scholarly journals Tracheal transection after blunt trauma by motor vehicle accident: A diagnostic and survival challenge

2015 ◽  
Vol 3 (1) ◽  
pp. 31-32
Author(s):  
AK Qumrul Huda ◽  
Rezwanul Hoque ◽  
Wong Poo Sing
Keyword(s):  
Blunt Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Nasal Intubation ◽  
Tracheal Injury ◽  
Rare Injury ◽  
Vehicle Accident ◽  
Complete Disruption ◽  
Trauma Admission ◽  
Multi Organ Dysfunction Syndrome

Tracheal transection is a rare injury after blunt trauma. Complete disruption of the trachea is rare, with a reported incidence of 1 in 4491 trauma admission. Blind oral or nasal intubation in patients with tracheal injury can lead to false extra passage. The presence of tracheal transection in the intubated ventilating patient is rarer and constitutes a major diagnostic and survival challenge. Here we present a case of tracheal transection caused by motor vehicle accident diagnosed few days later of the incidence by Computed tomography (CT) of chest, who went for thoracotomy and anastomosis of tracheal transection but developed anastomosis dehiscence. Repeated trial for anastomosis could not save the life of the patient because of development of severe sepsis, disseminated intravascular coagulation (DIC) and multi organ dysfunction syndrome (MODS). Early diagnosis by CT of chest and tracheal anastomotic surgery as early as possible (possibly within 24 hrs) before development of sepsis from mediastinitis is paramount for survival of patient.Bangladesh Crit Care J March 2015; 3 (1): 31-32

scholarly journals Seatbelt: A Double-Edged Sword

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
P. Raychaudhuri ◽  
N. K. Cheung ◽  
C. Bendinelli ◽  
M. Puvaneswary ◽  
R. Ferch ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Vascular Injury ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Rapid Identification ◽  
Mesenteric Vein ◽  
Correct Placement ◽  
Vehicle Accident ◽  
Vein Injury ◽  
High Degree

Intra-abdominal vascular injury due to blunt trauma is unusual in children. Due to its rarity, detailed reports dealing with its management are scarce in paediatric literature. Diagnosis of these injuries is challenging, and a high degree of awareness is necessary for rapid identification and treatment of these injuries. We report the case of a child with seatbelt sign and mesenteric vein injury due to blunt trauma to the abdomen during a motor vehicle accident where the seatbelt was incorrectly placed. She also sustained cervical vertebral injury. The pattern of injuries in children in these situations may differ from that found in adults. While seatbelts have undoubtedly saved many lives, awareness about correct placement of these restraints is extremely necessary.

scholarly journals Complete Traumatic Talus Dislocation: A Rare Case Report

2020 ◽  
Vol 2 (6) ◽  
pp. 1-2
Author(s):  
Tariq A Shaheed ◽  
Keyword(s):  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Injury Pattern ◽  
Review Of The Literature ◽  
Distal Fibula ◽  
Rare Injury ◽  
Vehicle Accident ◽  
Rare Case Report ◽  
Management Recommendations

A complete traumatic talus dislocation is an exceedingly rare injury pattern. A case of reimplantation of an open traumatic complete intact talus dislocation and distal fibula fracture following a motor vehicle accident is reported. A review of the literature and emergency medicine management recommendations follows.

Bilateral Traumatic Hip Dislocation Associated with Sacro-Iliac Dislocation

2002 ◽  
Vol 12 (1) ◽  
pp. 47-49
Author(s):  
L. Galois ◽  
E. Meuley ◽  
F. Pfeffer ◽  
D. Mainard ◽  
J.P. Delagoutte
Keyword(s):  
Closed Reduction ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Hip Dislocation ◽  
High Energy ◽  
Skeletal Traction ◽  
Rare Injury ◽  
Traumatic Hip Dislocation ◽  
Vehicle Accident

We report a rare injury in an 18-year-old woman who sustained posterior bilateral hip dislocation with sacro-iliac dislocation after a high energy motor vehicle accident. She was treated by closed reduction and skeletal traction. Bilateral traumatic hip dislocation is an uncommon occurrence. Rarer still is bilateral traumatic hip dislocation associated with sacro-iliac dislocation because it combines two different mechanisms of trauma.

Isolated Chyle Duct Injury in Blunt Trauma

2006 ◽  
Vol 72 (2) ◽  
pp. 116-117
Author(s):  
Sharmila Dissanaike ◽  
John A. Griswold ◽  
Ari Halldorsson ◽  
Eldo E. Frezza
Keyword(s):  
Blunt Trauma ◽  
High Speed ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Chyle Leak ◽  
Cisterna Chyli ◽  
Vehicle Accident ◽  
Isolated Injury ◽  
The Right ◽  
Gallbladder Fossa

We present a case of a patient sustaining an isolated injury to the right main branch of the cysterna chyli due to a high-speed motor vehicle accident. A 42-year-old man presented after a high-speed collision. CT revealed a collection of hypodense fluid in the gallbladder fossa, which was the clue to take him to the OR. We proceeded to laparoscopic exploration, and based on the milky white color of the fluid, identified a chyle leak. In an open fashion, the retroperitoneum was explored and the injury was identified as disruption of the right lumbar branch entering the cisterna chyli, and this was ligated with silk ties. Chyle duct injury secondary to blunt trauma is a rare finding. The use of CT imaging can identify this injury. Laparoscopy can confirm the injury. Open ligation of the injured duct is the best treatment.

scholarly journals Fracture of the Fabella: A Rare Injury in Knee Trauma

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Andre Rodrigues Façanha Barreto ◽  
Francisco Abaete Chagas-Neto ◽  
Michel Daoud Crema ◽  
Mario Muller Lorenzato ◽  
Mariana Tiemi Teixeira Kobayashi ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Knee Extension ◽  
Rare Injury ◽  
Vehicle Accident ◽  
Plain Films ◽  
Knee Trauma ◽  
Posterolateral Knee Pain

We present a case of a 21-year-old woman sustaining a traumatic [fabellar] fracture following a motor vehicle accident. The fabellar fracture was confirmed on plain films, which prompted further evaluation of the knee with ultrasound and magnetic resonance imaging to evaluate other possible associated injuries. Fracture of the fabella is a rare condition. Clinically, patients present with posterolateral knee pain, edema, and limited knee extension. Occasionally these symptoms may be very subtle, delaying the correct diagnosis and patient management.

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 Incidental appendicitis in a blunt trauma patient: a case report

2021 ◽  
Vol 6 (1) ◽  
pp. 16-18
Author(s):  
KwangJin Lee ◽  
Pil Young Jung
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Trauma Patient ◽  
Blunt Trauma ◽  
Blunt Abdominal Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Common Disease ◽  
Blunt Trauma Patient ◽  
Vehicle Accident

Acute appendicitis is a relatively common disease, but it is rarely caused by trauma. There are some reports on appendicitis caused by blunt abdominal trauma, but the pathophysiology is still uncertain. In this report, we presented a case of a patient who developed acute appendicitis following blunt trauma to the abdomen sustained during a motor vehicle accident.

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