Preventable laparotomy in patients with abdominal trauma who present with haemoperitoneum but with stable hemodynamics may be avoided if a diagnostic or therapeutic laparoscopy is performed. The assessment of a patient with abdominal trauma can be complicated by many factors, and the resultant inaccurate or delay in diagnosis has contributed to the unacceptable high mortality and morbidity for ...

OBJECTIVE To identify non-invasive tools for diagnosis of the major potentially life-threatening gynaecological emergencies (G-PLEs) reported in previous studies, and to assess their diagnostic accuracy. METHODS MEDLINE; EMBASE; Cochrane Central Register of Controlled Trials (CENTRAL; The Cochrane Library) were searched to identify all eligible studies published in English or French between J...

Contrast enhanced ultrasound (CEUS) is now established and widely used in many clinical settings outside the licensed areas of hepatic, breast, cardiac and vascular applications. The use of CEUS in acute blunt abdominal trauma has been shown to be rapid, safe, cost-effective, diagnostically accurate and, although lacking the global imaging capabilities of computed tomography (CT), CEUS has no r...

BACKGROUND This study aimed to analyse predictive factors and outcomes of failure of non-operative management (NOM) following blunt splenic trauma. METHODS A systematic review of the literature was performed for studies comparing failed NOM (fNOM) to successful NOM (sNOM) in adults (≥ 16 years). The main endpoints were fNOM and associated mortality. Between-study heterogeneity was assessed. M...

Patients with abdominal aortic aneurysm (AAA) frequently have other abdominal pathologies of surgical interest (other diseases, OD). Out of 1,375 elective open aortic replacements for AAA, 315 cases with OD were subdivided in Group 1 (82 patients with "clean wound" OD) and Group 2 (233 patients with "clean-contaminated wound" OD). The results of the sub-groups in which OD was treated at the sam...

OBJECTIVES The aim of the present study was to assess whether angiography after contrast-enhanced CT (CECT) as per the policy of non-operative management would add to the risk of acute kidney injury in patients with blunt splenic injuries (BSIs). DESIGN Cross-sectional study. SETTING Taiwan. PARTICIPANTS Patients with BSI aged >16 years, admitted to a level I trauma centre during the peri...

Ultrasound (US) has been used for in-hospital evaluation of the trauma victim for many years. The outcome in severely injured patients remains heavily influenced by initial life support and early care, as time plays a major role. Development of handheld, battery-powered, low-weight US machines has created the possibility of bringing US to the prehospital setting, thus gaining a potential for ea...

BACKGROUND Sclerosing peritonitis (SP) is a rare but serious complication of peritoneal dialysis (PD). Small-bowel obstruction (SBO) due to encapsulation, dense adhesions, or mural fibrous is characteristic, often associated with peritonitis. The aim of the study was to determine the incidence, clinical features, effect of duration of dialysis, and other possible aetiological factors in severe ...

Introduction: Gestational choriocarcinoma can present with widespread haemorrhagic metastatic disease that may bleed heavily. We present a case of choriocarcinoma with life threatening bleeding from a splenic metastasis which was successfully managed with splenic artery embolization. Case presentation: A 28 year old female presented 9 weeks after the term delivery of a healthy baby with severe ...

To cite: Vinograd AM, Camara AF, Konneh SA, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016214372 DESCRIPTION An 8-year-old boy presented with abdominal distension 1 week after a wall collapsed on him. Immediately after the injury, he developed abdominal distension. He was treated at an outside hospital and observed overnight. No imaging was available ...