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.

scholarly journals Traumatic gastric rupture following blunt abdominal trauma: a case report about an atypical modality of presentation

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Dario Giambelluca ◽  
Dario Picone ◽  
Natalino Carmelo Pennisi ◽  
Bruno Luciani ◽  
Giuseppe Lo Re ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Rare Presentation ◽  
Operative Morbidity ◽  
Mortality And Morbidity ◽  
Vehicle Accident ◽  
Gastric Rupture ◽  
History Of

Gastric rupture following blunt abdominal trauma is a rare presentation with a reported incidence of 0.02-1.7% in current literature. Traumatic gastric rupture is usually associated with other visceral injuries, such as splenic lesions and fractures. Prompt diagnosis and early intervention reduce mortality and morbidity. History of a recent meal has been implicated in traumatic gastric rupture. 2 We report a case of blunt abdominal trauma with an isolated gastric rupture after a motor vehicle accident, managed successfully without any post-operative morbidity and mortality.

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 Laparoscopic Repair of Diaphragmatic Rupture: A Case Report with Radiological and Surgical Correlation

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Patrick Nguyen ◽  
Bonnie Davis ◽  
Daniel D. Tran
Keyword(s):  
Abdominal Trauma ◽  
Laparoscopic Repair ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Diaphragmatic Rupture ◽  
Delayed Presentation ◽  
Vehicle Accident ◽  
Chest X Ray ◽  
The Many ◽  
High Degree

The leading cause of diaphragmatic rupture is penetrating abdominal trauma, including gunshot- and stab-related wounds; however, diaphragmatic rupture can also result from blunt trauma to the abdomen. The diagnosis can be difficult to make as the physical examination may be unremarkable, and imaging, that is, a conventional chest X-ray and/or CT imaging, may initially fail to reveal the injury. Failure to recognize diaphragmatic rupture can result in a delayed presentation, sometimes years later, with a potential catastrophic outcome. Therefore, prompt and swift diagnosis is critical to avoid this potential harmful scenario. Traditionally, repair is performed through a laparotomy or a thoracotomy incision. Owing to the many advances made in minimally invasive surgery, not only has laparoscopy become the modality of choice to diagnose diaphragmatic rupture due to its high degree of sensitivity and specificity, but it can provide simultaneous therapeutic intervention as well. We report a case of laparoscopic repair of a diaphragmatic rupture in a 22-year-old female who sustained blunt abdominal trauma during a motor vehicle accident.

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 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 Arytenoid Subluxation Reduction Using 28-Jackson Dilator

2020 ◽  
pp. 014556132094690
Author(s):  
Annette Kim ◽  
Ghiath Alnouri ◽  
Robert T. Sataloff
Keyword(s):  
Operating Room ◽  
Vocal Fold ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Arytenoid Cartilage ◽  
Vocal Process ◽  
Vehicle Accident ◽  
Patient Reported ◽  
Cricoarytenoid Joint ◽  
Arytenoid Subluxation

Arytenoid dislocation and subluxations commonly are reduced surgically using Holinger and straight Miller-3 laryngoscopes. We present a case of arytenoid cartilage subluxation returned to good position using a 28-Jackson dilator. A 66-year-old man was diagnosed previously with right vocal fold paresis and left vocal fold paralysis following a motor vehicle accident that required a 14-day intubation and tracheotomy maintained for 3 weeks. Evaluation by strobovideolaryngoscopy 3 months following the accident showed severe left vocal fold hypomotility and arytenoid height disparity; laryngeal electromyography showed only mild-to-moderate decreased recruitment in laryngeal muscles. No abnormalities were appreciated on neck computed tomography. Upon palpation of both arytenoid cartilages in the operating room, the left joint was found to be subluxed anteriorly and immobile. A 28-Jackson dilator was used to mobilize and reduce the left arytenoid cartilage, and steroid was injected into the cricothyroid joint. Increased mobility was obtained in the operating room and the patient reported significant improvement in his voice. Six months later, we saw improvement in arytenoid height disparity and left vocal fold movement, better glottic closure, and voice handicap index was improved. A 28-Jackson dilator can be used to manipulate the cricoarytenoid joint without trauma to the vocal process.

scholarly journals Blunt abdominal trauma in Sanglah Hospital Bali, Indonesia: a study of 65 cases

2019 ◽  
Vol 7 (9) ◽  
pp. 3575
Author(s):  
Putu Gosen Partama ◽  
Made Agus Dwianthara Sueta
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Hypovolemic Shock ◽  
Organ Damage ◽  
Retroperitoneal Haematoma ◽  
Common Cause ◽  
Vehicle Accident ◽  
Common Clinical Presentation

Abdominal trauma is a challenge for every surgeon, whether related to diagnosis or treatment. In developing countries, the number of traumatic events associated with death makes it necessary for a study to be carried out to see the patterns and damage caused by abdominal trauma and the organs involved. Material and Method is all patients with blunt trauma of the abdomen who came to emergency unit Sanglah Hospital Bali, from January 2017 up to May 2018 that undergo laparotomy exploration were enrolled, the data were collected retrospectively using patient medical records. Results is 65 patients with blunt abdominal trauma came to the emergency department and undergoes laparotomy exploration, range of age was 4-74 year old and 75.3% of them were men. The most common injured organs were spleen and liver, both are 26 and 15 cases (40 and 23%). Another intraoperative finding are Ileum Perforation (10 cases) Left Zone II Retroperitoneal Haematoma (7 cases), and Mesenterium Rupture (5 cases). Splenectomy was the most performed procedure (26 cases). The most common cause of blunt abdominal trauma was motor vehicle accident. Hypovolemic shock was the most common clinical presentation (48 patient). The Conclusions are according to this study, men consisted 75.3% cases of blunt abdominal trauma and the range age of patients was 4-74 year old. The most common cause was motor vehicle accident. Among patients with intra-abdominal organ damage, spleen and liver were most commonly involved. About 84.6% of all patients with blunt abdominal trauma were discharged without complication and morbidity.

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.

Thoracic Injuries in Cats with Traumatic Fractures

1994 ◽  
Vol 07 (03) ◽  
pp. 98-100 ◽  
Author(s):  
Patricia Walter ◽  
L. J. Wallace ◽  
Dominique Griffon
Keyword(s):  
Medical Records ◽  
Thoracic Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Clinical Signs ◽  
Thoracic Wall ◽  
Thoracic Injury ◽  
Thoracic Injuries ◽  
Radiographic Evidence ◽  
Vehicle Accident

SummaryThe medical records of 93 cats with traumatic fractures were examined to study the pattern of thoracic trauma and establish a possible relationship between specific patterns of skeletal trauma and the prevalence of thoracic wall and pulmonary injury. Radiographic evidence of thoracic trauma was identified in 38.7% of these cats. Cats with fractures cranial to T13 were significantly more likely to sustain thoracic trauma (58%) compared to those suffering a fracture caudal to LI (25%). Cats involved in motor vehicle accident were more likely to have radiographic evidence of thoracic trauma (52%) compared to those injured by other means (22%). Forty percent of cats with radio-graphic evidence of thoracic injury did not show any clinical sign.In a retrospective survey of 93 cats admitted for evaluation of traumatic fractures, 36 cats (38.7%) had radiographic evidence of thoracic trauma. The most common thoracic injuries were lung contusion (66.6%) and pneumothorax (36%). Forty percent of the cats, with radiographic abnormalities, did not show clinical signs suggestive of thoracic injury.

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