Enterocutaneous fistula following mesh repair of incisional hernia is usually due to mesh erosion of the underlying viscus and presents late. We describe an early enterocutaneous fistula due to an unusual but a potential mode of bowel injury during mesh fixation. This case is reported to emphasize the need for greater attention to the technique of mesh fixation. We suggest laparoscopic guidance...

In the horizontal-vertical illusion (HVI), the length of the vertical line is overestimated, whereas in the bisection illusion (BI), the horizontal bisecting line is expected to be overestimated. Here, only half of our 22 observers showed the expected BI, whereas the other half underestimated the bisecting line. Observers also differed in their judgments of the strength of the HVI: The HVI was ...

Purpose To analyze the intra-urban differentials related to the outcome of the Newborn Hearing Screening (NHS) of children living in Belo Horizonte tested in a reference service using the Health Vulnerability Index (HVI). Methods cross-sectional study with children living in Belo Horizonte evaluated by a Newborn Hearing Screening Reference Service (NHSRS) between 2010 and 2011. The HVI of the...

Figure 1 – Chest X-ray shows pneumoperitoneum in the right and left subdiaphragmatic region. Figure 2 – Chest X-ray shows pneumoperitoneum in the right and left subdiaphragmatic region. INTRODUCTION Pneumoperitoneum is caused by perforation of hollow viscera, with perforated peptic ulcer occurring more frequently. In rare cases, pneumoperitoneum is not caused by visceral perforation, the cause ...

The management of blunt abdominal trauma has evolved over time. While laparotomy is the standard of care in hemodynamically unstable patients, stable patients are usually treated by non-operative management (NOM), incorporating adjuncts such as interventional radiology. However, although NOM has shown good results in solid organ injuries, other lesions, namely those involving the hollow viscus,...

Missed hollow viscus injuries increase the mortality rate in trauma patients specifically in polytraumatized patients. A 18 years old young male patient suffered a high velocity (ca.50 km/h, 31mi/h) car crash with deployment of the airbags. The hemodynamically stable patient did not suffer any intracranial injuries but complained about severe pain in the lower abdomen. The primary survey was mi...

We report a rare case of traumatic abdominal wall hernia (TAWH) caused by a traffic accident. A 47-year-old woman presented to the emergency room soon after a traffic accident. She complained of diffuse, dull abdominal pain and mild nausea. She had no history of prior abdominal surgery or hernia. We found a bulging mass on her right abdomen. Plain abdominal films demonstrated a protrusion of ho...

Can J Surg, Vol. 50, No. 4, August 2007 301 H hydatid cysts (HCs), especially those that are superficial and those in vital anatomic locations, are prone to abdominal trauma and rupture. Surgery has been the mainstay of therapy for large HCs. We report on a patient with a 32-cm diameter HC who presented with an abdominal mass originating from the right lobe of the liver. The mass grew exophytic...