OBJECTIVE To clarify the usefulness of ultrasonography (US) as a diagnostic instrument for intraperitoneal free air (IPFA), which is thought to be useful in the fields of emergency medicine and traumatology. DESIGN Prospective observational study. SETTING Tertiary critical care and emergency center. PATIENTS A total of 484 patients with severe chest-abdominal-pelvic blunt trauma or, in th...

H l i u a solated blunt abdominal trauma (BAT) represents about 5% of annual trauma mortality from blunt trauma. As part f multiple-site injury (polytrauma), BAT contributes anther 15% of trauma mortality.1 Exsanguination accounts for 0 to 90% of acute deaths from abdominal injury. More than 5% of such cases are amenable to surgery, and recent years ave seen safe extension of nonoperative, imag...

BACKGROUND The use and indications for laparoscopy have been increasing. As part of this trend, a new algorithm may emerge for pediatric trauma in which laparoscopic techniques are used in hemodynamically stable patients with suspected hollow viscus perforation. CASE REPORT We present a case in which laparoscopy was successfully used in a pediatric trauma patient as a diagnostic and therapeut...

BACKGROUND Renal trauma in the pediatric population is predominately due to blunt mechanism of injury. Our purpose was to determine the associated injuries, features, incidence, management, and outcomes of kidney injuries resulting from blunt trauma in the pediatric population in a single level I trauma center. METHODS This was a retrospective chart and trauma registry review of all pediatric...

Introduction. We present a case of a sports injury. The initial presentation and clinical examination belied serious intra-abdominal injuries. Case Presentation. A 16-year-old male patient came to emergency department after a sports-related blunt abdominal injury. Though on clinical examination the injury did not seem to be serious, FAST revealed an obscured splenorenal window. The CT scan reve...

Component separation is established for complex hernia repairs. This case presents early component separation and release of the anterior and posterior sheath to facilitate closure of the abdominal wall following emergency laparotomy, reinforcing the repair with a biological mesh. On Day 11 following an emergency laparotomy for penetrating trauma, this patient underwent component separation and...

Multiple injuries resulting from the use of nail guns have been described in the literature; however, to date there has been no report of a nail gun injury to the abdomen. We describe the case of a 30-year-old male tradesperson who suffered a penetrating nail gun injury to the epigastrium, resulting in multiple injuries to the bowel and an inferior vena caval injury with massive haemorrhage. Th...

Minimal access surgery (MAS) has made great strides in the evaluation and treatment of elective surgical pathology. The use of MAS for intervention in the patient with abdominal trauma has cautiously lagged behind. We undertook an indepth analysis of published surgical literature in this regard. The aim was essentially to succinctly summarize current evidence and identify obstacles to its more ...

This is the first published case report of an 11-year-old patient with a rupture of a liver hydatid cyst (HC) into the peritoneal cavity after an abdominal trauma in Iran. The disease was diagnosed using focused abdominal sonography for trauma. To date, no cases of traumatic ruptures of liver HCs in children have been reported in Iran. In the endemic regions of the world, where patients suffer ...