Radiography is less sensitive relative to CT for detecting thoracic radiographic changes in dogs affected by blunt trauma secondary to a motor vehicle accident

2019 ◽  
Vol 60 (6) ◽  
pp. 648-658 ◽  
Author(s):  
Sumari C. Dancer ◽  
Christelle Le Roux ◽  
Geoffrey T. Fosgate ◽  
Robert M. Kirberger
2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
P. Raychaudhuri ◽  
N. K. Cheung ◽  
C. Bendinelli ◽  
M. Puvaneswary ◽  
R. Ferch ◽  
...  

Intra-abdominal vascular injury due to blunt trauma is unusual in children. Due to its rarity, detailed reports dealing with its management are scarce in paediatric literature. Diagnosis of these injuries is challenging, and a high degree of awareness is necessary for rapid identification and treatment of these injuries. We report the case of a child with seatbelt sign and mesenteric vein injury due to blunt trauma to the abdomen during a motor vehicle accident where the seatbelt was incorrectly placed. She also sustained cervical vertebral injury. The pattern of injuries in children in these situations may differ from that found in adults. While seatbelts have undoubtedly saved many lives, awareness about correct placement of these restraints is extremely necessary.


2006 ◽  
Vol 72 (2) ◽  
pp. 116-117
Author(s):  
Sharmila Dissanaike ◽  
John A. Griswold ◽  
Ari Halldorsson ◽  
Eldo E. Frezza

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.


2002 ◽  
Vol 10 (4) ◽  
pp. 349-350 ◽  
Author(s):  
Bambarawane LA Karunaratne ◽  
Panini A Gooneratne ◽  
Savitri Wijesekara ◽  
Gamini Goonetilleke

Tracheoesophageal fistula following blunt chest trauma is rare. Typically the patient is a young male with an elastic chest wall who is involved in a motor vehicle accident. In this case the victim was a motorcyclist who collided with a stationary lorry. He underwent surgery 4 weeks after the injury made an uncomplicated recovery.


2015 ◽  
Vol 3 (1) ◽  
pp. 31-32
Author(s):  
AK Qumrul Huda ◽  
Rezwanul Hoque ◽  
Wong Poo Sing

Tracheal transection is a rare injury after blunt trauma. Complete disruption of the trachea is rare, with a reported incidence of 1 in 4491 trauma admission. Blind oral or nasal intubation in patients with tracheal injury can lead to false extra passage. The presence of tracheal transection in the intubated ventilating patient is rarer and constitutes a major diagnostic and survival challenge. Here we present a case of tracheal transection caused by motor vehicle accident diagnosed few days later of the incidence by Computed tomography (CT) of chest, who went for thoracotomy and anastomosis of tracheal transection but developed anastomosis dehiscence. Repeated trial for anastomosis could not save the life of the patient because of development of severe sepsis, disseminated intravascular coagulation (DIC) and multi organ dysfunction syndrome (MODS). Early diagnosis by CT of chest and tracheal anastomotic surgery as early as possible (possibly within 24 hrs) before development of sepsis from mediastinitis is paramount for survival of patient.Bangladesh Crit Care J March 2015; 3 (1): 31-32


2021 ◽  
Vol 6 (1) ◽  
pp. 16-18
Author(s):  
KwangJin Lee ◽  
Pil Young Jung

Acute appendicitis is a relatively common disease, but it is rarely caused by trauma. There are some reports on appendicitis caused by blunt abdominal trauma, but the pathophysiology is still uncertain. In this report, we presented a case of a patient who developed acute appendicitis following blunt trauma to the abdomen sustained during a motor vehicle accident.


2003 ◽  
Author(s):  
David Walshe ◽  
Elizabeth Lewis ◽  
Kathleen O'Sullivan ◽  
Brenda K. Wiederhold ◽  
Sun I. Kim

1996 ◽  
Vol 35 (04/05) ◽  
pp. 309-316 ◽  
Author(s):  
M. R. Lehto ◽  
G. S. Sorock

Abstract:Bayesian inferencing as a machine learning technique was evaluated for identifying pre-crash activity and crash type from accident narratives describing 3,686 motor vehicle crashes. It was hypothesized that a Bayesian model could learn from a computer search for 63 keywords related to accident categories. Learning was described in terms of the ability to accurately classify previously unclassifiable narratives not containing the original keywords. When narratives contained keywords, the results obtained using both the Bayesian model and keyword search corresponded closely to expert ratings (P(detection)≥0.9, and P(false positive)≤0.05). For narratives not containing keywords, when the threshold used by the Bayesian model was varied between p>0.5 and p>0.9, the overall probability of detecting a category assigned by the expert varied between 67% and 12%. False positives correspondingly varied between 32% and 3%. These latter results demonstrated that the Bayesian system learned from the results of the keyword searches.


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