The incidence of injury to the urologic system after trauma is about 10%. Blunt trauma followed by traffic accidents and during sports comprise 90% of the etiologies. In addition, the rate of penetrating injuries is increasing, especially in urban areas. The kidney is the most common urologic organ to be injured, followed by urinary bladder and the urethra. Isolated urologic trauma is rare; the...

patients and methods from april 2009 to november 2011, all patients with gu injuries referred to our hospital were studied. the data including age, sex, type of injury, mechanism of trauma, and prognosis of patients was collected and analyzed. results from a total of 3450 patients, 66 (1.91%) had injuries of the urogenital system; 49(74.24%) were male and 17(25.75%) female. the patients’ mean a...

Traditionally, mandatory exploration was the rule for managing penetrating abdominal trauma, but this has begun to change in the recent era. The change first affected stab injuries, in which the conservative approach in appropriate cases has gained wide spread acceptance. Relatively recently, the management of gunshot injuries to the abdomen has been similarly affected, and several reports appe...

Bladder rupture is a very morbid injury following blunt or penetrating lower abdominal trauma. Prompt diagnosis is crucial to initiate optimal treatment. Intraperitoneal bladder rupture is associated with haematuria and biochemical features of renal failure. Cystogram is diagnostic. Immediate open surgical repair is the main stay of treatment. A case of intraperitoneal rupture diagnosed preoper...

BACKGROUND AND OBJECTIVE Handheld ultrasound, because of its light weight, size, rugged design, and relative simplicity of use is ideal for use on operational military deployment. These machines have been used in the diagnosis of a range of traumatic conditions including abdominal, thoracic, and extremity trauma in the hospital environment, yet few data exist on their use during military operat...

We present our experience over five and a half years of acquired hernias of the diaphragm. Each case represents a different presentation of this condition, which may follow blunt or penetrating trauma or iatrogenic injury. Diaphragmatic hernia may present in the acute phase after injury but late presentation may occur after many years, with chronic abdominal or respiratory symptoms, or with acu...

The authors report the case of a suicide attempt. A 59-year-old man with self-inflicted penetrating chest trauma underwent emergency cardiothoracic surgery. Pre-operative computed tomography scan showed critical proximity between the blade and the right ventricle. Intraoperative findings showed a pericardial laceration and a huge diaphragmatic lesion with heart and abdominal organs integrity. T...

Superior mesenteric arteriovenous fistulae are rare. They are usually associated with previous penetrating abdominal trauma or surgery. Patients may present with ascites or gastrointestinal bleeding. This report is of a patient with postoperative refractory ascites. Contrast-enhanced computed tomography scan and digital subtraction angiogram showed a communication between the superior mesenteri...

Though uncommon, femoral nerve palsies are potentially devastating injuries which can occur as a result of penetrating trauma or malignancies, however the most common cause is inadvertent iatrogenic injury following intra abdominal surgery such as gynaecological/vascular surgery or total hip replacement [1]. We present a case of iatrogenic femoral nerve injury with a delayed presentation result...

BACKGROUND Trauma is the leading cause of childhood morbidity and mortality. Abdominal bleeding is one of the common causes of mortality due to trauma. Angiography and embolization are well recognized as the primary treatments in certain cases of acute traumatic hemorrhage in adults; however, evidence is lacking in the pediatric population. OBJECTIVES To assess the safety and efficacy of tran...