scholarly journals Traumatic rupture of the left dome of the diaphragm with massive protrusion of the abdominal organs into the pleural cavity

1981 ◽  
Vol 62 (5) ◽  
pp. 67-68
Author(s):  
A. M. Ivanov
Keyword(s):  
Pleural Cavity ◽  
Regional Hospital ◽  
Steering Wheel ◽  
Traumatic Rupture ◽  
Clinical Hospital ◽  
Abdominal Organs ◽  
Car Accident

K., 26 years old, 3 / XI 1973 during a car accident was pressed down by the steering wheel of the car to the seat. 15 minutes after the incident, he was removed from the cabin and taken to the district and then to the regional hospital. Two days after the injury, he was transferred to the thoracic department of the 2nd city clinical hospital

scholarly journals Autotransplantacija slezine

2002 ◽  
Vol 49 (3) ◽  
pp. 101-106 ◽  
Author(s):  
S. Knezevic ◽  
D. Stefanovic ◽  
M. Petrovic ◽  
Z. Djordjevic ◽  
Slavko Matic ◽  
...  
Keyword(s):  
Splenic Rupture ◽  
Left Kidney ◽  
The Other ◽  
Traumatic Rupture ◽  
Target Cells ◽  
Sodium Potassium ◽  
Abdominal Organs ◽  
The Right ◽  
Rupture Of The Spleen ◽  
Previous Disease

Auto transplantation of the spleen can be performed in the patients with traumatic rupture of the spleen, in whom spleen could not be conserved in the other way. The right indication for this method is isolated rupture of the spleen (concvasation or complete devascularisation). This method is not recommended in the endangered patients, patients with previous disease of the spleen as well as in the patients with the perforation of the other abdominal organs at the same time. Auto transplantation was performed in 12 patients with isolated splenic rupture and hematoperitoneum, 11 men and one woman. The majority of patients are younger. In 8 patients, autotransplantat was placed into big omentum, in three into lipomatous tissue surrounding left kidney, and in one into anterior abdominal wall. In all the patients from this group, following analysis were taken: MCV (middle volume of erythrocytes), HTC, Hb, Le, Glucose, urea, creatinin, sodium, potassium, alkali phosphatasis, target cells, Howell Jolly's bodies, Heinz's bodies, IgG, IgA, igM, C3, C4, T3, T4, T8, B, segmentated, eosinophiles, lymphocytes, reticulocytes, thrombocytes, fibrinogen, PT, APTT, aggregation of thrombocytes and aggregation of thrombocytes on collagen. The same parameters were taken in 12 patients with surgery similar to splenectomy and in 12 after splenectomy. After splenectomy, there was decrease of the immunologic defending abilities of the organism because of the loss of the clirens function of the spleen, decreased level of the opsonines and tutsin, which leads to the impaired phagocytosis, decreased concentration of IgM and T and B lymphocytes, while in patients after auto transplantation the results were physiological. The most important thing in the assessment of the function of the autotransplantated spleen is scintigraphic investigation using 99mTc-denaturated red blood cells. In our study, auto transplant function was assessed in 10/12 patients by scintigraphy. Five years after surgery no one patient was proved to have postsplenectomic sepsis.

scholarly journals A COMPARATIVE ANALYSIS OF THE ASSORTMENT OF DIFFERENT MEDICATION GROUPS USED IN THE CENTRAL REGIONAL HOSPITAL OF THE MUNICIPAL REGION AND THE REGIONAL HOSPITAL OF THE FEDERAL STATE-OPERATED HEALTHCARE AGENCY “MEDICAL AND SANITARY CENTER-23” (FKUZ MSCH-23) OF THE FEDERAL PENITENTIARY SERVICE (FSIN) OF RUSSIA

2018 ◽  
Vol 6 (3) ◽  
pp. 269-287
Author(s):  
B. G. Bochkarev ◽  
I. V. Kalinin ◽  
T. I. Kabakova
Keyword(s):  
Regional Hospital ◽  
Federal State ◽  
Medical Organization ◽  
Plasma Substitutes ◽  
Clinical Hospital ◽  
Treatment And Prevention ◽  
Effective System ◽  
Group A ◽  
The Republic ◽  
Abc Analysis

