OBJECTIVE The management of patients with penetrating neck injuries in the prehospital setting and in the emergency department has evolved with regard to the necessity for spinal immobilisation and the use of multidetector computed tomographic (MDCT) imaging. Questions also arise as to choices of securing a threatened or compromised airway. A structured review of the medical literature was cond...

A neonate sustaining iatrogenic rectal injury that led to acquired rectal atresia is reported. It was successfully treated by transanal, end-to-end, rectorectal anastomosis.

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...

Gunshot wound injuries to the face result in a varied scope of traumatic injuries. Mandible fractures may occur through this mechanism of injury, however when caused by firearms, the patterns of fracture and overall composite defects resulting are unique. The velocity of the weapon and the distance from which the injury occurred often determines the extent of injury produced from the penetratin...

Popliteal artery injuries are frequently seen with fractures, dislocations, or penetrating injuries. Concern about arterial injury and early recognition of the possibility of arterial injury is crucial for the salvage of the extremity. This article provides an outline of the diagnostic challenges related to these rare vascular injuries and emphasizes the necessity for a high level of suspicion,...

An 18-year-old male suffered a penetrating skull base injury caused by a metal rod. We made translucent three-dimensional (3D) computed tomography (CT) for clearing the injury site. This method has revealed that right carotid artery was compressed directly by the foreign body, and internal carotid artery trapping was carried out based on hemodynamics as revealed by angiography. This patient ach...

The evaluation and management of hemodynamically stable patients with penetrating neck injury has evolved considerably over the previous four decades. Algorithms developed in the 1970s focused on anatomic neck "zones" to distinguish triage pathways resulting from the operative constraints associated with very high or very low penetrations. During that era, mandatory endoscopy and angiography f...