Tertiary blast injury to the intestines

Background. To present the first case of the tertiary blast injury to the intestine, and the tertiary blast injury in general. Case report. A parachutist of the Army of Serbia and Montenegro was injured when descended from the 1 200m height by parachute which did not expand. The force of stroke to the ground, caused the reactive transfer of energy and the subsequent blast injury to the intestine. After 24 hours, the secondary perforation of the small intestine, contusioned by the blast, developed which was the indication of explorative laparotomy. The resectioned small intestine showed the histologic characteristics of a blast injury, so the tertiary blast injury was diagnosed on the basis of these and of the mechanism of the injury. Conclusion. Tertiary blast injuries fall into the group of indirect blast injuries. The only difference between indirect injuries as compared to direct ones, is in the manner of inflicting, otherwise the traumatic mechanisms are alike, and include the transfer of the energy of stroke through the tissue of different density.

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Gangrene of the right colon after blast injury caused by abdominal gunshot wounds

Vojnosanitetski pregled ◽

10.2298/vsp0506483i ◽

2005 ◽

Vol 62 (6) ◽

pp. 483-485

Author(s):

Dragan Ignjatovic ◽

Sidor Misovic ◽

Miodrag Jevtic

Keyword(s):

Case Report ◽

Primary Anastomosis ◽

Gunshot Wounds ◽

Pancreatic Injury ◽

Blast Injury ◽

Blast Injuries ◽

Right Colon ◽

Terminal Ileostomy ◽

The Right ◽

Abdominal Gunshot Wounds

Aim. To present a patient with an indirect secondary nonperforating blast injury of the right colon following abdominal gunshot injury, which led to necrosis and the right colon gangrene, and was surgically managed. Case report. A 26-year-old male was shot in the abdomen by four projectiles causing the secondary indirect blast injury of the right colon that turned into gangrene after 24 hours. Two days after admission, laparotomy was performed, but the primary anastomosis was not done because of the stomach and pancreatic injury, and the resection of the colon with terminal ileostomy was done instead. Three months later, the reconstruction of the colon was performed using ileocolotransverso-terminolatetral anastomosis. Conclusion. Secondary blast injuries should be anticipated in gunshot injuries, and could be expected to any organs, particularly the air filled ones.

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Indirect blast rupture of the pancreas with a primary unperforated blast injury of the duodenum

Vojnosanitetski pregled ◽

10.2298/vsp0602177i ◽

2006 ◽

Vol 63 (2) ◽

pp. 177-179 ◽

Cited By ~ 1

Author(s):

Dragan Ignjatovic ◽

Mile Ignjatovic ◽

Miodrag Jevtic

Keyword(s):

Case Report ◽

Blast Injury ◽

Gunshot Injury ◽

Blast Injuries ◽

Field Hospital ◽

Surgical Interventions ◽

Head Of The Pancreas ◽

The Right ◽

Head Of Pancreas

Background. To present a patient with an indirect blast rupture of the head of pancreas, as well as with a blast contusion of the duodenum following abdominal gunshot injury. Case report. A patient with the abdominal gunshot injury was submitted to the management of the injury of the liver, gaster and the right kidney in the field hospital. The revealed rupture of the head of the pancreas and the contusion of the duodenum were managed applying the method of Whipple. Conclusion. Indirect blast injuries require extensive surgical interventions, especially under war conditions.

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Primary Adenosquamous Cell Carcinoma of the Ileum in a Dog

Veterinary Sciences ◽

10.3390/vetsci7040155 ◽

2020 ◽

Vol 7 (4) ◽

pp. 155

Author(s):

Masashi Yuki ◽

Roka Shimada ◽

Tetsuo Omachi

Keyword(s):

Small Intestine ◽

Case Report ◽

Cell Carcinoma ◽

Surgical Resection ◽

Clinical Course ◽

Mass Lesion ◽

Abdominal Radiography ◽

First Case ◽

History Of

A 9-year-old male, castrated Chihuahua was examined because of a 7-day history of intermittent vomiting. A mass in the small intestine was identified on abdominal radiography and ultrasonography. Laparotomy revealed a mass lesion originating in the ileum, and surgical resection was performed. The mass was histologically diagnosed as adenosquamous cell carcinoma. Chemotherapy with carboplatin was initiated, but the dog was suspected to have experienced recurrence 13 months after surgery and died 3 months later. To our knowledge, this is the first case report to describe the clinical course of adenosquamous cell carcinoma in the small intestine of a dog.