Providing quality pharmaceutical care is a key task of healthcare; any medical organization must respond efficiently to a change in both external and internal factors that affect the medical support of patients. The aim of this study was to analyze the structure of medication consumption in comparable hospitals in the penitentiary and civilian healthcare systems. Materials and methods. The study was conducted on the basis of content analysis, documentary observation, ABC analysis, and comparison of performance indicators of medical organizations. Results and discussion. This study analyzed the assortment of commodity stocks of medications in the regional clinical hospital that is a part of the structure of FSIN and a typical central regional hospital (CRH). Using ABC analysis it was established that the Group A (the most costly) medications in the penitentiary medical organization consisted exclusively of anti-viraldrugs used for treating HIV-infected patients, which is 54.91% of the stock that are represented by 18 international non-proprietary medication names. In turn, Group A of the medication assortment of the State Budgetary Healthcare Organization of the Republic of Adygea (GBUZ RA) “Krasnogvardeiskaia CRH” consists of three pharmacological groups – plasma substitutes, cardiovascular medications, and antibiotics. On the basis of the obtained data, the study identified different groups of medications and studied their assortment based on international non-proprietary namesand medication forms that received preference either in the branch of Clinical Hospital-2 (KB-2) FKUZ MSCh-23 FSIN of Russia or GBUZ RA “Krasnogvardeiskaia CRH” (38 ATC groups in all). The first group consists of medications from the following 12 ATC groups (31.6%), the assortment of which can be found exclusively in the branch of “KB-2” FKUZ MSCh-23 of the Federal Penitentiary Service of Russia: antiretroviral, muscle relaxants, anticonvulsants, adaptogens, antidepressants) or significantly exceeds similar stocks in GBUZ RA “Krasnogvardeiskaia CRH”: anti-asthmatic agents (3 times), anti-fungal drugs (3 times), hormones except for insulin (2.2 times), respiratory regulators (2 times), non-steroidal anti-inflammatory drugs (1.7 times), medications regulating the gastrointestinal function (1.5 times), and antibacterial agents (1.4 times). The second group consists of medications of the following 9 ATC groups (23.7%) that are stocked only by GBUZ RA “Krasnogvardeiskaia CRH”: antifermental drugs, radiocontrast agents, chondroprotective and antiparasitic medications, and -- within a wider diapason of non-proprietary drugs and forms of manufacture – diuretics (5 times), antitubercular (3 times), antiviral with the exception of anti-HIV (2 times), spasmolytics (2 times), and hypertension drugs (1.5 times). It was determined that the main medical activity of medical organizations subordinate to FSIN of Russia, is aimed at treatment and prevention of complications of the most socially dangerous diseases – HIV/AIDS and tuberculosis – as well as therapy of the associated diseases. It was shown that pharmacists do not use methods of pharmacological-economic analysis in their work, and the medication needs of medical organizations are only 20% satisfied. Conclusion. The identified shortcomings attest to the need to develop and implement a more effective system for the formation of stockpiles in the pharmacies of the penitentiarymedical organization.

Non-traumatic rupture of the intracranial vertebral artery of a man found dead in a severe car accident – Histopathological differentiation by step-serial sections

2008 ◽  
Vol 10 (2) ◽  
pp. 101-106 ◽  
Author(s):  
Ayako Ro ◽  
Norimasa Kageyama ◽  
Kino Hayashi ◽  
Akio Shigeta ◽  
Tatsushige Fukunaga
Keyword(s):  
Vertebral Artery ◽  
Traumatic Rupture ◽  
Serial Sections ◽  
Car Accident

Accidental identification of peritoneal encapsulation during an autopsy after a car accident

2021 ◽  
pp. 002581722110531
Author(s):  
Andrea Cioffi ◽  
Stefania de Simone ◽  
Luigi Cipolloni ◽  
Benedetta Baldari
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Pathological Condition ◽  
Road Accident ◽  
Intestinal Ischaemia ◽  
Peritoneal Flap ◽  
Abdominal Organs ◽  
Peritoneal Encapsulation ◽  
Small Intestines ◽  
Car Accident

Peritoneal encapsulation is a rare congenital pathological condition. Typical of this pathology is the presence of an accessory peritoneal flap that encloses the entire mass of the small intestine. Subjects with this condition often do not show symptoms and, in most cases, finding of it is accidental. We report a case of peritoneal encapsulation, not previously identified and found during an autopsy; the deceased, positive for HIV and affected by a Kaposi’s sarcoma, died following a road accident. Unlike other cases in the literature, the peritoneum encapsulated all abdominal organs and not only small intestines. Notwithstanding, there were no signs of intestinal ischaemia or intestinal obstruction.

