Current Opinion in Critical Care 2010, 16:609–617 Purpose of review Patients with penetrating abdominal trauma are at risk of harboring life-threatening injuries. Many patients are in need of emergent operative intervention. However, there are clearly patients who can be safely managed nonoperatively. This review evaluates the literature to identify management guidelines for patients with penet...

This case report analyses the occurrance of an exceedingly rare and unpredictable complication remote penetrating chest trauma with arterial injury , which is embolic stroke leading to a particular combination hemorrhagic shock hemodynamic profile altering cerebral autoregulation malignant middle artery in young patient causing intracranial hypertension resulting subfalcine herniation compromis...

Diaphragmatic hernias can be described as congenital hernias or traumatic hernias (including those following penetrating trauma, blunt trauma and unrecognized diaphragmatic rupture) [1]. A blunt trauma to chest or abdomen is the main cause of diaphragmatic injury. This injury occurs in 1.1-3.9% of the cases following a trauma [2,3]. Then, acquired diaphragmatic hernia (ADH) occurs in less than ...

1 of 2 DESCRIPTION A 56-year-old male smoker sustained non-penetrating leftsided chest trauma, following a 2-m fall onto a fl at-topped wooden post. He was in severe pain and respiratory distress in the Emergency Department, with a dramatic degree of fl ail and marked subcutaneous emphysema (see video 1 ). A left side tube thoracostomy was inserted urgently with marked improvement in respirator...

BACKGROUND Penetrating chest injuries account for 1-13% of thoracic trauma hospital admissions and most of these are managed with a conservative approach. Nevertheless, 18-30% of cases managed only with tube thoracostomy have residual clotted blood, considered the major risk factor for the development of fibrothorax and empyema. In addition, 4-23% of chest injury patients present persistent pne...

a 25 year-old construction worker underwent neck laceration following penetrating neck trauma in a falling incident. the 3rd tracheal ring was injured which was initially repaired and the patient was discharged in good general condition. (figure 1 shows the patient’s neck view after discharge from hospital).two months later the patient was again admitted due to provocative coughing and a metal ...

BACKGROUND The management of penetrating abdominal stab wounds has been the subject of continued reappraisal and controversy. In the present study a novel method which combines the use of diagnostic laparoscopy and DPL, termed laparoscopic diagnostic peritoneal lavage (L-DPL) is described METHOD Five trauma patients with penetrating injuries to the lower chest or abdomen were included. Standa...