BACKGROUND We present a series of patients with blunt abdominal trauma who underwent damage control laparotomy (DCL) and introduce a nomogram that we created to predict survival among these patients. METHODS This was a retrospective study. From January 2002 to June 2012, 91 patients underwent DCL for hemorrhagic shock. We excluded patients with the following characteristics: a penetrating abd...

The case is a 2-year-old previously healthy girl with coincidental penetrating eye and brain injury. A metal rod was inserted into the skull through the upper border of the right globe. After admission and diagnostic and surgical approaches, the rod was removed under general anesthesia, and no brain hematoma or ocular and significant periocular injuries were detected. No neurologic and ophthalm...

A young lady presented to the hospital following a penetrating abdominal trauma. She was haemodynamically stable during the initial assessment. Despite fruitless finding from blood test, plain radiograph and computed tomographic scanning, a bowel contusion was found during an explorative laparoscopy. Here, we highlight the need for laparoscopy as a diagnostic and therapeutic tool in haemodynami...

The incidence of birth injuries has decreased considerably because of the identification of risk factors at an earlier stage and taking the decision for caesarian section (LSCS) at proper time. Fractures, nerve palsies and central nervous system injuries comprise the majority of "birth injuries." In this study, we report a newborn that had a birth injury during LSCS. The baby sustained a penetr...

post-traumatic epileptic seizure is a common complication of brain trauma including military injuries. we present clinical characteristics and correlates of post-traumatic epilepsy in 163 head-injured veterans suffering from intractable epilepsy due to blunt or penetrating head injuries sustained during the iraq-iran war. the medical records of 163 war veterans who were admitted by the epilepsy...

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, although b...

BACKGROUND AND OBJECTIVE General surgeons are required in only a minority of trauma call cases to assess for abdominal injuries. Computed tomography (CT) accurately detects blunt abdominal injuries and may have replaced the need for general surgeons at trauma calls. This study evaluated the role of general surgeons at trauma calls and assessed use of CT in cases of suspected abdominal trauma. ...

INTRODUCTION Previous work suggests that patients with isolated penetrating trauma rarely require spinal immobilisation. This study aimed to identify the incidence of mechanically unstable, or potentially mechanically unstable, spinal column injuries in penetrating trauma patients. The study also aimed to identify the incidence of spinal cord injury as a result of penetrating trauma in Scotland...