An isolated azygos vein rupture from blunt chest trauma

2019 ◽  
Vol 27 (9) ◽  
pp. 757-759
Author(s):  
Sira laohathai
Keyword(s):  
Vital Signs ◽  
Azygos Vein ◽  
Anterior Wall ◽  
Traumatic Rupture ◽  
Initial Examination ◽  
Vessel Injury ◽  
Breath Sounds ◽  
Massive Hemothorax ◽  
The Right ◽  
Car Accident

We report a case of isolated traumatic rupture of the azygous vein. A 33-year-old female suffered blunt chest injury from the airbag explosion in a car accident. Initial examination revealed decreased breath sounds in the right chest. Computed tomography showed a massive right hemothorax without evidence of rib fracture or great vessel injury. An emergency exploratory thoracotomy was performed due to massive hemothorax with unstable vital signs. A laceration in the anterior wall of the azygos vein was identified. Bleeding was controlled by double ligation at the injury site. The patient was discharged on postoperative day 7 without any sequelae.

Liver lobe torsion in a cat with diaphragmatic hernia

2020 ◽  
Vol 8 (2) ◽  
pp. e001113
Author(s):  
Vassiliki Tsioli ◽  
Evgenia Flouraki ◽  
Irene Mavraki ◽  
Christoforos Venieris ◽  
Theodora Zacharopoulou
Keyword(s):  
Diaphragmatic Hernia ◽  
Vena Cava ◽  
Uneventful Recovery ◽  
Liver Lobe ◽  
Thoracic Radiography ◽  
Clinically Normal ◽  
Abdominal Organs ◽  
History Of ◽  
The Right ◽  
Car Accident

A 10-year-old neutered male domestic shorthair cat was referred with a 2-week history of dyspnoea and anorexia following injury in a car accident. Thoracic radiography and ultrasonography revealed a diaphragmatic hernia. A midline coeliotomy revealed a centrally located hernia ventral to the caudal vena cava. Hernia reduction required incision of the hernia ring. Displaced organs included the duodenum; jejunum; ascending and transverse colon; and right, caudate and quadrate liver lobes. After reduction of the abdominal organs, a torsion of the right medial and quadrate liver lobes was identified. Lobectomy was performed followed by herniorrhaphy. The cat had an uneventful recovery and was clinically normal on re-examination 1, 6, 12 and 24 months following the surgery.

scholarly journals Laparoscopic Myomectomy

2020 ◽  
Vol 25 (2) ◽  
pp. 48-51
Author(s):  
Radu Chicea ◽  
Anca Lucia Chicea ◽  
Paula Niță
Keyword(s):  
Clinical Examination ◽  
Reproductive Age ◽  
Laparoscopic Myomectomy ◽  
Emergency Hospital ◽  
Clinical Hospital ◽  
Obstetrics And Gynaecology ◽  
Abdominal Organs ◽  
Benign Pathology ◽  
Pelvic Masses ◽  
Clinical Emergency

AbstractPelvic masses are commonly diagnosed following clinical examination. These may be located in the genital organs or may interest other pelvic and abdominal organs. The pathology of the pelvic masses varies with age. The postmenopausal period is most commonly associated with malignant pathology while reproductive age is associated with benign pathology. The purpose of this paper is to present the experience of the Obstetrics and Gynaecology Clinic of the Sibiu County Clinical Emergency Hospital in laparoscopic myomectomy. We evaluated the patients admitted to the Obstetrics and Gynaecology Clinic of the Emergency County Clinical Hospital in Sibiu who underwent a laparoscopic myomectomy between 1.01.2015 - 06.06.2019. During this time, 14 laparoscopic myomectomies were performed in our clinic. Patients ranged in age from 29 to 57 years.