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Clinical management of gastroduodenitis and equine gastric ulcer syndrome grade IV of unknown origin in an Arabian mare

Vlaams Diergeneeskundig Tijdschrift ◽

10.21825/vdt.v88i6.15991 ◽

2019 ◽

Vol 88 (6) ◽

pp. 327-334

Author(s):

S. Alonso-Sousa ◽

M. De Rijck ◽

M. Lores ◽

J. Brunsting

Keyword(s):

Gastric Ulcer ◽

Small Intestine ◽

Case Report ◽

Clinical Management ◽

Unknown Origin ◽

Gastric Ulceration ◽

Gastric Ulcers ◽

Gastroscopic Examination ◽

First Case ◽

Severe Degree

A two-year-old Arabian filly was referred with symptons of colic. Clinical examination revealed signs associated with endotoxemia. Ultrasonographic examination of the abdomen demonstrated severe distention of the stomach and distended loops of small intestine with reduced motility. With nasogastric intubation, eight liters of hemorrhagic reflux were retrieved. Gastroscopic examination showed a severe degree of gastric ulceration scored as equine gastric ulcer syndrome (EGUS) grade IV. Based on these findings, EGUS and gastroduodenitis (GD) were diagnosed. Initially, the horse was treated using parenteral pantoprazole, which was supplemented by adding enteral ranitidine and sucralfate when the horse ceased refluxing. The horse was discharged eleven days after presentation with a 75%-healing of the gastric ulcers. A control gastroscopic examination was performed thirty days after discharge showing a 90%-healing (EGUS Grade I). To the authors’ knowledge, this is the first case report in which pantoprazole in combination with ranitidine and sucralfate has been used to treat a severe degree of gastric ulceration.

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Follicular lymphoma in a patient with splenosis: a case report

Journal of International Medical Research ◽

10.1177/0300060519890200 ◽

2019 ◽

Vol 48 (3) ◽

pp. 030006051989020

Author(s):

Umut Kefeli ◽

Ozgur Mehtap ◽

Ozgur Cakir ◽

Ahmet Tugrul Eruyar ◽

Serkan İsgoren ◽

...

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Follicular Lymphoma ◽

Male Patient ◽

Explorative Laparotomy ◽

First Case ◽

Mild Abdominal Pain ◽

Splenic Cells ◽

History Of ◽

Unusual Symptoms

Splenosis refers to the seeding of splenic cells associated with surgery or trauma. Splenosis mimicking other diseases has been reported in the literature. To the best of our knowledge, this is the first case of follicular lymphoma in a patient with splenosis whose diagnosis of lymphoma was delayed because of a known history of splenosis. We report a 48-year-old male patient who underwent splenectomy because of injury from a high fall 20 years previously. He had no symptoms other than mild abdominal pain until 2 years previously, which was thought to be associated with splenosis. When his symptoms began to increase, he had explorative laparotomy for diagnosis, which was later confirmed as follicular lymphoma. Splenosis may delay the diagnosis of other conditions that can be underestimated. Clinicians should be aware of unusual symptoms in patients with splenosis.

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Unusual lower genital tract injury caused by bull’s horn: prolapse of small intestine through vagina—first case report in literature

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-012-2321-7 ◽

2012 ◽

Vol 286 (3) ◽

pp. 803-804 ◽

Cited By ~ 1

Author(s):

Amit Gupta ◽

Chanderdeep Sharma ◽

Anjali Soni ◽

Bharti Gupta ◽

Meghna Thusoo

Keyword(s):

Small Intestine ◽

Case Report ◽

Genital Tract ◽

First Case ◽

Lower Genital Tract

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Adhesions of small intestine and urinary bladder to fracture callus within the pelvic canal in two dogs

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.3415/vcot-07-10-0094 ◽

2009 ◽

Vol 22 (02) ◽

pp. 163-165

Author(s):

S. Yudelevitch

Keyword(s):

Small Intestine ◽

Case Report ◽

Urinary Bladder ◽

Clinical Signs ◽

Pelvic Fractures ◽

Pubic Bone ◽

Fracture Callus ◽

First Case ◽

Luminal Narrowing ◽

Bone Callus

SummaryIn this case report, we report on two cases of pelvic fractures with uncommon complications that resulted from adhesions of the small intestine to the fracture callus in dogs. The most likely cause of the clinical signs in the first case was adhesions between a segment of the jejunum and a coccygeal callus which resulted in luminal narrowing. This was further complicated by small obstructing trichobezoars. In case 2, which was admitted with incontinence, adhesions were found between fractured pubic bone callus and both the urinary bladder and a segment of the jejunum.

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