scholarly journals Blunt chest trauma: An audit of injuries diagnosed by the MDCT examination

2014 ◽  
Vol 71 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Ivan Turkalj ◽  
Kosta Petrovic ◽  
Sanja Stojanovic ◽  
Djordje Petrovic ◽  
Alma Brakus ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Imaging Modality ◽  
Head Injuries ◽  
Chest Injuries ◽  
Vehicle Accident ◽  
Organ Systems

Background/Aim. Multidetector computed tomography (MDCT) characterized by speed and precision is increasingly accessible in emergency wards. The aim of our study was to determine the most common injuries to the chest region, as well as type associated extrathoracic injuries, and the treatment outcome. Methods. This prospective study included 61 patients with blunt trauma who were submitted to computed tomography (CT) of the thorax. The number of injuries was evaluated by organs and organ systems of the chest. The cause of the injury, the length and the outcome of the treatment, and the presence of injuries in other regions were assessed. Results. Chest injuries were associated with injuries to other regions in 80.3% cases, predominantly injuries to extremities or pelvic bones in 54.1% cases, followed by head injuries in 39.3% patients. Associated thoracic injuries were present in 90.9% of patients with lethal outcome. Lung parenchymal lesions, pleural effusions and rib fractures were the most common injuries affecting 77.1%, 65.6% and 63.9% of the cases, respectively. Conclusion. Blunt chest trauma is a significant problem affecting predominantly males in their forties and it is usually caused by a motor vehicle accident. In case of pneumomediastinum or mediastinal haematoma, the use of 3D reconstructions is advised for diagnosing possible tracheobronchial ruptures and thoracic aorta injuries. Increased resolution of CT scanners yielded a large number of findings that are occult on radiography, especially in the event of lung parenchymal and pleural injuries. However, none imaging modality can replace surgical judgement.

scholarly journals Isolated Perforation of Left Coronary Cusp after Blunt Chest Trauma

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Rohit Maini ◽  
Razvan T. Dadu ◽  
Daniel Addison ◽  
Luke Cunningham ◽  
Ihab Hamzeh ◽  
...  
Keyword(s):  
Aortic Regurgitation ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Mechanical Valve ◽  
Severe Aortic Regurgitation ◽  
Vehicle Accident ◽  
Coronary Cusp ◽  
Right Coronary Cusp

Left coronary cusp perforation is an extremely rare consequence of blunt chest trauma. A 22-year-old male presented after a motor vehicle accident with dyspnea. Transthoracic echocardiogram (TTE) and transesophageal echocardiogram (TEE) showed moderate to severe aortic regurgitation with prolapsing right coronary cusp. In the operating room he was found to have a left coronary cusp tear near the annulus and an enlarged right cusp. The patient recovered well after successful aortic valve replacement with a mechanical valve. Traumatic aortic regurgitation with left cusp perforation is serious and surgical intervention may be lifesaving if performed timely.

scholarly journals Left Atrial Appendage Rupture due to Blunt Chest Trauma during a Motor Vehicle Accident

2021 ◽  
Vol 50 (3) ◽  
pp. 165-169
Author(s):  
Ryota Nomura ◽  
Shinji Kawaguchi ◽  
Takahiro Ozawa ◽  
Shinnosuke Goto ◽  
Yasuhiko Terai ◽  
...  
Keyword(s):  
Left Atrial ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Left Atrial Appendage ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Atrial Appendage ◽  
Vehicle Accident

Acquired Tracheoesophageal Fistula following Blunt Trauma to the Chest

2002 ◽  
Vol 10 (4) ◽  
pp. 349-350 ◽  
Author(s):  
Bambarawane LA Karunaratne ◽  
Panini A Gooneratne ◽  
Savitri Wijesekara ◽  
Gamini Goonetilleke
Keyword(s):  
Blunt Trauma ◽  
Chest Wall ◽  
Blunt Chest Trauma ◽  
Tracheoesophageal Fistula ◽  
Chest Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Young Male ◽  
Vehicle Accident

