scholarly journals TRAUMATIC GASTRIC RUPTURE FOLLOWING BLUNT TRAUMA ABDOMEN: A Case Series

2014 ◽  
Vol 3 (1) ◽  
pp. 49 ◽  
Author(s):  
P. K. Hota ◽  
M. Babu ◽  
G. Satyam ◽  
And Ch. Praveen
Keyword(s):  
Blunt Trauma ◽  
Case Series ◽  
Gastric Rupture

Infrapopliteal Arterial Pseudoaneurysm Development Secondary to Blunt Trauma: Case Series and Literature Review

2020 ◽  
Vol 54 (4) ◽  
pp. 367-374
Author(s):  
Matthew T. Chrencik ◽  
Brian Caraballo ◽  
John Yokemick ◽  
Peter J. Pappas ◽  
Brajesh K. Lal ◽  
...  
Keyword(s):  
Literature Review ◽  
Blunt Trauma ◽  
Case Series ◽  
Duplex Ultrasound ◽  
Endovascular Coiling ◽  
Skeletal Trauma ◽  
Delay In Diagnosis ◽  
Tibial Arteries ◽  
Pulsatile Mass ◽  
Orthopedic Injuries

Objectives: Infrapopliteal arterial pseudoaneurysms (IAP) following blunt trauma with associated orthopedic injuries are uncommon, often present in a delayed fashion, and encompass a diagnostic and therapeutic dilemma. Herein, we present a series of IAPs that were diagnosed following blunt trauma and their management. Methods: Case series consisting of 3 patients and a review of the international literature. Results: Our case series included 3 patients presenting with IAPs following blunt trauma with associated orthopedic injuries. They were all identified in a delayed manner (>3 weeks) after the orthopedic injuries were treated. All patients presented with pain and a pulsatile mass while one concurrently had neurologic deficits. The pseudoaneurysms were diagnosed by duplex ultrasound and confirmed by angiography to be originating from the tibioperoneal trunk, anterior tibial, and posterior tibial arteries respectively. Two patients were treated with surgical excision. Of these, one required an arterial bypass procedure while the other underwent direct ligation only. The third patient was treated by endovascular coiling. A literature review from 1950 to the present found 51 reported cases of IAP resulting from blunt trauma. Ninety percent of trauma-related infrapopliteal injuries occurred in men with a mean delay in diagnosis of 5.6 months (median 1.8 months) after injury. Since 1950, management has shifted from primarily ligation to incorporating minimally invasive endovascular techniques when appropriate. Conclusions: Infrapopliteal artery pseudoaneurysms are rare following blunt skeletal trauma. A delay in diagnosis often occurs and can result in major morbidity and extensive surgical intervention. We recommend a high index of suspicion and a thorough vascular examination in patients with lower extremity skeletal trauma to help identify and treat these injuries early and effectively.

Repairing the injured bronchus in blunt chest trauma – A case series

Trauma ◽  
2021 ◽  
pp. 146040862098811
Author(s):  
Anith Nadzira Riduan ◽  
Narasimman Sathiamurthy ◽  
Benedict Dharmaraj ◽  
Diong Nguk Chai ◽  
Narendran Balasubbiah
Keyword(s):  
Blunt Trauma ◽  
Chest Trauma ◽  
Surgical Intervention ◽  
Case Series ◽  
Trauma Patients ◽  
Lung Collapse ◽  
Comprehensive Management ◽  
Lung Capacity ◽  
Management Algorithm ◽  
Operative Outcomes

Introduction Traumatic bronchial injury (TBI) is uncommon, difficult to diagnose and often missed. The incidence of TBI among blunt trauma patients is estimated to be around 0.5–2%. Bronchoplastic surgery is indicated in most cases to repair the tracheobronchial airway and preserve lung capacity. There is limited existing literature addressing the management of this condition in view of its rarity. The comprehensive management and outcomes of these patients are discussed. Methods The case notes of all patients who presented with persistent lung collapse due to trauma since July 2017 were reviewed retrospectively. Those patients requiring surgical intervention were included in the review. The mode of injury, clinical, radiological and bronchoscopy findings, concurrent injuries, type of surgery, length of stay (LOS) and operative outcomes were reviewed. Results Out of 11 patients who presented with persistent lung collapse post-blunt trauma, four (36%) were found to have structural bronchial disruption. All of them underwent successful repair of the injured bronchus, without the need of a pneumonectomy. The other seven patients were successfully treated conservatively. Conclusion The repair of the injured bronchus is essential in improving respiratory function and to prevent a pneumonectomy. Routine bronchoscopic evaluation should be performed for all suspected airway injuries as recommended in our management algorithm. Delayed presentations should not hinder urgent referral to thoracic centers for tracheobronchial reconstruction.

