1/6. Pulmonary tractotomy for a patient with traumatic penetrating lung injury: report of a case.We report a case of traumatic hemopneumothorax caused by penetrating lung injury in a 26-year-old man. The patient underwent emergency thoractomy, which revealed hemorrhage in the lingular segment of the left lung. We found the bleeding point and controlled the hemorrhage using pulmonary tractotomy by inserting a linear stapler into the stab wound in the pulmonary parenchyma. The original technique of pulmonary tractotomy was performed for complete through-and-through injury by dividing the bridge of lung tissue between the aortic clamps. We were able to apply this procedure safely to stop bleeding from a stab wound that did not go through the lung. Thus, pulmonary tractotomy is an effective damage-control operation for the lung with obvious advantages over major lung resection.- - - - - - - - - - ranking = 1keywords = lung injury, injury (Clic here for more details about this article) |
2/6. Unusual intracranial foreign bodies. Report of five cases.Five patients surgically treated for unusual intracranial foreign bodies are presented. They include representative cases of the three most commonly encountered types of these injuries: industrial accidents, suicidal attempts and the result of criminal assault. Immediate radiological examination is mandatory because the deceptively small entrance wound is usually in no way commensurate with the large size of the foreign body the presence of which is frequently not suspected. The surgical removal of these foreign bodies requires careful pre-operative assessment to avoid hemorrhages and undue injury to the surrounding normal brain tissue.- - - - - - - - - - ranking = 0.00074129441081192keywords = injury (Clic here for more details about this article) |
3/6. Delayed pneumoperitoneum following traumatic haemopneumothorax. A case report.An unusual case of delayed pneumoperitoneum following a penetrating wound of the chest is presented. The mechanism of pneumoperitoneum, the diagnostic dilemma of injury to the abdomen in penetrating wounds of the lower chest, and the alternative methods used in achieving early diagnosis of diaphragmatic penetration are discussed.- - - - - - - - - - ranking = 0.00074129441081192keywords = injury (Clic here for more details about this article) |
4/6. Multiple cardiac lesions from blunt trauma.Blunt chest trauma may produce a variety of cardiac lesions, which may occur alone or in combination. A case with a ventricular septal defect, left ventricular aneurysm, and coronary arteriovenous fistula with an associated rupture of the thoracic aorta following blunt trauma is presented in order to demonstrate that multiple, life-threatening cardaic lesions may be managed successfully. Surgical repair 32 days postinjury with Teflon patch plus ligation of the fistula were followed by recovery in the patient presented.- - - - - - - - - - ranking = 0.00074129441081192keywords = injury (Clic here for more details about this article) |
5/6. Internal mammary artery injury, anterior mediastinal hematoma, and cardiac compromise after blunt chest trauma.A rare case of blunt chest trauma resulting in internal mammary artery hemorrhage and cardiac tamponade is presented. thoracotomy revealed anterior mediastinal hemorrhage but no pericardial hematoma. The significance of chest wall vessel hemorrhage as a cause of widened mediastinum is reiterated. The importance of accurate angiographic assessment and vigilant care of victims of blunt chest trauma who present with a widened mediastinum is emphasized.- - - - - - - - - - ranking = 0.0029651776432477keywords = injury (Clic here for more details about this article) |
6/6. rupture of the right diaphragm following blunt trauma in an infant: case report.Traumatic diaphragmatic rupture is a rare childhood injury and is often difficult to diagnose. This is particularly true in infants. We present the case of a 3-month-old infant with traumatic rupture of the right diaphragm that became clinically apparent only after extubation. The diagnosis can often be made on the basis of chest radiography and clinical signs. Surgical treatment is required. Some phrenic nerve injuries can be anticipated and late sequelae may result.- - - - - - - - - - ranking = 0.00074129441081192keywords = injury (Clic here for more details about this article) |