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.

scholarly journals Fetal closed head injuries following maternal motor vehicle accident

Medicine ◽  
2018 ◽  
Vol 97 (44) ◽  
pp. e13133
Author(s):  
Naoki Nishida ◽  
Shihomi Ina ◽  
Yukiko Hata ◽  
Yuko Nakanishi ◽  
Shin Ishizawa ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Head Injuries ◽  
Closed Head Injuries ◽  
Vehicle Accident ◽  
Closed Head

scholarly journals Challenges in management of blunt abdominal trauma: a prospective study

2018 ◽  
Vol 5 (10) ◽  
pp. 3298
Author(s):  
Rajkumar P. N. ◽  
Kushal Kumar T. R. ◽  
Deepak G.
Keyword(s):  
Prospective Study ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Imaging Modality ◽  
Tertiary Care ◽  
Organ Injury ◽  
Solid Organ ◽  
Vehicle Accident

Background: Trauma meets the pandemic criteria, with a daily worldwide mortality as high as 16000. Abdominal trauma remains a leading cause of mortality in all age groups. Blunt abdominal trauma (BAT) mainly results from motor vehicle accident, fall from height and assaults. The commonest organ injured is the spleen, followed by the liver and small bowel. Lately, the management of BAT has changed from operative to non-operative management. This study was done to analyse the incidence, patterns, current management practiced, and challenges encountered in BAT treated operatively.Methods: This Prospective study was conducted in tertiary care centre in Bangalore during August 2015 to December 2017. 475 patients with blunt abdominal injuries who reported to emergency department were selected for the study based on following inclusion and exclusion criteria.Results: A total of 475 cases of BAT were assessed with a mean age of males and females was 32.6 and 28.3year respectively. Most patients (65%) were between 21 to 30 years of life. Most common mode of injury was motor vehicle accident (57.68%), 60% patients presented to hospital within the initial 4 hours. Abdominal CT had highest accuracy. Most common solid organ injury being spleen (26.5%). 80.84% patients were selected for SNOM and 15.62% had Failed SNOM. 28.48% patients had complications with most common complication wound infection followed by aspiration pneumonia and 7 patients had mortality.Conclusions: Initial resuscitation with thorough clinical examination with correct usage of imaging modalities with timely and proper decision making is the key of management of patients with BAT and there is a need to identify newer imaging modality/procedure which helps to determine better management scheme in all blunt trauma patients. 

scholarly journals Traumatic shock and altered mentality following motor vehicle accident

2020 ◽  
pp. 102490792091365
Author(s):  
Youngeun Park ◽  
Byungchul Yu ◽  
Giljae Lee ◽  
Jungnam Lee
Keyword(s):  
Computed Tomography ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Traumatic Shock ◽  
Diagnostic Methods ◽  
Computed Tomography Scan ◽  
Mortality And Morbidity ◽  
Vehicle Accident ◽  
Tomography Scan ◽  
Significant Mortality

Traumatic atlanto-occipital dislocation is associated with significant mortality and morbidity. We present an 18-year-old female who visited the emergency department after a motor vehicle accident. A cervical spine computed tomography scan showed the postero-inferior atlanto-occipital dissociation and several diagnostic methods coincided with the diagnosis of atlanto-occipital dislocation.

Serious Head Injury in Infants: Accident or Abuse?

PEDIATRICS ◽  
1985 ◽  
Vol 75 (2) ◽  
pp. 340-342 ◽  
Author(s):  
M. Elaine Billmire ◽  
Patricia A. Myers
Keyword(s):  
Child Abuse ◽  
Head Injury ◽  
Medical Records ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Head Injuries ◽  
Skull Fracture ◽  
Intracranial Injury ◽  
Vehicle Accident ◽  
History Of

The medical records and computed tomography (CT) scans of all children less than 1 year of age admitted to the hospital with head injury over a 2-year period were reviewed. Sixty-four percent of all head injuries, excluding uncomplicated skull fracture, and 95% of serious intracranial injuries were the result of child abuse. The occurrence of intracranial injury in infants, in the absence of a history of significant accidental trauma, such as a motor vehicle accident, constitutes grounds for an official child abuse investigation.

