In the pediatric patient, traumatic injury is the leading cause of death and blunt trauma is themost commonmechanism of injury. Renal injuries account for 8 to 12% of pediatric blunt abdominal injuries. Children, more so than adults, are prone to sustain major renal injury due to blunt trauma given the relatively large size of pediatric kidneys and decreased protection in children.1–3 The prima...

Cardiac contusions (contusio cordis) usually appear in penetrating thoracic trauma or high energy blunt trauma and only rarely in thoracic blunt trauma in homicidal context. The diagnosis could be easy if a traumatic context is/can be proven; if not the differential diagnosis with myocardial infarction, other causes of cardiac hemorrhages or post resuscitation cardiac trauma can be very difficu...

BACKGROUND Blunt hollow viscus injury (HVI) is uncommon. No sufficiently large series has studied the prevalence of these injuries in blunt trauma patients. This study defines the prevalence of blunt HVI, in addition to the associated morbidity and mortality rates for this diagnosis on the basis of a series of over 275,000 trauma admissions. METHODS Patients with blunt small bowel injury (SBI...

background isolated small gut mesentery injury after blunt abdominal trauma from the steering wheel in road traffic accidents is rare. these are always challenging to diagnose and pose a diagnostic dilemma. objectives to study the pattern of small gut mesenteric injury by steering wheel blunt abdominal trauma in road traffic accidents in patients who had laparotomy. patients and methods a 10-ye...

BACKGROUND Securing high-quality mortality statistics requires systematic evaluation of all trauma deaths. We examined the proportion of trauma patients dying within 30 days from causes not related to the injury and the impact of exclusion of patients dead on arrival on 30-day trauma mortality. We also defined the demographics, injury characteristics, cause of death and time to death in patient...

Background Sternal fracture is uncommon injury following blunt chest trauma. They are usually caused by direct blunt trauma to the sternum, or most frequently car accident, including steering wheel direct blunt trauma to the sternum. Sternal fracture should be regarded as a hallmark of severe multiple injuries until proven otherwise. The purpose of this study was to describe general features co...

Gallbladder rupture following blunt abdominal trauma is a rare event recognized on evaluation and treatment of other visceral injuries during laparotomy. Isolated gallbladder rupture secondary to blunt abdominal trauma is even more uncommon. The clinical presentation of gallbladder injury is variable, resulting in a delay in diagnosis and treatment. We report the case of a patient who suffered ...

Heart valve injuries due to non-penetrating blunt thoracic trauma are rare. Isolated tricuspid incompetence due to detachment of a leaflet from the annulus after blunt trauma is uncommon. Young patients may tolerate chronic tricuspid regurgitation (TR), and can be undiagnosed for years until the right ventricular failure occurs. We report the case of a young adult male who sustained blunt chest...

Background: Biloma is a rare abnormal localized accumulation of bile out of biliary tree due to an injury. It has different non-specific clinical features and its diagnosis is based on clinical signs, radiologic findings and chemical analysis of aspirated liquid. Considering the non-specific clinical features, early diagnosis and treatment can have an effective role in the decrease of complicat...

introduction trauma is the most common cause of death in youngsters. early detection of internal bleeding via imaging in trauma patients is important. the fast-extended method and the extended focused assessment with sonography for trauma (efast) evaluates hemothorax and pneumothorax in addition to abdominopelvic bleedings and tamponade. patients and methods in this cross-sectional study, after...