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 Report of a Rare Case of Trauma-Induced Thyroid Storm

2002 ◽  
Vol 81 (8) ◽  
pp. 570-574 ◽  
Author(s):  
Neil M. Vora ◽  
Fred Fedok ◽  
Brendan C. Stack
Keyword(s):  
Nervous System ◽  
Rare Case ◽  
Hepatic Dysfunction ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Definitive Treatment ◽  
Thyroid Storm ◽  
Vehicle Accident ◽  
Hyperthyroid State ◽  
Life Threatening

Thyroid storm is a potentially life-threatening endocrinologic emergency characterized by an exacerbation of a hyperthyroid state. Several inciting factors can instigate the conversion of thyrotoxicosis to thyroid storm; trauma is one such trigger, but it is rare. Patients with thyroid storm can manifest fever, nervous system disorders, gastrointestinal or hepatic dysfunction (e.g., nausea, vomiting, diarrhea, and/or jaundice), and arrhythmia and other cardiovascular abnormalities. Treatment of thyroid storm is multimodal and is best managed by the endocrinologist and medical intensivist. Initial medical and supportive therapies are directed at stabilizing the patient, correcting the hyperthyroid state, managing the systemic decompensation, and treating the underlying cause. Once this has been achieved, definitive treatment in the form of radioactive ablation or surgery should be undertaken. We describe a case of thyroid storm in a young man that was precipitated by a motor vehicle accident.

scholarly journals A case of traumatic thoracic aorta rupture - A life threatening emergency

2019 ◽  
Vol 11 (3) ◽  
pp. 248-250
Author(s):  
Rupesh Kumar ◽  
Javid Raja ◽  
Ganesh Kumar Munirathinam ◽  
Anand Kumar Mishra ◽  
Rana Sandeep Singh ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Aortic Rupture ◽  
Medical Attention ◽  
Vehicle Accident ◽  
Complete Tear ◽  
Life Threatening ◽  
Injury Treatment ◽  
Aorta Rupture ◽  
Aortic Transection

Traumatic aortic transection is a life threatening emergency where there is a near-complete tear through all the layers of the aorta due to trauma. This condition is most often lethal and requires immediate medical attention. Symptoms of an aortic rupture may include severe chest pain, back pain, abdominal pain and signs of external chest injury. Treatment should be prompt in hemodynamically unstable patient in the form of endovascular or open surgical technique. We present a twenty nine year old male with aortic transection following motor vehicle accident where an interposition tube graft was placed after trimming the lacerated segments of the aorta under cardiopulmonary bypass. The patient is doing well with two years of follow up at our institution.

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.

scholarly journals Traumatic Rupture of A Posterior Mediastinal Teratoma following Motor-Vehicle Accident

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Christopher Bell ◽  
Fernando Domingo ◽  
Ashley D. Miller ◽  
Jeremiah S. Smith ◽  
James R. Headrick
Keyword(s):  
Life Support ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Cystic Teratoma ◽  
Anterior Mediastinum ◽  
Mature Cystic Teratoma ◽  
Advanced Trauma Life Support ◽  
Traumatic Rupture ◽  
Vehicle Accident ◽  
Posterior Mediastinal

We report a case of a posterior mediastinal mature cystic teratoma with rupture secondary to blunt chest trauma in a 20-year-old male involved in a motor-vehicle accident. Initial treatment was guided by Advanced Trauma Life Support and a tube thoracostomy was performed for presumed hemothorax. The heterogeneous collection within the thoracic cavity was discovered to be the result of a ruptured cystic mass. Pathologic findings confirmed the mass consistent with a mature cystic teratoma. As mediastinal teratomas are most commonly described arising from the anterior mediastinum, the posterior location of the teratoma described in this report is exceedingly rare.

scholarly journals Double Trouble: Two Scapulothoracic Dissociation in a Single Head-On Collision

2019 ◽  
Vol 3 (3) ◽  
pp. 169
Author(s):  
Ng Bing Wui ◽  
Ong Kean Long ◽  
Mohammad Fittry Bin Safian ◽  
Abdul Muttalib Bin Abdul Wahid
Keyword(s):  
Upper Limb ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
High Energy ◽  
Health Sciences ◽  
Vehicle Accident ◽  
Life Threatening ◽  
Scapulothoracic Dissociation

Scapulothoracic dissociation is a potentially limb-threatening and life-threatening high energy injury. Diagnosis could be obscured due to other associated trauma sustained by the patient. We present a rare case of motor vehicle accident involving 2 motorcyclists who collided onto each other, resulting in both victims sustaining left upper limb scapulothoracic dissociation.International Journal of Human and Health Sciences Vol. 03 No. 03 July’19. Page: 169-171

scholarly journals Ipsilateral facial nerve injury with contralateral labyrinthine concussion and subdural hematoma in a case of longitudinal temporal bone fracture

2017 ◽  
Vol 16 (4) ◽  
pp. 594-596
Author(s):  
Khim Soon Vong ◽  
Mohd Khairi Md Daud
Keyword(s):  
Hearing Loss ◽  
Head Trauma ◽  
Subdural Hematoma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Medical Science ◽  
Trauma Patients ◽  
Temporal Bone Fracture ◽  
Vehicle Accident ◽  
Hearing Assessment

Head trauma can lead to hearing loss. Both sensorineural and conductive hearing loss has been reported in cases of head injury. We report a case of labyrinthine concussion and subdural hematoma in the opposite ear of a patient who had head trauma after involved in motor vehicle accident. A complete hearing assessment for head trauma patients should be advised as it can avoid misdiagnosis and negligence in management.Bangladesh Journal of Medical Science Vol.16(4) 2017 p.594-596

scholarly journals Profile of Abdominal Trauma Patient Underwent Surgery in Emergency Operating Room of Sanglah General Hospital from January until December 2015

2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Reza Halim ◽  
Made Agus Dwianthara Sueta
Keyword(s):  
General Hospital ◽  
Operating Room ◽  
Abdominal Trauma ◽  
Medical Records ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Trauma Patients ◽  
Vehicle Accident ◽  
Liver Repair ◽  
Emergency Operating

Objective: to investigate the characteristics of patients, presentation of the abdominal organ that involved, and clinical data associated with this event. Methods: this is a descriptive study with retrospective design. Total samples were all patients with abdominal trauma who underwent surgery on the emergency operating theatre of Sanglah General Hospital between January and December 2015. Baseline data of patients were obtained from the medical records. Results: within the study period, a total of 104 patients with abdominal trauma who underwent surgery in the emergency operating room of Sanglah General Hospital were identified. Man comprised 87.5% of the patients and mostly were 17-45 years old (75%). The motor vehicle accident occurred majority on the weekend (65%). Liver and spleen were the most affected organ (55%). Splenectomy (35%) and liver repair surgery (33%) were the most often performed procedures. Conclusion: Abdominal trauma caused by motor vehicle accident occurred mostly on the weekend. Two most affected organs in abdominal trauma were liver and spleen. Splenectomy and liver repair surgery were the procedures performed for these trauma patients.

Sign in / Sign up

Export Citation Format

Share Document