Pyogenic vertebral osteomyelitis is a rare condition usually associated with endocarditis or spinal surgery. However, it may also occur following abdominal penetrating trauma with associated gastrointestinal perforation. Diagnosis might be challenging and appropriate treatment is essential to ensure a positive outcome. In trans-abdominal trauma, 48 hours of broad-spectrum antibiotics is general...

Penetrating abdominal injuries have been traditionally managed by routine laparotomy. New understanding of trajectories, potential for organ injury, and correlation with advanced radiographic imaging has allowed a shift towards non-operative management of appropriate cases. Although a selective approach has been established for stab wounds, the management of abdominal gunshot wounds remains a m...

The incidence of injury to the urologic system after trauma is about 10%. Blunt trauma followed by traffic accidents and during sports comprise 90% of the etiologies. In addition, the rate of penetrating injuries is increasing, especially in urban areas. The kidney is the most common urologic organ to be injured, followed by urinary bladder and the urethra. Isolated urologic trauma is rare; the...

BACKGROUND Historically, military surgical doctrine has mandated exploratory laparotomy for all penetrating fragmentation wounds. We hypothesized that stable patients with abdominal fragmentation injuries whose computerized tomography (CT) scans for intraperitoneal or retroperitoneal penetration disclosed nothing abnormal, can be safely observed without therapeutic laparotomy. METHODS We retr...

Received May 2007 Accepted August 2007 INTRODUCTION Pseudoaneurysms of the renal artery occur most commonly after a penetrating trauma or as a complication of some renal interventional procedures such as kidney biopsy, percutaneous nephrostomy, and open or endoscopic surgeries on the kidney; however, their occurrence after blunt abdominal trauma is rare.(1) The average interval between injury a...

conceptually traumatic brain injury (tbi) can be classified from a mechanistic perspective as: 1) closed, 2) penetrating, 3) blast, and 4) crush injuries. thus, tbi is a heterogeneous disease and each type of brain injury has different characteristic features often necessitating different approaches to management. the first edition of the guidelines for management and prognosis of penetrating b...

BACKGROUND The management of abdominal trauma (particularly blunt trauma) has undergone tremendous revolution in the last 30 years with significant reduction in morbidity and mortality in developed countries. The aim of this report is to highlight the challenges of managing abdominal trauma in children in Nigeria based on our experience in Zaria, northern Nigeria. METHOD This is a retrospecti...

Background: The appropriate treatment for patients with blunt abdominal trauma depends on the precise diagnosis of presence and severity intra-abdominal injuries. Laparotomy, however, has remained management choice in certain situations following such as who have free intraperitoneal fluid uncertain origin, signs indicating intestinal ischemia caused by mesenteric bleeding, hollow viscus perfor...

Massive upper gastrointestinal bleeding is a known complication of advanced sepsis in trauma patients and carries a grave prognosis. However, to our knowledge, an important cause of massive gastrointestinal bleeding, arterio-visceral fistula, has not been discussed in the literature. The most common cause of this unique clinical entity is penetrating high velocity abdominal injuries, altho...