes, there are only four cases of BSS in the literature attributed to traumatic spinal epidural hematomas...
2018: Surgical Neurology International
Matěj Uvíra, Klára Marecová, Marek Dokoupil, Igor Dvořáček, Petr Handlos
Animal inflicted fatal or near fatal injuries are well described in the forensic literature, with the most frequently described cases involving dogs, large cats and bears. To our knowledge, a deer inflicted fatality has not been described in the forensic literature previously. This article reports a case of a 64-year-old male, who was found lying in a pool of blood near an enclosure for stags and hinds at the end of October. There were mechanical defects on his jacket and trousers, which appeared to be torn or penetrated, as well as multiple lacerations and stab wounds in different parts of his body...
November 27, 2018: Forensic Science, Medicine, and Pathology
David Thompson, Sherif M Soliman, Mohammad Bader, Abraham Cherian
BACKGROUND: Shanfield first described a simple ureteric implantation technique involving a U-stitch anchoring the spatulated end of the transplant ureter to the interior of the intact bladder through a small stab wound. We present an extrapolation of this principle to Mitrofanoff channels and native ureteric reimplantations and further extend it to a laparoscopic approach in some. METHODS: A retrospective case-note reviewing the Shanfield ureteric reimplantation in fifteen children between October 2014 and May 2017 was performed...
November 7, 2018: Journal of Pediatric Surgery
Farris Serio, Quinn Fujii, Keval Shah, Andrew McCague
Objective: To determine if there was any decrease in measures of injury severity or outcome with obese patients (body mass index greater than or equal to 30 kg/m2) as compared to non-obese patients (body mass index less than 30 kg/m2). Methods: We conducted a retrospective review of the trauma database maintained by Natividad Medical Center's Level 2-Trauma program. From July 1st, 2014 to July 1st, 2017 there were 371 cases of penetrating trauma in adults between the ages of 18-80 years old...
October 2018: Bulletin of Emergency and Trauma
Wook Ho Kang, Hyung Kyu Yang, Han Jeong Chang, Yong Taek Ko, Byung Eun Yoo, Cheong Ho Lim, Jae Kwan Hwang, Young Chan Lee, Hyeon Keun Shin, Hae Jung Son
BACKGROUND: Ligation of the intersphincteric fistula tract (LIFT) is a sphincter-preserving operation for anal fistulas. Although it has advantages in preserving continence after surgery, it is difficult to perform owing to the narrow field of view. We performed a modified surgical procedure based on the LIFT to overcome these drawbacks. MATERIALS AND METHODS: Twenty-eight patients who were scheduled to undergo high ligation of the anal fistula tract by the lateral approach for the treatment of transsphincteric anal fistulas were prospectively studied...
December 2018: International Journal of Surgery
Yu V Nazarov, V D Isakov, V M Karavaev
Forensic medical experts are not infrequently faced in their practical work with the question of the possibility of inflicting body injuries by the victim to himself (herself). In such cases, the law-enforcement authorities are in the first place interested not in the possibility of such self-inflicted injuries but rather in the correspondence between the character of the injuries and the circumstances of the event that needs to be objectively established in the course of the forensic medical expertise. The cases of multiple severe self-inflicted injuries in which all the witnesses were one way or another involved in the accident as the participants of the fight with the victim, attract especially close attention and require careful examination...
2018: Sudebno-meditsinskaia Ekspertiza
Antônio Oliveira de Araújo, Fernando Luiz Westphal, Luiz Carlos de Lima, Jéssica de Oliveira Correia, Pedro Henrique Gomes, Emanoel Nascimento Costa, Luciana Macedo Level Salomão, Cleinaldo Nascimento Costa
OBJECTIVE: to determine the frequency of fatal cardiac trauma in the city of Manaus, Brazil, between November 2015 and October 2016, and to clarify the mechanisms of trauma and death, previous hospital treatment, as well as the injuries associated with cardiac trauma. METHODS: retrospective, observational, and cross-sectional study, which reviewed the necropsy reports of individuals whose cause of death was cardiac injury. RESULTS: the cardiac trauma rate was of 5...
October 4, 2018: Revista do Colégio Brasileiro de Cirurgiões
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