1/16. diagnosis and treatment of expanding haematoma of the lateral abdominal wall after blunt abdominal trauma.We report a rare case of an expanding post-traumatic lateral abdominal wall haematoma. A superselective arteriogram of the deep circumflex iliac artery showed extravasation from the ascending branch, urging emergency therapy. Microcoil and Gelfoam embolisation was successfully performed. Haematomas of the abdominal wall can be divided in the common rectus sheath haematomas and the rare haematomas of the lateral abdominal wall. Differentiating both entities is essential, since there is a strong difference in their vascular supply. The typical vascular supply of the lateral abdominal wall is discussed, with emphasis on the ascending branch of the deep circumflex iliac artery.- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
2/16. Ischaemic ileal stenosis following blunt abdominal trauma and demonstrated by CT.We report a case of blunt abdominal trauma in which delayed ischaemic ileal stenosis occurred. A 24-year-old man presented with symptoms and signs of bowel obstruction 2 weeks after blunt abdominal trauma. Enhanced CT clearly demonstrated a stenotic ileal loop with mural thickening, associated with a mesenteric haematoma. This abnormal ileal loop was resected.- - - - - - - - - - ranking = 0.14285714285714keywords = haematoma (Clic here for more details about this article) |
3/16. Blunt abdominal trauma with delayed rupture of splenic haematoma in a haemophiliac patient.A 13-year-old haemophilia A patient presented with pain in the abdomen, 4 days after a blunt abdominal trauma. The computed tomography scan of the abdomen showed a large splenic haematoma. The patient was initially managed with factor viii replacement therapy, but 4 weeks later he had a delayed rupture of the splenic haematoma with haemoperitoneum and shock. An elective splenectomy under factor viii therapy was successfully performed.- - - - - - - - - - ranking = 0.85714285714286keywords = haematoma (Clic here for more details about this article) |
4/16. Handlebar hernia masquerading as an inguinal haematoma.We report a child who sustained a traumatic hernia of the lower abdominal wall after being thrown forward against the handlebar of his bicycle. This is a rare injury in children, and the clinical features mimic an inguinal haematoma. Suspicion should be raised by the immediate appearance of a mass above the inguinal canal following groin injury, particularly if the swelling then disappears with the patient supine.- - - - - - - - - - ranking = 0.71428571428571keywords = haematoma (Clic here for more details about this article) |
5/16. Penetrating abdominal spear injuries.Eight cases of penetrating abdominal spear injuries are presented. The type and size of the spearhead as well as its direction and severity of the impact were reflected in the degree of visceral damage. At laparotomy, retro-peritoneal haematoma (RPH) was a constant finding. Morbi-mortality was associated with early haemorrhage or later septic complications. Manipulation of intra abdominal embedded spears may require unusual surgical procedures, and no attempt to extract the weapon should be made before emergency laparotomy is carried out. Prompt first aid and hospital referral, resuscitation and facilities for the treatment and care of the critically ill patient, were important factors influencing the outcome of these cases.- - - - - - - - - - ranking = 0.14285714285714keywords = haematoma (Clic here for more details about this article) |
6/16. Urgent Whipple resection for solid pseudopapillary tumor of the pancreas.We report a 14-year-old boy who was urgently transferred to our institution after a blunt abdominal trauma. CT scan and repeated ultrasound examinations revealed a subhepatic mass, which slowly increased in size. Imaging features were not specific enough to permit a precise diagnosis. Because of the positive peritoneal signs and increased signs of circulatory instability, the decision was made to perform an urgent explorative laparotomy. The exploration revealed that the large haematoma-like bleeding mass was a tumor arising from the head of the pancreas, which ruptured on the surface. We performed a curative R0 Whipple resection. histology of the resected specimen revealed a solid pseudopapillary tumor of the pancreas, an extremely rare tumor predominantly occurring in young and middle-aged women. It has a favorable prognosis if resected radically. The boy is well 30 months after the operation. To our knowledge, there are only two other descriptions of pancreatic solid pseudopapillary tumor in boys treated urgently by Whipple resection because of acute presentation after blunt abdominal trauma.- - - - - - - - - - ranking = 0.14285714285714keywords = haematoma (Clic here for more details about this article) |
