A 55yr old diabetic, hypertensive male with prior history of coronary stenting presented to the emergency department complaints abdominal pain and distension duration 4 days. The abdomen was grossly distended diffuse tenderness guarding Patient evaluated resuscitated, investigated, found be Hollow viscous perforation peritonitis. subjected laparotomy. surprise finding in Operating room mass ari...

Pneumoperitoneum usually indicates rupture of a hollow viscus and considered a surgical emergency. But air may also enter the peritoneum from the lung or the genital organs in female without visceral perforation. While scuba diving, the rapid ascent is usually controlled by placing in a decompression chamber and the excess gas volume is exhaled. Failure to allow this excess gas to escape will r...

BACKGROUND Low-velocity pelvic gunshot injuries occur commonly in urban trauma centers, occasionally involving concomitant intestinal viscus injury leading to potential fracture site contamination. Surgical debridement of the fractures may be necessary to prevent osteomyelitis, although not routinely performed in many centers. The purpose of this study was to determine whether fracture debridem...

OBJECTIVE To highlight the injuries that result from lap-belt use and make recommendations for prevention, the recent experience of a regional paediatric trauma centre was reviewed. METHODS Retrospective review of admissions to Starship Children's Hospital from 1996 to 2003, with significant injury following involvement in a motor vehicle crash, while wearing a lap-belt. Patients were identif...