scholarly journals A Case of Pericardial Tamponade Caused by Abdominal Knife Stab Injury

2021 ◽  
pp. 1-2
Author(s):  
Zhongping Cao ◽  
Zhongping Cao
Keyword(s):  
Liver Injury ◽  
Pancreatic Injury ◽  
Pericardial Tamponade ◽  
Organ Injury ◽  
Gastric Injury ◽  
Abdominal Organ ◽  
Stab Injury

This paper reported a case of pericardial tamponade, caused by the blood from abdominal organ injury, which flowed through the diaphragm and pericardial holes into the pericardium. Liver injury, gastric injury, pancreatic injury, diaphragmatic break were found by the following laparotomy exploration.

scholarly journals A case of pericardial tamponade caused by abdominal knife stab injury

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Zhongping Cao ◽  
Keyword(s):  
Liver Injury ◽  
Pancreatic Injury ◽  
Pericardial Tamponade ◽  
Organ Injury ◽  
Gastric Injury ◽  
Abdominal Organ ◽  
Stab Injury

This paper reported a case of pericardial tamponade was caused by the blood from abdominal organ injury, which flowed through the diaphragm and pericardial holes into the pericardium, liver injury, gastric injury, pancreatic injury, diaphragmatic break were found by the following laparotomy exploration.

scholarly journals Suprapubic penetrating abdominal trauma - defining peritoneal breach and choices in operative intervention

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Michael J Papanikolas ◽  
Anik Sarkar ◽  
Shivanthi Kandiah ◽  
Navin Niles
Keyword(s):  
Minimally Invasive ◽  
Abdominal Trauma ◽  
Operative Intervention ◽  
Organ Injury ◽  
Imaging Modalities ◽  
Abdominal Organ ◽  
Penetrating Abdominal Trauma ◽  
Stab Injury ◽  
Laparoscopic Techniques ◽  
Invasive Management

Abstract Penetrating abdominal trauma is an uncommon cause of presentation to emergency departments in Australia and is frequently associated with the clinical need for emergent operative intervention. Advances in imaging modalities, improved laparoscopic techniques and structured approaches to resuscitation in trauma have now allowed potential minimally invasive management of such injuries, avoiding laparotomy and therefore defining peritoneal breach; the major determinant of intra-abdominal organ injury in this setting is critical. We present the case of a self-inflicted stab injury to the suprapubic region in an otherwise healthy man and describe the combination of imaging and operative modalities used to define peritoneal breach in this case which successfully reduced the patient’s morbidity by avoiding non-therapeutic laparotomy.

scholarly journals NonOperative Management of Blunt Solid Abdominal Organ Injury in Calabar, Nigeria

2010 ◽  
Vol 01 (01) ◽  
pp. 31-36
Author(s):  
Asuquo Maurice ◽  
Bassey Okon ◽  
Etiuma Anietimfon ◽  
Ngim Ogbu ◽  
Ugare Gabriel ◽  
...  
Keyword(s):  
Nonoperative Management ◽  
Organ Injury ◽  
Abdominal Organ

scholarly journals Concordance between Thioacetamide-Induced Liver Injury in Rat and Human In Vitro Gene Expression Data

2020 ◽  
Vol 21 (11) ◽  
pp. 4017
Author(s):  
Patric Schyman ◽  
Richard L. Printz ◽  
Shanea K. Estes ◽  
Tracy P. O’Brien ◽  
Masakazu Shiota ◽  
...  
Keyword(s):  
Liver Injury ◽  
Low Dose ◽  
Pearson Correlation ◽  
Organ Injury ◽  
High Dose ◽  
Rna Seq ◽  
Bile Duct Proliferation ◽  
Toxicological Studies

