This study represents our experience with severe blunt gastrointestinal injury in 29 polytrauma and 3 solitary trauma patients. The primary diagnosis was missed in intestinal perforation (4x) and mesenteric disrupture (1x). In 2 other patients contusion of the gastrointestinal wall led to postprimary perforation. The average mortality was 21.8%; only 2 patients died from abdominal sepsis. Blunt...

Mechanism of direct blunt renal trauma. An external force (F,) may crush the kidney (K) between the 12th rib and the vertebral column, or a force (F2) may crush the kidney against the paravertebral muscles (quadratus lumborum (QL) or psoas major (in position P but deleted from diagram). In the United Kingdom over 90% of renal injuries are a result of blunt abdominal trauma. Important associated...

Over the past 15 years, there have been dramatic changes in the management of blunt hepatic trauma, specifically in the imaging techniques, and in the non-operative management. Actually, in more than 80% of blunt hepatic trauma, non operative management is used. In the last 20% the surgical option has to be taken without delay, sometimes in extreme emergency, using the adapted surgical techniqu...

Acute myocardial infarction resulting from blunt chest trauma is an infrequent but potentially lethal complication of severe trauma such as that associated with motor vehicle accidents. The occurrence of acute myocardial infarction after minor blunt chest trauma incurred during sports is quite rare. A literature search found only three reported cases between 1980 and 1999. Family physicians are...

Computed tomography (CT) is currently the diagnostic modality of choice in the evaluation of clinically stable patients with blunt abdominal trauma, including the assessment of blunt bowel and mesenteric injuries. CT signs of bowel and/or mesenteric injuries are bowel wall defect, free air, oral contrast material extravasation, extravasation of contrast material from mesenteric vessels, mesente...

Blunt injury to the chest can affect any one or all components of the chest wall and thoracic cavity. The clinical presentation of patients with blunt chest trauma varies widely and ranges from minor reports of pain to florid shock. Traumatic tricuspid valve regurgitation is a rare cardiovascular complication of blunt chest trauma. Tricuspid valve regurgitation is usually begotten by disorders ...

In the presence of high concentrations of any of several types of macromolecules, DNA ligase preparations from rat liver nuclei or from Escherichia coli actively catalyze the blunt-end ligation of DNA. This is in contrast to the lack of activity on such substrates by these enzymes under conventional assay conditions. In addition, the previously established activity of T4 DNA ligase on blunt-end...

Failure to recognize popliteal artery injury and restore vessel continuity of flow after blunt trauma is a major cause of lower extremity amputation and morbidity. A high index of suspicion and early recognition of the injury are paramount for limb salvage. We experienced a rare case of poplitial artery occlusion with the presence of arterial pulses due to collateral circulation after blunt tra...

INTRODUCTION Electrocardiogram (ECG) abnormalities in patients with blunt chest trauma are diverse and non-specific, but may be indicative of potentially life-threatening conditions. CASE PRESENTATION We report a rare case of pneumopericardium with extreme ECG abnormalities after blunt chest trauma in a 22-year-old male. The diagnosis was confirmed using computed tomography (CT) scanning. The...

Tracheal injuries, following blunt neck trauma, are life-threatening surgical emergencies with high risk of mortality. A index suspicion is necessary to avoid missing an occult injury because delays in diagnosis and definitive treatment associated poorer outcomes. We, herein, report a case 28-year man who presented Emergency Department 15 days after trauma from accident involving electric cable...