Liver trauma in Japan was analyzed with a questionnaire that was sent to 168 emergency hospitals that reported incidences of trauma to the Japanese Association for Acute Medicine. Replies were received from 66 hospitals, but only 47 (71.2 %) of these reported cases of liver trauma. The reports were made after each operation (mostly after 1965) until December, 31, 1980. Liver trauma occurring in...

The patient has no other contributory medical history, and he denies significant occupational or animal exposures. He works as a security guard. He denies use of tobacco, alcohol, and injection drugs. No pertinent family history is elicited. Current medications include oxycodone, fluoxetine, and ferrous sulfate. The patient is febrile, tachycardic (heart rate to 110 beats per minute), and normo...

Introduction: Pneumocephalus is air or gas located in the intracranial cavity. Head trauma is the most common cause of pneumocephalus, with the majority of cases resulting from sinus and basilar skull fractures. A small number of case reports have been published describing pneumocephalus after cervical and thoracic penetrating injuries. To our knowledge, we report the first case of severe pneum...

Penetrating injuries to the spine, although less common than motor vehicle accidents and falls, are important causes of injury to the spinal cord. They are essentially of two varieties: gunshot or stab wounds. Gunshot injuries to the spine are more commonly described. Stab wounds are usually inflicted by knife or other sharp objects. Rarer objects causing incidental spinal injuries include glas...

conclusions pneumoventricle is rare but it can be established after spinal trauma. by awareness of such possibility, accurate diagnosis by clinical examination and imaging is essential for these types of injuries introduction the presence of air within the intracranial cavity, due to the entry of air secondary to an abnormal communication after a dural tear, is defined as pneumocephalus and int...

BACKGROUND : Although there is no debate that patients with peritonitis or hemodynamic instability should undergo urgent laparotomy after penetrating injury to the abdomen, it is also clear that certain stable patients without peritonitis may be managed without operation. The practice of deciding which patients may not need surgery after penetrating abdominal wounds has been termed selective ma...

In this study we review our experience in using laparoscopy as a diagnostic and therapeutic tool in dealing with penetrating diaphragmatic injuries due to stab wounds and look at the feasibility of using this procedure in other similar institutions. Thirty patients, all of whom were males 20-30 years of age, presented to the surgical emergency unit of our hospital with upper abdominal and lower...