From the Divisions of Vascular Surgery (D.G.N., W.R.F.) and Cardiac Surgery (B.P.G.), Department of Surgery, and the R Adams Cowley Shock Trauma Center (T.M.S.), University of Maryland School of Medicine, Baltimore. Address reprint requests to Dr. Neschis at the Division of Vascular Surgery, University of Maryland Medical Center, 22 S. Greene St., Rm. N4W66, Baltimore, MD 21201, or at dneschis@...

Arterial occlusion following blunt trauma is an uncommon occurrence. We report an unusual case of delayed external iliac artery occlusion in a young male following blunt abdominal injury. He was successfully treated with thromboendarterectomy and saphenous vein patch repair. There have only been a handful of documented cases occurring in the paediatric population. All patients presenting with g...

Hemothorax after blunt trauma results from injury to intrathoracic structures or the chest wall. Tube thoracostomy is the most common mode of treatment; depending on the type of injury, it is frequently the only intervention required. Rarely, blunt cardiac injury can produce hemothorax if a communication exists between the pericardium and pleural space. We describe such a case that highlights t...

introduction extra-hepatic bile duct injuries in children following blunt abdominal trauma are rare; early diagnosis and treatment are imperative for a good outcome. the purpose of this report is to describe the management of problems encountered in children with bile duct injuries following blunt abdominal trauma. case presentation a three year-old girl presented with obstructive jaundice and ...

Aortic arch blunt injury has highly lethal nature. Because the physical examination findings are subtle, immediate medical evaluation is very important. The case was a 72-year-old woman. Massive haemorrhage in the left haemotorax, contusion area in the left lung and a traumatic transection of the distal aortic arch was observed during autopsy. We described intersting autopsy case of aortic arch...

BACKGROUND Focused assessment with sonography in trauma (FAST) is widely used and endorsed by guidelines, but little evidence exists regarding the utility of the cardiac portion in blunt trauma. The traditional FAST includes the routine performance of cardiac sonography, regardless of risk for hemopericardium. STUDY OBJECTIVES Our goal was to estimate the prevalence of hemopericardium due to ...