Isolated Intrathoracic Injury with Air Bag Use

1995 ◽  
Vol 10 (3) ◽  
pp. 198-201 ◽  
Author(s):  
Andrew E. Sama ◽  
Douglas P. Barnaby ◽  
Kevin J. Wallis ◽  
Dominick Gadaleta ◽  
Michael H. Hall ◽  
...  
Keyword(s):  
Thoracic Aorta ◽  
High Speed ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
High Index ◽  
Vehicle Accident ◽  
Air Bag ◽  
High Index Of Suspicion ◽  
External Injury

AbstractThe restrained (air bag and seatbelt) driver of a vehicle involved in a high-speed motor-vehicle accident sustained a tear of the thoracic aorta with no signs of external injury. Air bag deployment may mask significant internal injury, and a high index of suspicion is warranted in such situations.

Thoracic aorta rupture due to deceleration injury in a motor vehicle accident

2018 ◽  
Vol 177 (5) ◽  
Author(s):  
Patrizia Gualniera ◽  
Serena Scurria ◽  
Daniela Sapienza ◽  
Alessio Asmundo
Keyword(s):  
Thoracic Aorta ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Vehicle Accident ◽  
Aorta Rupture

scholarly journals Traumatic Aortic Injury in a 3-Year-Old Child - A Case Report and Literature Review

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Aljohani M ◽  
◽  
Alanazi S ◽  
Keyword(s):  
Case Report ◽  
Significant Contribution ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Aortic Injury ◽  
Vehicle Accidents ◽  
Vehicle Accident ◽  
Pseudo Aneurysm ◽  
High Index Of Suspicion ◽  
Tomography Scan

This case report describes a case of aortic injury with pseudo-aneurysm in a 3-year-old Saudi boy following a motor vehicle accident. The diagnosis was suspected on computed tomography scan, and emergency surgery was performed. A Dacron graft was inserted to repair the injured aorta. Postoperatively, absent femoral, and distal pulses were noted, and thromboembolectomy was performed with good outcome. We believe that our study makes a significant contribution to the literature because it raises awareness of aortic injury and rupture in pediatric patients with multi-organ trauma following motor vehicle accidents. A high index of suspicion and early intervention are essential in improving outcomes.

An uncommon potentially lethal injury: Traumatic pericardial rupture with herniation of the heart

Trauma ◽  
2016 ◽  
Vol 19 (2) ◽  
pp. 139-141
Author(s):  
TA Yuvaraj Davidson ◽  
Parma Nand
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Fatal Outcome ◽  
Traumatic Rupture ◽  
Trauma Patients ◽  
Vehicle Accident ◽  
Life Threatening ◽  
High Index Of Suspicion ◽  
Treatable Condition ◽  
Insight Into

Traumatic rupture of the pericardium with herniation of the heart can be a potentially lethal injury that can be easily overlooked. Prompt diagnosis and repair can be lifesaving. We report such a case with successful repair of this injury in a 45-year-old male who sustained multiple injuries following a motor vehicle accident. CT scan revealed rupture of the pericardium with herniation of the heart. The pericardial tear was promptly repaired by primary closure. This report gives an insight into this life threatening, yet promptly treatable condition, which can be easily missed resulting in a fatal outcome. Having a high index of suspicion while treating thoracic trauma patients can prevent fatalities. Immediate referral to a cardiothoracic service or closure of the tear through a thoracotomy, if the expertise is available, can be lifesaving.

scholarly journals Dentures that keeps airway patent: a case report

2020 ◽  
Vol 6 (2) ◽  
pp. 394
Author(s):  
Siti F. A. Razak ◽  
Stacy A. Jamarun ◽  
Siti H. Sanudin
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Foreign Body Aspiration ◽  
Main Complaint ◽  
Vehicle Accident ◽  
Threatening Condition ◽  
Life Threatening ◽  
High Index Of Suspicion

<p class="abstract">Foreign body aspiration is a life-threatening condition that requires immediate attention and intervention. Foreign body aspiration in adults usually occurs during dental procedure or motor vehicle trauma. Classical symptoms include choking, cough, haemoptysis, hoarseness or stridor. This case report presents an incident of a foreign body lodged at the subglottic region in an adult wearing dental prosthesis; the main complaint was hoarseness post motor vehicle accident. High index of suspicion coupled with correct investigation will facilitate the diagnosis of a foreign body in the airway thus immediate intervention can be taken to prevent morbidity and mortality.</p>

scholarly journals A high-speed motor vehicle accident during pregnancy

2014 ◽  
pp. 172-174
Author(s):  
Susan M. Lanni ◽  
David Chelmow ◽  
Christine R. Isaacs ◽  
Ashley Carroll
Keyword(s):  
High Speed ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Vehicle Accident