7/16. Imaging of paediatric splenic injury with contrast-enhanced ultrasonography.We report two children who sustained traumatic parenchymal splenic injury and were monitored with contrast-enhanced ultrasound (CEUS). In both cases, unenhanced US failed to diagnose splenic haematoma, but the injury was well demonstrated after injection of contrast agent. In one case agreement with CT was excellent; in the other, CT was not performed due to the comprehensive information provided by CEUS.- - - - - - - - - - ranking = 0.14285714285714keywords = haematoma (Clic here for more details about this article) |
8/16. rupture of papillary renal cell carcinoma.OBJECTIVE: Typical signs of papillary renal cell carcinoma (PRCC) are extensive necroses of the tumorous mass, which can modify the clinical appearance of PRCC. These necroses can imitate cysts on radiological examinations (ultrasonography and CT). The tumours are fragile and vulnerable to spontaneous rupture or rupture following minimal trauma (i.e. they act as a locus minoris resistentiae). MATERIAL AND methods: A total of 650 patients with a total of 671 renal tumours were surgically treated at our hospital between January 1991 and December 2003. RESULTS: In 16 cases bilateral tumours were found (in all cases RCC) and in five cases two types of tumour were identified in one kidney [all were a combination of conventional RCC (CRCC) and PRCC]. Altogether, 621 tumours (92.5%) were diagnosed as RCCs. Of these, CRCC was found in 563 cases (90.7%), PRCC in 36 (5.8%), chromophobe RCC in 14 (2.3%) and unclassified RCC in 7 (1.1%). All cases of ruptured PRCC were included in our study. Interestingly, only PRCCs ruptured in this series. rupture was described in three cases of PRCC (8.3%): it was spontaneous in two cases and resulted from a traffic accident in the third. CONCLUSIONS: The extensive necrosis regularly found in PRCC can cause rupture of the tumour followed by retroperitoneal bleeding. rupture affected <10% of our cases of PRCC. CT findings are usually not characteristic and can mimic a simple haematoma of unknown origin. Similarly, the perioperative finding is unclear in most cases. The final correct diagnosis of the renal tumour is frequently established only by the pathologist.- - - - - - - - - - ranking = 0.14285714285714keywords = haematoma (Clic here for more details about this article) |
9/16. Traumatic lesions of adrenal glands in paediatrics: about three cases.Pediatric adrenal injuries, in blunt thoracoabdominal trauma, are rare and usually associated with traumatic liver and kidney lesions. This paper aims to present imaging findings and possible adrenal involvement in blunt abdominal traumas in childhood. We report three cases of thoracoabdominal trauma with adrenal involvement. Two patients were polytraumatised in car accidents. The third case was unusual because of the mild trauma. The adrenals lesions were right-sided in all cases. Post-traumatic adrenal contusion/haematoma may arise not only because of a direct trauma but also as a consequence of a sudden increase in the pressure in the inferior vena cava system-adrenal veins. This is why adrenal haemorrhage is not directly proportional to the trauma: compression of the inferior vena cava leads to increased pressure in the adrenal venous circulation, which supports the parenchymal lesion. The right adrenal gland is more frequently injured than the left gland: it can be easily compressed between the liver, spine and kidney, and its venous drainage flows directly into the inferior vena cava.- - - - - - - - - - ranking = 0.14285714285714keywords = haematoma (Clic here for more details about this article) |
10/16. Massive intramural duodenal haematoma following blunt abdominal trauma. Case report.We report a case of a massive intramural duodenal haematoma following blunt abdominal trauma. The value of computed tomography and other imaging modalities is discussed.- - - - - - - - - - ranking = 0.71428571428571keywords = haematoma (Clic here for more details about this article) |
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