Rupture of the diaphragm following penetrating injuries to the lower chest and upper abdomen is reported in as many as 10-15% of victims. The diagnosis may not be clinically apparent in the acute phase and routine investigations are often inadequate to identify any defect. Failure to detect the injury at the time ofpresentation may result in herniation of the abdominal contents into the chest c...

Received May 2007 Accepted September 2007 INTRODUCTION Renal arteriovenous fistula (AVF) due to a noniatrogenic penetrating trauma is uncommon. In most reported cases, renal AVF has been one of the complications of interventional urologic procedures.(1) Most cases secondary to percutaneous needle biopsy of the kidney are resolved spontaneously in contrast to those caused by traumas.(2) Angiogra...

By S. S. SEN, m.b. (Cal.), f.r.c.s. (Edin.), Assistant Medical Superintendent, General Hospital> Rangoon. A young Mohamedan male was stabbed in ^ thorax in a street nearby and was brought at once the hospital. As he was bleeding profusely he wa given morphia ? grain with 1/100 grain atropine, Pu. under chloroform, and operated on at once. The usna^ hinge-flap incision was made and the vertical ...

Penetrating cardiac injuries are commonly instantaneously lethal. However, numerous delayed manifestations of cardiac injury, including traumatic ventricular septal defect, ventricular aneurysms, right pulmonary artery to left atrial fistula, valvular regurgitation, and aorto-right ventricular fistula, are all described in the literature. Here, we present a case of aorto-right ventricular fistu...

A 28-year-old male admitted with a stab wound under his left nipple, underwent emergency surgery because of confusion, a decreasing blood pressure and increasing tachycardia. A median sternotomy incision was made and after establishing cardiopulmonary bypass, a 7 cm wound in the left ventricle and a smaller wound in the left atrium were repaired. An injured segment of lung was resected and the ...

An alcoholic 50-year-old male patient with a history of schizophrenia sustained stab wounds into both ventricles and left lung, and survived following an emergency department thoracotomy. The EDT wound, however became infected requiring serial debridements of soft tissue, rib cartilage and sternum. Regional flap options such as pectoralis major and latissimus dorsi muscle flaps could not be emp...

Violence against victims of killings and abuse living can occur in various forms violence/trauma, it be the form blunt violence, sharp violence or other trauma, either jointly separately. Victims mechanical trauma are who mostly served clinical forensic medical services, cases generally experience bruises, abrasions lacerations. Knowledge related to injuries/trauma science is called Traumatolog...

Astrocytes react to brain injury in a heterogeneous manner with only a subset resuming proliferation and acquiring stem cell properties in vitro. In order to identify novel regulators of this subset, we performed genomewide expression analysis of reactive astrocytes isolated 5 days after stab wound injury from the gray matter of adult mouse cerebral cortex. The expression pattern was compared w...

Transforming growth factor-β (TGF-β) signaling is involved in pathological processes following brain injury. TGF-β signaling through Smad3 contributes significantly to the immune response and glial scar formation after brain injury. However, TGF-β is also neuroprotective, suggesting that Smad3 signaling may also be involved in neuroprotection after injury. We found expression of the TGF-β type ...