Isolated Chyle Duct Injury in Blunt Trauma

2006 ◽  
Vol 72 (2) ◽  
pp. 116-117
Author(s):  
Sharmila Dissanaike ◽  
John A. Griswold ◽  
Ari Halldorsson ◽  
Eldo E. Frezza
Keyword(s):  
Blunt Trauma ◽  
High Speed ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Chyle Leak ◽  
Cisterna Chyli ◽  
Vehicle Accident ◽  
Isolated Injury ◽  
The Right ◽  
Gallbladder Fossa

We present a case of a patient sustaining an isolated injury to the right main branch of the cysterna chyli due to a high-speed motor vehicle accident. A 42-year-old man presented after a high-speed collision. CT revealed a collection of hypodense fluid in the gallbladder fossa, which was the clue to take him to the OR. We proceeded to laparoscopic exploration, and based on the milky white color of the fluid, identified a chyle leak. In an open fashion, the retroperitoneum was explored and the injury was identified as disruption of the right lumbar branch entering the cisterna chyli, and this was ligated with silk ties. Chyle duct injury secondary to blunt trauma is a rare finding. The use of CT imaging can identify this injury. Laparoscopy can confirm the injury. Open ligation of the injured duct is the best treatment.

scholarly journals Tricuspid valve regurgitation management with valve replacement Late Presentation of Traumatic Tricuspid Valve Regurgitation after Motor Vehicle Accident -- Role of 3D Echocardiography

2021 ◽  
Author(s):  
Hong Seok Lee ◽  
Tasneem Naqvi
Keyword(s):  
Tricuspid Valve ◽  
High Speed ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Three Dimensional ◽  
Late Presentation ◽  
Valve Regurgitation ◽  
Tricuspid Valve Regurgitation ◽  
Vehicle Accident ◽  
History Of

A 51-year-old unrestrained female driver with history of a high-speed motor vehicle accident had been followed due to progressively worsening tricuspid valve regurgitation (TR). Three dimensional (3D0 transesophageal echocardiogram (TEE) showed a TR jet through a perforation in the an avulsed anterior leaflet from the tricuspid valve and another central tricuspid TR jet regurgitation due to tricuspid leafletresulted from malcoaptation of the leaflets from tricuspid annulus annular dilatation.

scholarly journals Humeral Head Fracture with Intrathoracic Migration

2018 ◽  
Vol 24 (1) ◽  
pp. 57-59
Author(s):  
Caggiari Gianfilippo ◽  
Mosele Giulia Raffaella ◽  
Puddu Leonardo ◽  
Spiga Mauro ◽  
Doria Carlo
Keyword(s):  
Humeral Head ◽  
High Speed ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Surgical Excision ◽  
Symphysis Pubis ◽  
Fracture Dislocation ◽  
Vehicle Accident ◽  
Total Body ◽  
The Right

Fracture-dislocation of the humeral head with intrathoracic migration is extremely rare. In our study we describe the case of a 23-year-old man who was admitted to the emergency clinic of our hospital, after being injured in a high-speed motor vehicle accident. The patient presented in a state of hemorrhagic shock and severe respiratory disease. Chest radiography showed fracture of the right humeral head and the presence of a round radio-density area resting on the diaphragm right hemithorax. The total body computed tomography scan revealed a right pneumothorax related to the presence in the chest cavity of the fractured humeral head, longitudinal fracture of the sacrum, and diastasis of the symphysis pubis. After an initial hemodynamic stabilization the patient underwent surgical excision of the humeral head and its replanting. It is important after airway management and the use of diagnostic imaging, the treatment of any injuries associated with the trauma.

scholarly journals Pediatric Traumatic Retroclival Epidural Hematoma

2011 ◽  
Vol 38 (2) ◽  
pp. 338-340 ◽  
Author(s):  
Cameron M. McDougall ◽  
Tejas Sankar ◽  
Vivek Mehta ◽  
Jeffrey A. Pugh
Keyword(s):  
Glasgow Coma Score ◽  
High Speed ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Upper Cervical Spine ◽  
Mandibular Fractures ◽  
Front Seat ◽  
Vehicle Accident ◽  
Upper Cervical ◽  
The Right

A previously healthy ten-year-old girl was involved in a high speed motor vehicle accident (MVA) in which she was the belted front-seat passenger. The patient's teeth marks on the dashboard were evidence of a high-velocity impact. Her Glasgow Coma Score on scene was 13, and she was amnestic for the event. She was subsequently transported to the emergency room in full spinal precautions; on arrival she was hemodynamically stable with a Glasgow Coma Score of 14, complaining of neck and jaw pain. Neurological examination revealed impaired abduction of the right eye, with no other focal deficits. She had oral lacerations and bruising over the mandibles bilaterally.Computed tomogram (CT) scan of the head was initially interpreted as normal, but on closer inspection demonstrated a 4mm retroclival hematoma (Figure 1). Sagittal CT through the upper cervical spine revealed the hematoma was epidural, bounded by the spheno-occipital synchondrosis superiorly and by the mid-body of the axis inferiorly (Figure 2). The odontoid was retroflexed (Figure 2). Bilateral mandibular fractures were also uncovered on facial imaging.

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