We report a case of a 71-year old woman with right inferior epigastric artery pseudoaneurysm following laceration by a computed tomography-guided 18G biopsy needle. The laceration was initially treated with placement of retained sutures; however the patient turned hemodynamically unstable 41 days later. Percutaneous ultrasound-guided injection of 1500 U of thrombin solution resulted in almost c...

objective: the purpose of this study was to investigate the incidence, type, location, and risk factors of accidental fetal lacerations during caesarean delivery. material and methods: total deliveries, caesarean deliveries, and neonatal records for documented accidental fetal lacerations were reviewed retrospectively in four university hospital. thegestational age, the presenting part of the f...

Spontaneous laceration of the ascending aorta may result in (1) through-and-through laceration causing hemopericardium, (2) limited intramural dissection of blood (incomplete dissecting aneurysm), or (3) classical dissecting aneurysm. The latter is the most common manifestation. Background conditions include either extensive cystic medial necrosis (as may be seen in Marfan's syndrome) or hypert...

Liver is the largest abdominal organ that is often affected by injuries due to blunt or penetrating trauma (1). Road traffic accidents and violence are responsible for the majority of liver injuries (2). A high incidence of liver trauma currently is secondary to a dominant role of mechanized transportation and increasing violent behaviour (3). Blunt injuries are dominant in Europe (4, 5, 6), wh...

BACKGROUND The use and indications for laparoscopy have been increasing. As part of this trend, a new algorithm may emerge for pediatric trauma in which laparoscopic techniques are used in hemodynamically stable patients with suspected hollow viscus perforation. CASE REPORT We present a case in which laparoscopy was successfully used in a pediatric trauma patient as a diagnostic and therapeut...

We report a case of bronchial rupture in a five-year-old boy with polytrauma after being hit by a motor vehicle. He was initially found to have a base of skull fracture, bilateral pulmonary contusions, lacerations and haemopneumothoraces, cardiac contusion, left first rib and right scapula fracture, extensive surgical emphysema, liver laceration and splenic laceration. At exploratory laparotomy...

183 Im ages is large and deep. In these cases, it is usually detected intraoperatively. However, smaller tears are detected during the postoperative period. The exact site and size of the abovementioned laceration is determined by bronchoscopy; this knowledge helps in planning the therapeutic approach. Nonoperative indications are stable vital signs, no difficulty ventilating while intubated or...

OBJECTIVE Traumatic diaphragmatic injuries are rare, but potentially life-threatening due to herniation of abdominal organs into the pleural cavities. They can be easily overlooked on initial diagnostics and a high index of suspicion is required. The aim of this retrospective study was to analyze the clinical presentation, diagnostic methods and surgical management of patients with diaphragmati...

INTRODUCTION Documentation and billing for laceration repair involves a description of wound length. We designed this study to test the hypothesis that emergency department (ED) personnel can accurately estimate wound lengths without the aid of a measuring device. METHODS This was a single-center prospective observational study performed in an academic ED. Seven wounds of varying lengths were...