The immense resources required and the ethical concerns for animal-based toxicological studies have driven the development of in vitro and in silico approaches. Recently, we validated our approach in which the expression of a set of genes is uniquely associated with an organ-injury phenotype (injury module), by using thioacetamide, a known liver toxicant. Here, we sought to explore whether RNA-seq data obtained from human cells (in vitro) treated with thioacetamide-S-oxide (a toxic intermediate metabolite) would correlate across species with the injury responses found in rat cells (in vitro) after exposure to this metabolite as well as in rats exposed to thioacetamide (in vivo). We treated two human cell types with thioacetamide-S-oxide (primary hepatocytes with 0 (vehicle), 0.125 (low dose), or 0.25 (high dose) mM, and renal tubular epithelial cells with 0 (vehicle), 0.25 (low dose), or 1.00 (high dose) mM) and collected RNA-seq data 9 or 24 h after treatment. We found that the liver-injury modules significantly altered in human hepatocytes 24 h after high-dose treatment involved cellular infiltration and bile duct proliferation, which are linked to fibrosis. For high-dose treatments, our modular approach predicted the rat in vivo and in vitro results from human in vitro RNA-seq data with Pearson correlation coefficients of 0.60 and 0.63, respectively, which was not observed for individual genes or KEGG pathways.

Abdominal organ protection strategy for aortic arch aneurysm surgery

Perfusion ◽  
2018 ◽  
Vol 33 (7) ◽  
pp. 512-519 ◽  
Author(s):  
Satoshi Miyamoto ◽  
Shinya Takahashi ◽  
Shigeyuki Okahara ◽  
Hidenobu Takahashi ◽  
Keijiro Katayama ◽  
...  
Keyword(s):  
Body Temperature ◽  
Aortic Arch ◽  
Circulatory Arrest ◽  
Aortic Surgery ◽  
Distal Anastomosis ◽  
Organ Injury ◽  
Lower Body ◽  
Abdominal Organ ◽  
Cord Injury ◽  
Distal Perfusion

Introduction: Body temperature maintained during open distal anastomosis in patients who undergo aortic surgery has been showing an upward trend; however, a higher temperature may increase visceral organ and spinal cord injury. Distal perfusion may reduce abdominal organ injury, especially acute kidney injury (AKI). Methods: From 2009 to 2016, 56 patients who underwent ascending aortic and/or aortic arch surgery were enrolled. Open distal anastomosis was performed using one of three protection strategies: 1) systemic temperature of 25°C followed by selective cerebral perfusion (SCP) with lower body circulatory arrest (Group CA25, n=27); 2) systemic temperature of 28°C followed by SCP with lower body circulatory arrest (Group CA28, n=4); and 3) systemic temperature of 28°C followed by SCP with distal aortic perfusion (Group DP, n=25). Results: During the postoperative course, levels of blood urea nitrogen, creatinine, liver enzymes, lactate dehydrogenase and lactate in Groups CA28 and CA25 were significantly higher than those in Group DP. AKI defined by the AKI Network occurred in 28 cases (50%) and 3 cases required permanent hemodialysis. AKI was significantly higher in Groups CA25 and CA28 than in Group DP (p=0.026). Mid-term follow-up showed that patients who developed postoperative AKI were more likely to suffer from cardiovascular events. Conclusions: Distal perfusion during open distal anastomosis reduced kidney and liver injury after thoracic aortic surgery despite an increased body temperature of up to 28°C. This strategy may be useful to prevent AKI, liver dysfunction, the need for hemodialysis and multiple organ failure and could improve mid-term results.

scholarly journals Blunt Pancreatic Injury in Major Trauma: Decision-Making between Nonoperative and Operative Treatment

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Christopher Ull ◽  
Sebastian Bensch ◽  
Thomas Armin Schildhauer ◽  
Justyna Swol
Keyword(s):  
Decision Making ◽  
Motor Vehicle ◽  
Sports Injuries ◽  
Exploratory Laparotomy ◽  
Pancreatic Injury ◽  
Initial Therapy ◽  
Complete Healing ◽  
Organ Injury ◽  
Pancreatic Trauma ◽  
Poor Outcomes

Blunt trauma injuries to the pancreas are rare but are associated with significant overall mortality and a high complication rate. Motor vehicle collisions are the leading cause of blunt pancreatic trauma, followed by falls, and sports injuries. We discuss the decision-making process used during the clinical courses of 3 patients with life-threatening blunt pancreatic injuries caused by traumatic falls. We also discuss the utility of the American Association for the Surgery of Trauma Organ Injury Scale (AAST-OIS), which provides a system for grading pancreatic trauma. Retrospectively, the cases reviewed were classified as AAST-OIS grade II, III, and IV in each one patient. Although the nonoperative approach was initially preferred, surgery was required in each case due to pseudocyst formation, pancreatic necrosis, and posttraumatic pancreatitis. In each case, complete healing was achieved through exploratory laparotomy with extensive lavage and placement of abdominal drains for several weeks postoperatively. These cases show that nonoperative management of pancreatic ductal trauma results in poor outcomes when initial therapy is less than optimal.

