A case of Munchausen syndrome presented with both factitious trauma and factitious haemophilia. He was treated inappropriately with factor VIII concentrate before the history of the presenting complaint could be validated. Clinical suspicion remains the most important aid to diagnosis.

BACKGROUND After severe blunt chest trauma, the development of an acute lung injury (ALI) is often associated with severe or even lethal complications. Especially in multiple injured patients after blunt chest trauma ALI/ARDS [acute respiratory distress syndrome (ARDS)] is frequent. However, in the initial posttraumatic phase, inflammatory clinical signs are often not apparent and underlying ch...

ABSTRACT Traumatic atlanto-axial subluxation is a rare and underdiagnosed condition due to its high rate – reported be between 60 80% of early mortality. Its diagnosis takes into account the trauma mechanism, precise analyses imaging tests clinical presentation patient. This article describes associated with craniocervical dislocation as case locked-in syndrome. Level evidence V; Retrospective ...

Acute compartment syndrome consists of increased tissue pressure in a closed anatomical area leading to decreased vascular perfusion. It is frequently caused by trauma, fractures, or compression injuries1-16 and usually occurs in the forearm or lower leg. Reports of acute compartment syndrome of the thigh, especially without an associated fracture, are rare.1,2,4,5,10,11,14 This article present...

abstract acute inflammation of the gallbladder can occur without gallstones. acalculous cholecystitis typically develops in critically ill patients in the intensive care unit. patients on parenteral nutrition, with extensive burns, sepsis, major operations, multiple organ trauma or prolonged illness with multiple organ system failure are at risk for developing acalculous cholecystitis. the asso...

Surgical management of ectopia lentis is one of the major challenges faced by cataract surgeons today. Ectopia lentis signifies a displacement or malposition of the crystalline lens, irrespective of cause. It may occur congenitally or as part of developmental anomalies, as found in Marfan syndrome, homocystinuria, Ehlers-Danlos syndrome, hyperlysinemia, sulfite oxidase deficiency, simple primar...

Injuries from blows to the head often are manifested only as subjective complaints. Postconcussional syndrome thus can be feigned for financial or psychological gain. The authors review the pathology of brain trauma, symptoms of postconcussional syndrome, and criteria for diagnosis. In addition to somatic deficits, psychological and cognitive problems are common. The likelihood and severity of ...

introduction: management of pediatric blunt abdominal trauma in resource-restricted settings requires precise clinical expertise. in this study, we reviewed pediatric patients who were suspected to have blunt abdominal trauma in a level iii trauma center in iran. materials and methods: in a cross-sectional study, 66 injured children were studied from october 01, 2014 to october 01, 2015 in niks...

Carpal tunnel syndrome has a prevalence of 1% to 10%, and while acute carpal tunnel syndrome makes up the minority of cases of this compression neuropathy, it is important to recognize as a distinct entity because prompt surgical treatment can decrease long-term morbidity. The most common causes of acute carpal tunnel syndrome are trauma to the hand or wrist, infection, and disorders of rheumat...

Neonatal pneumopericardium (PPC) is a rare form of neonatal air leak syndrome with high morbidity and mortality. Air leak syndrome in the newborn is usually associated with active resuscitation, respiratory distress syndrome, meconium aspiration syndrome, mechanical ventilation, or trauma associated with labour. Neonatal PPC can be associated with other air leak syndromes such as pneumomediasti...