Blunt thoracic trauma can result in significant morbidity in injured patients. Both chest wall and the intrathoracic visceral injuries can lead to life-threatening complications if not anticipated and treated. Pain control, aggressive pulmonary toilet, and mechanical ventilation when necessary are the mainstays of supportive treatment. The elderly with blunt chest trauma are especially at risk ...

Cardiac rupture after blunt trauma is rare and associated with high mortality. The anatomic pattern of blunt cardiac rupture has been demonstrated with the right cardiac chambers more frequently affected than the left. Furthermore, left atrial injury is usually restricted to the atrial appendage and the pulmonary vein-atrial junction. Herein, we report the first case of a 61-year old man with a...

The kidney is the most common genitourinary organ injured from external trauma, occurring in 1-5% of all injuries. The vast majority of kidney injuries can be successfully managed nonoperatively. Blunt traumas are more frequent than penetrating. Penetrating trauma is more common in urban areas, is commonly caused by gunshot or stab wounds, and more commonly requires exploration. Blunt trauma re...

BACKGROUND High mobility group box 1 (HMGB1) is a late mediator of systemic inflammation. Extracellular HMGB1 play a central pathogenic role in critical illness. The purpose of the study was to investigate the association between plasma HMGB1 concentrations and the risk of poor outcomes in patients with severe blunt chest trauma. METHODS The plasma concentrations of HMGB1 in patients with sev...

purpose : this study was performed to compare complications and clinical course of microscopic and macroscopic hyphema resulting from blunt ocular trauma methods : in a prospective observational case series during the period 21 march 2010 to 20 march 2011 all referred patient with traumatic hyphema to ophthalmic emergency ward of ahvaz, main city of southwest of iran that met inclusion criteria...

BACKGROUND Adrenal gland trauma is a rare condition that typically stems from blunt force trauma, and is associated with multiple organ injuries. Alternatively, isolated adrenal gland trauma is extremely rare, accounting for only 1.5 to 4% of all adrenal trauma cases. While isolated adrenal trauma is a mostly self-limiting condition, it is potentially life-threatening, representing a significan...

BACKGROUND Uncontrolled bleeding is a leading cause of death in trauma. Two randomized, placebo-controlled, double-blind trials (one in blunt trauma and one in penetrating trauma) were conducted simultaneously to evaluate the efficacy and safety of recombinant factor VIIa (rFVIIa) as adjunctive therapy for control of bleeding in patients with severe blunt or penetrating trauma. METHODS Severe...

Blunt vascular trauma of the lower extremities brings about a high amputation rate, because other organ injuries disturb revascularization. We experienced a case of a superficial femoral artery occlusion caused by blunt trauma. The patient also had a femoral bone fracture and a large skin defect with deep muscular injuries of the thigh. We performed a femoropopliteal (FP) bypass using a sapheno...

introduction lung herniation following blunt chest trauma is extremely rare and only a few hundred cases of this pathology have been reported in the english language medical literature. this type of lung hernia is divided into intercostal, parasternal, or supraclavicular subtypes based on the exact location of the chest wall defect. traumatic intercostal lung hernia is even more uncommon. delay...