scholarly journals Iatrogenia as a cause of postcholecystectomy syndrome

2020 ◽  
Vol 37 (2) ◽  
pp. 41-47
Author(s):  
V. A. Sitnikov ◽  
D. R. Ibragimova ◽  
N. R. Kasimova ◽  
S. N. Styazhkina
Keyword(s):  
Bile Duct ◽  
Biliary Tract ◽  
Diagnostic Errors ◽  
Incorrect Choice ◽  
Postcholecystectomy Syndrome ◽  
Surgical Department ◽  
Clinical Hospital ◽  
Technical Errors ◽  
Abdominal Organs ◽  
Iatrogenic Complications

Objective. To analyze the most frequent diagnostic, tactical and technical errors of young doctors, leading to postcholecystectomy syndrome. Materials and methods. The analysis was based on the clinical material of 87 patients from the Surgical Department of Regional Clinical Hospital №1 and City Clinical Hospital №2 of Izhevsk regarding reconstructive and restorative surgeries on the biliary tract for the last 40 years (19782018). Results. The reasons, causing iatrogenic injuries of the bile ducts during cholecystectomy, are diagnostic, tactical, technical. Diagnostic errors are more often associated with inadequate diagnosis of cholelithiasis and cholecystitis (underestimation of history, complaints, clinical picture of the disease and its complications; failure or impossibility of FGDS; insufficient topical diagnosis while ultrasound investigation of the biliary tract and abdominal organs). Tactical errors in surgeries on the gallbladder include: overly expectant tactics, incorrect choice of surgical approach and method of anesthesia, lack of experience of the surgeon, inadequate revision of the biliary tract during surgery, refusal from surgical cholangiography and external drainage of the choledoch in case of doubtful patency of the bile duct. Technical reasons are specific features of the anatomy of the extrahepatic biliary tract, factors complicating the surgery, violation of surgical technique when performing an operation on the bile duct. Conclusions. Correct and timely diagnosis of bile diseases as well as qualified technique of surgical intervention will minimize the development of post-cholecystectomy syndrome and other iatrogenic complications.

scholarly journals Mature teratoma with traumatic rupture into pleural cavity; a case report.

1996 ◽  
Vol 10 (6) ◽  
pp. 694-698 ◽  
Author(s):  
Hidefumi Sanaki ◽  
Yosuke Yamakawa ◽  
Hiroshi Niwa ◽  
Masao Iizuka ◽  
Ichiro Fukai ◽  
...  
Keyword(s):  
Case Report ◽  
Pleural Cavity ◽  
Mature Teratoma ◽  
Traumatic Rupture

scholarly journals Rupture of a mature cystic teratoma in a young girl caused by a car accident: an extremely rare case and review of the literature

Folia Medica ◽  
2021 ◽  
Vol 63 (3) ◽  
pp. 438-442
Author(s):  
Dimitrios Tsapralis ◽  
Anastasia Prodromidou ◽  
Georgios Vasiliadis ◽  
Chrysovalantis Vergadis ◽  
Nikolaos Machairas ◽  
...  
Keyword(s):  
Ovarian Cyst ◽  
Rare Case ◽  
Cystic Teratoma ◽  
Uneventful Recovery ◽  
Benign Tumors ◽  
Traumatic Rupture ◽  
Trauma Patients ◽  
Peritoneal Adhesions ◽  
The Right ◽  
Car Accident

Mature cystic teratomas (MCT) of the ovary or dermoid cysts are commonly encountered benign ovarian lesions accounting for  approximately 70% of benign tumors and originating from germ cells. A rare case of peritonitis in a 17-year-old female patient caused by traumatic rupture of an MCT of the right ovary is herein presented. A meticulous search of the literature has also been performed. Due to deterioration of patient’s clinical condition, she was urgently led to surgery and intraoperative investigation of the peritoneal cavity revealed an inflamed ruptured ovarian cyst along with extensive peritoneal adhesions and purulent peritoneal fluid. A cyst resec-tion was performed with preservation of the ovary followed by adhesiolysis and meticulous abdominal washing and the patient had an uneventful recovery.  Despite its rarity, traumatic rupture of ovarian cyst should be considered at evaluation of trauma patients with special attention to cases with a discovered or known presence of ovarian cyst.

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