scholarly journals Hemoperitoneum Due to Penetrating Intercostal Artery Injury: A Case Report of a Rare and Still Understudied Entity

2022 ◽  
Vol 5 (3) ◽  
Author(s):  
Maya Paran ◽  
Sivan Barkai ◽  
Gerardo Camarillo ◽  
Boris Kessel ◽  
Alexander Korin
Keyword(s):  
Case Report ◽  
Penetrating Injury ◽  
Organ Injury ◽  
Intercostal Artery ◽  
Abdominal Organ ◽  
Unique Case ◽  
Artery Injury ◽  
Life Threatening

Intercostal artery injury may be life-threatening and usually presents as hemothorax. We report a unique case of penetrating injury, causing hemoperitoneum due to intercostal artery injury, without thoracic involvement. During urgent laparotomy, no intra-abdominal organ injury was found. Hemostasis was successfully achieved via suturing through an additional lateral 10cm incision through the left thorax.

scholarly journals Be careful of splenic rupture caused by hit by a pitch during a baseball game: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Naoya Kobayashi ◽  
Hisao Kano ◽  
Tsukasa Kuwana ◽  
Katsuhiro Nakagawa ◽  
Masaru Matsuoka ◽  
...  
Keyword(s):  
Splenic Rupture ◽  
Organ Injury ◽  
Emergency Laparotomy ◽  
Abdominal Organ ◽  
Case Presentation ◽  
Splenic Hilum ◽  
Postoperative Course ◽  
Baseball Game ◽  
Parenchymal Injury ◽  
Left Abdomen

Abstract Background To the best of our knowledge, splenic rupture caused by hit by a pitch (HBP) has not been previously reported. We present a patient who underwent emergency laparotomy for splenic rupture after being HBP during a baseball game. Case presentation A 41-year-old male was HBP in the left abdomen during his first at-bat during a baseball game. During the operation, vascular injury of the splenic hilum and a deeply extending parenchymal injury were observed, and splenectomy was performed. Histologic findings were consistent with splenic rupture. Conclusions The patient’s postoperative course was uneventful. Although extremely rare, the possibility of intra-abdominal organ injury should be considered in batters who are hit in the abdomen by a pitched baseball, as illustrated by our patient.

Injuries to the Stomach, Small Bowel, Colon, and Rectum

2020 ◽  
Author(s):  
Jordan A Weinberg ◽  
Timothy C. Fabian
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Operative Management ◽  
Bowel Injury ◽  
Organ Injury ◽  
Gastric Injury ◽  
Rectal Injury ◽  
Trauma Patients ◽  
Hollow Viscus ◽  
Hollow Viscus Injury

Hollow viscus injury is most often the consequence of penetrating abdominal trauma. As a result of blunt force trauma, bowel injury occurs with relative infrequency: in one multi-institutional analysis, only 1.2% of blunt trauma admissions had an associated hollow viscus injury. The diagnosis of hollow viscus injury remains a challenge in abdominal trauma patients, and subsequent evaluation is determined by the mechanism of injury. Regardless of the specific injury mechanism, however, the principles and techniques of operative management are largely the same. This review covers determination of need for operation, and operative management. Figures show algorithms outlining the evaluation of blunt hollow organ injury in a hemodynamically stable patient with an unreliable physical examination, the treatment of truncal stab wounds, the treatment of blunt bowel and mesenteric injury, the treatment of gastric injury, the treatment of small bowel injury, the treatment of colon injury, the treatment of rectosigmoid or rectal injury, and a demonstration of presacral drainage through a curved incision midway between the anus and the tip of the coccyx. Tables list the incidence of findings suggestive of blunt mesenteric and bowel injury in true positive and false positive computed tomography  scans, and the American Association for the Surgery of Trauma organ injury scales for gastrointestinal tract and pancreas.   This review contains 8 figures, 3 tables, and 58 references Keywords: Injury, blunt, primary rectal repair, colostomy, laparotomy, trauma

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