Cases reported "Contusions"

Filter by keywords:



Filtering documents. Please wait...

1/20. Posterior chamber intraocular lens dislocation with the bag.

    We report a rare case of a 46-year-old man presenting with a luxation of a posterior chamber intraocular lens (IOL) with the capsular bag after ocular contusion. Preoperative axial length was 36.58 mm. After trauma, pars plana extraction of the dislocated IOL inside the capsular bag was performed using a forceps. Capsular fibrosis had probably weakened the zonules, which were ruptured by the trauma. This observation confirms the necessity of a large continuous curvilinear capsulotomy and meticulous cleaning of the anterior and posterior capsules to minimize postsurgical fibrosis and capsule contraction.
- - - - - - - - - -
ranking = 1
keywords = operative
(Clic here for more details about this article)

2/20. Inguinoscrotal bruising: a sign of neonatal adrenal hemorrhage.

    A 5-day-old baby presented with right inguinoscrotal bruising. The underlying testis and cord were normal on examination. Intra-abdominal bleeding was suspected. Abdominal ultrasound showed right adrenal hemorrhage. This was managed nonoperatively and with supportive therapy; the inguinoscrotal bruising resolved spontaneously.
- - - - - - - - - -
ranking = 1
keywords = operative
(Clic here for more details about this article)

3/20. Cardiac and great vessel injuries in children after blunt trauma: an institutional review.

    PURPOSE: The purpose of this study was to review the incidence of cardiac and great vessel injury after blunt trauma in children. METHOD: A retrospective review of 2,744 patients with injuries from blunt mechanisms was performed. RESULTS: Eleven patients sustained cardiac injury. Four patients had clinically evident cardiac contusions. All recovered. Four patients who died from central nervous system injury were found to have cardiac contusions at autopsy. None had clinical evidence of contusion before demise. One patient had a traumatic ventricular septal defect (VSD) that required operative repair. autopsy findings showed a VSD in another patient, and a third patient was found to have a ventricular septal aneurysm that was treated medically. Two patients had great vessel injuries. One patient had a contained disruption of the superior vena cava that was managed nonoperatively. Another patient had a midthoracic periaortic hematoma without intimal disruption found at autopsy. One patient had cardiac and great vessel injuries. Discrete aneurysms of 2 coronary artery branches and the pulmonary outflow tract were identified by cardiac catheterization. This patient was treated nonoperatively. CONCLUSIONS: Cardiac and great vessel injury after blunt trauma are uncommon in children. Cardiac contusion was the most common injury encountered but had minimal clinical significance. Noncontusion cardiac injury is rare. No patient with aortic transection was identified.
- - - - - - - - - -
ranking = 3
keywords = operative
(Clic here for more details about this article)

4/20. Traumatic rupture of corpus cavernosum.

    Traumatic rupture of corpora cavernosa is an uncommon injury. We report a case of fractured penis in a 60 year old which was managed by immediate exploration and operative repair. Post operative recovery was uneventful with full return of erectile function.
- - - - - - - - - -
ranking = 2
keywords = operative
(Clic here for more details about this article)

5/20. Pathologic infrapatellar plica.

    The fenestra type of infrapatellar plica was noted arthroscopically in a 57-year-old patient with flexion contracture of the knee. It was found to be thickened and fibrotic and to have lost its normal elasticity. The pathologic plica was impinged at the intercondylar notch and trochlea, blocking further extension beyond 25 degrees of knee flexion. After excising the plica, the knee gained a further extension of 17 degrees; however, full extension could not be obtained. The knee gained full extension after notchplasty on the roof at 2 months postoperatively. This is the first report of a pathological infrapatellar plica in an older patient.
- - - - - - - - - -
ranking = 1
keywords = operative
(Clic here for more details about this article)

6/20. Delayed presentation of acute compartment syndrome after contusion of the thigh.

    Acute compartment syndrome has been described as a result of thigh contusion in several contact sports, and emergent fasciotomy has routinely been recommended. However, recent data suggest that thigh contusions in athletes presenting with isolated elevation of compartment pressures in the absence of neurovascular deficits may be treated expectantly. We describe a case of anterior thigh contusion, which initially presented with isolated compartmental hypertension without neurovascular symptoms. Under nonoperative treatment the patient developed delayed acute compartment syndrome from persistent muscular hemorrhage ten days after the initial trauma, requiring operative treatment. This case demonstrates that expanding hematoma formation may result in delayed increase of intramuscular pressures and compromise of myoneural perfusion in patients with severe thigh contusions. Early evacuation of the hematoma may help to prevent late development of compartment syndrome and reduce the risk for long-term complications.
- - - - - - - - - -
ranking = 2
keywords = operative
(Clic here for more details about this article)

7/20. Unknown AV-fistula as reason for post-traumatic hematoma of the thigh.

    A case is reported of a 28-year-old patient with gradually developing massive swelling of the right thigh after sustaining a blunt trauma. 3 1/2 months after the injury, surgery was performed because of a persisting tumor at the thigh. Intraoperatively, massive bleeding occurred, the bleeding vessel was sutured. Postoperative angiography disclosed arteriovenous (av) fistulae from the internal iliacal artery to a gluteal vein as source for the bleeding. The feeding artery was closed by coiling, the patient recovered completely. To the authors' knowledge, development of an av-fistula following blunt trauma has not been described previously. Similarly, the differential diagnosis of a posttraumatic bleeding of a congenital av-malformation was not yet reported. The authors emphasize, that prior to the surgery of inadequately behaving hematomas, an angiography should be performed.
- - - - - - - - - -
ranking = 2
keywords = operative
(Clic here for more details about this article)

8/20. An unusual complication of open aortic surgery: hemorrhage due to the iatrogenic rupture of a renal cyst.

    The authors describe a clinical case of a retroperitoneal hemorrhage due to rupture of a voluminous renal cyst during a conventional open aortic surgery. Intraoperative trauma is to be considered the cause of bleeding. In most cases the clinical evolution of the patient is benign and conservative treatment is sufficient. Considering the incidence of renal cysts in patients ungergoing conventional aortic surgery, we want to emphasize this possible complication, that has only rarely been dealt with in the literature. We recommend evaluation of such patients in view of preoperative drainage of large cyst including injection of sclerosing agents.
- - - - - - - - - -
ranking = 2
keywords = operative
(Clic here for more details about this article)

9/20. Comprehensive multidetector computed tomography assessment of severe cardiac contusion in a pediatric patient: correlation with echocardiography.

    multidetector computed tomography (MDCT) cardiac findings in an unconscious teenager after blunt chest trauma are presented. multidetector computed tomography enabled accurate comprehensive evaluation of the coronary arteries, myocardial perfusion, and left ventricular function. This case illustrates the full capabilities of MDCT in the evaluation of cardiac contusion in a noncooperative pediatric patient.
- - - - - - - - - -
ranking = 1
keywords = operative
(Clic here for more details about this article)

10/20. Myocardial contusion without creatine kinase--MB elevation.

    Myocardial contusion after chest trauma remains one of the major complexities of trauma care today. Diagnostic methods such as 12-lead electrocardiography and echocardiography, as well as activity of the biochemical marker creatine kinase and the MB subfraction, have not been shown to be sensitive or specific indicators. We report a case of an intraoperatively proved myocardial contusion without creatinine kinase or creatine kinase MB elevation.
- - - - - - - - - -
ranking = 1
keywords = operative
(Clic here for more details about this article)
| Next ->


Leave a message about 'Contusions'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.