Foreign Bodies

2019 ◽  
pp. 137-138
Author(s):  
Jack Porrino ◽  
Alvin R. Wyatt
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Bodies ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Imaging Modality ◽  
The Body ◽  
Clinical Settings ◽  
Retained Foreign Body ◽  
Vehicle Accident

Chapter 29 discusses foreign bodies and trauma. An object that originates from outside the body is by definition considered a foreign body. The retained foreign body can occur in a variety of clinical settings, such as motor vehicle accident, explosion, or gunshot injury and is a common presenting complaint in the acute care setting. Although radiography is often obtained as the first line of imaging in the diagnostic workup of soft tissue foreign bodies, some object compositions, such as wood and plastic, are radiolucent. In this scenario, US is an excellent imaging modality in identifying a retained soft tissue foreign body and can also assist in its removal. Management of the superficial foreign body is typically uneventful, however, the deeply penetrating foreign body may require a more intricate surgical procedure because of proximity of adjacent vital structures.

Alcohol, Drugs, and Head Injury

PEDIATRICS ◽  
1986 ◽  
Vol 78 (6) ◽  
pp. 1169-1169
Author(s):  
RICHARD H. SCHWARTZ
Keyword(s):  
Head Injury ◽  
Alcohol Abuse ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Head Injuries ◽  
Traumatic Injuries ◽  
Closed Head Injuries ◽  
Vehicle Accident ◽  
Convincing Case ◽  
Closed Head

To the Editor.— Jacobson and colleagues (Pediatrics 1986;77:236-24l) present a convincing case for comprehensive reassessment of adolescents with serious closed head injuries. However, they make no mention of evaluating such patients for drug or alcohol abuse. Such abuse/dependency can contribute significantly to the etiology of traumatic injuries. We interviewed 202 middle-class adolescents in treatment for drug/alcohol abuse/dependency: 86 (43%) had been involved in at least one motor vehicle accident while intoxicated by drugs, alcohol, or both; 50% had been involved in more than one such incident.

scholarly journals Comparative characteristics of computed tomography and radiography in the diagnosis of blunt chest trauma

2020 ◽  
Vol 101 (6) ◽  
pp. 926-929
Author(s):  
G Sh Gasimzade
Keyword(s):  
Computed Tomography ◽  
Blunt Trauma ◽  
Bone Fracture ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Road Accidents ◽  
X Ray ◽  
Chest Injuries ◽  
Computed Tomography Scans ◽  
Tomography Scan

Aim. To conduct a comparative analysis of the effectiveness of X-ray diagnostics and computed tomography in detecting injuries in patients with blunt chest trauma. Methods. We examined 68 patients with chest injuries (men and women) and an average age of 34.67 years (between 18 and 65 years). The causes of injury were: road accidents 37 (54.4%), falls from a height 21 (30.8%), blunt blow to the chest 10 (14.8%). The results of X-ray and computed tomography examination of patients were compared. Results. X-ray examination revealed a chest bone fracture in 24 (35.3%) patients, while computed tomography revealed a bone fracture in 32 (47.1%) cases (2=1.943; p=0.163). This allows us to state that the results of computed tomography scans are more accurate in the diagnosis of chest fractures. computed tomography scan revealed chest injuries pneumothorax and hemothorax, in 56 (82.4%) cases, while X-ray examination in 37 (54.4%) cases (2=12.277; p 0.001). Thus, the results of the study showed that computed tomography is a more informative method of diagnosis compared to radiography, since computed tomography revealed 11.8% more cases of chest bones fractures, and 28.0% more cases of chest cavity damage with blunt trauma. Conclusion. Our study allows us to recommend computed tomography of the chest in blunt trauma as the initial preferred diagnostic radiology.

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