Background: Blunt injuries to the gallbladder occur rarely, and the incidence of isolated damage to the gallbladder is even smaller. We report a case of delayed presentation of isolated rupture of the gallbladder following blunt trauma to the abdomen. Case presentation: A 65 year old lady presented through the Emergency Department with a 1 week history of blunt trauma to her abdomen. She compla...

INTRODUCTION Management of Liver Trauma may vary widely from NOM +/- angioembolization to Damage Control Surgery. Multidisciplinary management is essential for achieving better outcomes. MATERIAL AND METHODS During 2000-2009 period 308 patients with liver injury were admitted to level 1 trauma center and recorded in Trauma Registry. Collected data are demographics, AAST grade, initial treatme...

Gall bladder is more likely to perforate in cases of obstruction leading to raised intra luminal tension. Non obstructive cholecystitis is unlikely to result in perforation. Perforation complicating acute acalculus cholecystitis is often seen in association with acute infections like pneumonia, viral influenza, and in particular with typhoid where the causative organism Salmonella typhii multip...

Özgül Salihoğlu, MD; Emrah Can*, MD; Sinem Can, MD; Sami Hatipoğlu, MD Department of Pediatrics, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey Received: May 31, 2012; Accepted: Nov 19, 2012, Available Online: Dec 03, 2012 Hepatic mesenchymal hamartoma (HMH) is an uncommon benign tumor of childhood. Typically a patient will present with an enlarged, nontender abdominal...

Primary hepatic undifferentiated pleomorphic sarcoma (UPS) is an extremely rare disease entity whose imaging characteristics are not well documented in literature. We present two cases of primary hepatic UPS with contrasting disease courses, and their CT and angiographic findings in this report. Imaging characteristics include inhomogeneous appearance and peripheral enhancement pattern, with ne...

OBJECTIVE To determine whether hypertonic saline (HS, 36% NaCl) injection prior to or during radiofrequency ablation (RFA) can increase the extent of thermally mediated coagulation in in-vivo rabbit liver tissue, and also to establish the ideal injection time in relation to RFA in order to maximize its effect on the extent of radiofrequency (RF)-induced coagulation. MATERIALS AND METHODS In 2...

A 72-year-old white woman presented with progressive dyspnea, orthopnea, and a weight gain of 10 lb over a period of 2 weeks. The patient’s history was remarkable for coronary heart disease for which she underwent percutaneous transluminal coronary angioplasty of a filiform circumflex artery stenosis 1 year before admission, and for a chronic hepatitis C evolving to cirrhosis with recurrent var...

in the right upper quadrant (RUQ) with voluntary of; haemobilia; gallbladder; haemorrhage guarding. Rectal exam revealed guaiac positive stool. Laboratory values were significant for white blood cell count of 12 000/mm3, alanine aminotransferase of 158 Introduction U/l, aspartate aminotransferase of 310 U/l, and total and direct bilirubins of 1.6 and 0.9 mg/dl, respectively. Her haematocrit was...

BACKGROUND The objective of this study was to describe a comprehensive five-step surgical management approach for patients with penetrating liver trauma based on our collective institutional experience. METHODS A prospective consecutive study of all penetrating liver traumas from January 2003 to December 2011 at a regional Level I trauma center in Cali, Colombia, was conducted. RESULTS A to...