Hydrodynamic rupture of liver in combat patient: a case of successful application of “damage control” tactic in area of the hybrid war in East Ukraine
نویسندگان
چکیده
BACKGROUND The hybrid war of Russia against Ukraine has been started in certain districts of Donetsk and Luhansk oblasts within the Donbas area in 2014. CASE PRESENTATION We report a clinical case of a combat patient who was injured after the multiple launcher rocket system "Grad" shelling, diagnosed with hydrodynamic liver rupture followed by medical management with application of damage control (DC) tactic in conditions of hybrid war. The patient underwent relaparatomy, liver resection, endoscopic papillosphincterotomy, endoscopic retrograde cholecystopancreatography, stenting of the common bile duct, and VAC-therapy. Applied treatment modalities were effective; the patient was discharged on the 49th day after injury. CONCLUSIONS To our best knowledge, this is the first report describing a successful application of DC tactic in the hybrid war in East Ukraine. From this case, we suggest that application of DC tactic at all levels of combat medical care could save more lives.
منابع مشابه
Cryptogenic hepatitis simulating cyst rupture and hydatid jaundice in a patient with preexisting asymptomatic hydatid cyst
Background: Rupture into the biliary ducts is the most frequent complication of hydatid liver disease. In endemic areas of Echinococcus granulosus, development of jaundice in a patient with liver cyst is initially suspected to have hydatid cyst. Case Presentation: A 48 year-old woman with history of asymptomatic hydatid liver cysts was admitted to the emergency department with right upper qu...
متن کاملMilitary Expenditures and World Economic Growth under Hybrid Warfare Conditions
The article examines the impact of the dynamics of military expenditures, public debt, arms exports on the economic growth of the six countries (US, China, Russia, Israel, Ukraine, Moldova). The paper empirically tested the hypothesis of the possibility of further maintaining the positive macroeconomic effects in the process of confronting and persistent ‘hybrid’ military conflicts in either ‘h...
متن کاملINGUINAL HYDATID CYST: REPORT OF A RARE CASE
Hydatid cyst, the larval stage of Echinococcus spp., is a common parasitic disease in Iran. The liver and the lungs are the most commonly involved organs. Hydatid cysts have also been reported in bones and soft tissues such as muscle, brain tissue, spleen, thyroid and even in the heart. Hydatid cyst of the inguinal area, resembling a hernia is a rarity presenting at an unusual site. A hyper...
متن کاملپارگی خودبهخودی کبد در بارداری بهدنبال سندرم HELLP : گزارش موردی
Background: Spontaneous hepatic rupture is a rare condition during pregnancy. Pregnant women with Hemolysis, Elevated Liver enzymes and Low Platelete count (HELLP) syndrome are more susceptible to hepatic rupture. It can occur per 40000 to 250000 pregnancies with high mortality and morbidity. There is no agreement on the best approach to this severe pregnancy complication. This is the case repo...
متن کاملCRFA-CRBM: a hybrid technique for anomaly recognition in regional geochemical exploration; case study: Dehsalm area, east of Iran
Identification of geochemical anomalies is a significant step during regional geochemical exploration. In this matter, new techniques have been developed based on deep learning networks. These simple-structure-networks act like our brains on processing the data by simulating deep layers of thinking. In this paper, a hybrid compositional-deep learning technique was applied to identify the anomal...
متن کامل