scholarly journals Acute mediastinitis after gastric rupture due to blunt trauma: A case report

2020 ◽  
Vol 28 ◽  
pp. 100328
Author(s):  
Dongsub Noh ◽  
Chan Ik Park ◽  
Jae Hun Kim
Keyword(s):  
Case Report ◽  
Blunt Trauma ◽  
Gastric Rupture ◽  
Acute Mediastinitis

Feasibility of Laparoscopic Splenectomy in Stable Blunt Trauma: A Case Series

2004 ◽  
Vol 57 (4) ◽  
pp. 887-889 ◽  
Author(s):  
Wael I. Nasr ◽  
Cynthia L. Collins ◽  
John J. Kelly
Keyword(s):  
Blunt Trauma ◽  
Laparoscopic Splenectomy ◽  
Case Series

GASTRIC RUPTURE FROM BLUNT TRAUMA

1983 ◽  
Vol 23 (7) ◽  
pp. 632
Author(s):  
P. A. Courcy ◽  
C. A. Soderstrom ◽  
S. Brotman
Keyword(s):  
Blunt Trauma ◽  
Gastric Rupture

scholarly journals AN ADULT CASE OF GASTRIC RUPTURE RESULTING FROM ABDOMINAL BLUNT TRAUMA

2000 ◽  
Vol 61 (5) ◽  
pp. 1190-1193
Author(s):  
Harumi TOMINAGA ◽  
Yasunori MINAMI ◽  
Toshihiro OMORI ◽  
Makoto NAKAMURO
Keyword(s):  
Blunt Trauma ◽  
Adult Case ◽  
Gastric Rupture ◽  
Abdominal Blunt Trauma

scholarly journals Traumatic double gastric rupture-a rare finding in blunt trauma abdomen

2015 ◽  
Vol 3 (9) ◽  
pp. 1096-1098
Author(s):  
Dr Barkesiya BL ◽  
◽  
Dr Kuldeep M ◽  
Dr Barolia DK ◽  
◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Rare Finding ◽  
Gastric Rupture

scholarly journals The use of pyloric exclusion for treating duodenal trauma: case series

2008 ◽  
Vol 126 (6) ◽  
pp. 337-341 ◽  
Author(s):  
Gustavo Pereira Fraga ◽  
Guilherme Biazotto ◽  
José Benedito Bortoto ◽  
Nelson Adami Andreollo ◽  
Mario Mantovani
Keyword(s):  
Blunt Trauma ◽  
Motor Vehicle ◽  
Primary Repair ◽  
Hypovolemic Shock ◽  
Case Series ◽  
Gunshot Wounds ◽  
University Hospital ◽  
Morbidity Rate ◽  
Cross Sectional ◽  
Pyloric Exclusion

CONTEXT AND OBJECTIVES: Significant controversy exists regarding the best surgical treatment for complex duodenal injuries. The aims of this study were to report on a series of eight cases of duodenal repairs using pyloric exclusion and to describe reported complications or improvements in clinical outcomes among patients with complex duodenal trauma. DESIGN AND SETTING: Cross-sectional study followed by a case series in a university hospital. METHODS: Data on eight patients with duodenal trauma who underwent pyloric exclusion over a 17.5 year period were collected and analyzed. RESULTS: The causes of the injuries included penetrating gunshot wounds (GSW) in five patients and motor vehicle accidents (blunt trauma) in three patients. The time elapsed until surgery was longer in the blunt trauma group, while in one patient, the gunshot injury was initially missed and thus the procedure was carried out 36 hours after the original injury. The injuries were grade III (50%) or IV (50%) and the morbidity rate was 87.5%. Four patients (50%) died during the postoperative period from complications, including hypovolemic shock (one patient), sepsis (peritonitis following the missed injury) and pancreatitis with an anastomotic fistula (two patients). CONCLUSIONS: Pyloric exclusion was associated with multiple complications and a high mortality rate. This surgical technique is indicated for rare cases of complex injury to the duodenum and the surgeon should be aware that treatment with a minimalistic approach, with only primary repair, may be ideal.

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