rarer. Retained artery forceps remain inert and induce their effects through mechanical means giving rise to pressure effects resulting in abdominal pain or direct tissue/viscous injury leading to tissue strangulation or perforation of viscous leading to for example peritonitis or vascular injury resulting in hemorrhage [1]. The clinical presentation of retained intra-abdominal foreign material...

Introduction. Management of haemodynamically stable patients with penetrating abdominal injuries varies from nonoperative to operative management. The aim was to investigate whether peritoneal breach when used as an indication for exploratory laparotomy appropriately identified patients with intra-abdominal visceral injury. Methods. We conducted retrospective cohort study of all patients presen...

conclusions vacuum-assisted abdominal closure is a good technique for temporary abdominal closure. in patients who are unable to achieve fascial closure, skin closure alone is safe. results after 157 trauma laparotomies, 35 (22%) were open abdomen cases with an average injury severity score was 35. ninety-four percent of open abdomens occurred after damage-control surgery. temporary vacuum-assi...

INTRODUCTION Intra-abdominal hypertension (IAH) causes atelectasis, reduces lung volumes and increases respiratory system elastance. Positive end-expiratory pressure (PEEP) in the setting of IAH and healthy lungs improves lung volumes but not oxygenation. However, critically ill patients with IAH often suffer from acute lung injury (ALI). This study, therefore, examined the respiratory and card...

background A thorough history and physical examination in patients with blunt abdominal trauma (BAT) is important to safely exclude clinically significant intra-abdominal injury (IAI). We seek to evaluate a correlation between self-reported abdominal pain, abdominal tenderness on examination and IAI discovered on CT or during exploratory laparotomy. Methods This retrospective analysis assessed ...

In order to evaluate the effect of standardized management on spinal cord injury patients with neurogenic bowel dysfunction, 50 cases of spinal cord injury patients from January 2011 to December 2013 were treated with neurogenic bowel intestinal standardized management. The effect was compared to that with routine nursing of 32 spinal cord injury patients from January 2009 to December 2010. Dat...

We report a case of successful treatment patient with multiple stab and cut wounds chest abdomen which resulted in the injuries venous coronary sinus abdominal organs. Surgical wound revision antishock unit, priorities surgical accesses (thoracotomy laparotomy) allowed timely cure injury. A key feature our is trauma. Coronary suturing closed heart surgery technically difficult. It has potential...

OBJECTIVE To use receiver operator characteristic curve methodology to determine the test characteristics of microscopic hematuria for identifying urologic injuries in children who underwent computed tomography (CT) of the abdomen and pelvis as part of a trauma evaluation. METHODS We performed a retrospective medical record review of all children from 0 to 12 years of age who presented to our...

To cite: Parizh D, Meytes V, Kopatsis A. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016217646 DESCRIPTION A man aged 38 years who underwent assault, presented with a stab wound to the anterior abdomen, LLQ (figure 1A). He was haemodynamically stable, no peritoneal signs on abdominal examination, FAST and local wound explorations were inconclusive. CT scan of...

OBJECTIVE To determine the pattern, presentation and outcome of gastrointestinal injuries from blunt abdominal trauma in children. DESIGN A retrospective study. SETTING Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. SUBJECTS Twenty one children managed for gastrointestinal injuries from blunt trauma from 1984-2002. MAIN OUTCOME MEASURES The pattern, presentation, management ...