1/835. Spontaneous isolated lesser sac hematoma in a patient with hemophilia.In patients with hemophilia, hematomas in the mesentery and bowel wall have been described uncommonly. The lesser sac is a rare site of spontaneous hemorrhage even in patients with bleeding diathesis; only a single case of isolated lesser sac hemorrhage has been reported in a hemophiliac patient. We report a similar case with no history of trauma. He recovered with administration of factor viii concentrate.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
2/835. An infantile intraosseous hematoma of the skull. Report of a case and review of the literature.An infantile intraosseous hematoma of the right parietal bone is presented. This lesion appeared after birth trauma and persisted without any enlargement. It was diagnosed on the 25th day of life and the baby boy was operated on 2 weeks later. The clinical, radiological, surgical and pathological characteristics of this lesion are discussed.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
3/835. The sternomastoid "tumor" of infancy.The sternomastoid "tumor" of infancy is a firm, fibrous mass, appearing at two to three weeks of age. It may or may not be associated with torticollis. Generally, the "tumor" initially grows, then stabilizes, and in about half the cases recedes spontaneously after a few months. It may leave a residual torticollis or may be associated with a facial or cranial asymmetry of a delayed torticollis. The etiology is unknown, a direct cause and effect relationship to birth trauma has been largely disproved although approximately half these children are products of breech deliveries. The treatment is controversial. Approximately half of these "tumors" will resolve spontaneously without sequelae. Progressive torticollis or development of facial asymmetry are considered indications for surgery. The purpose of this report is to acquaint the head and neck surgeon with this entity which may confront him for diagnosis and treatment.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
4/835. Spontaneous cervical hematoma: a report of two cases.Cervical hematomas are generally associated with trauma, surgery, and tumors. Although they are rare, they can be life-threatening because they put the patient at risk for great-vessel compression and upper airway obstruction. We describe two cases of spontaneous cervical hematoma--one in an 81-year-old man and the other in a 30-year-old woman. The man reported dysphonia, dysphagia, and neck swelling of 5 hours' duration. He had been taking 100 mg/day of aspirin for a cardiovascular condition. Examination revealed that the man had polycythemia vera. The woman was found to have neck ache, odynophagia, and cervical ecchymosis; portal hypertension, schistosomiasis, and blood dyscrasia were also found. Both patients denied trauma. A suspected diagnosis of cervical hematoma was confirmed by computed tomography, and treatment was instituted. The hematomas resolved in about 2 weeks. The treatment of cervical hematoma is controversial, although it is agreed that the evaluation of upper airway obstruction and its permeability is mandatory. Surgical treatment is generally reserved for complicated cases because of the risk of infection or bleeding.- - - - - - - - - - ranking = 2keywords = trauma (Clic here for more details about this article) |
5/835. intussusception following a baby walker injury.Serious abdominal injury as a result of a fall in a baby walker has not been previously reported. We present the case of a 13-month-old boy who developed intussusception following a fall down five stairs in a baby walker. Attempted hydrostatic reduction was unsuccessful. At operation, a bowel wall hematoma, serving as a lead point, was identified. This case adds another type of injury to the list of those previously associated with baby walker use.- - - - - - - - - - ranking = 29.740187256978keywords = injury (Clic here for more details about this article) |
6/835. The diagnosis of subcapsular hematoma of the liver by scintigraphy.The diagnosis of subcapsular hematoma of the liver following blunt abdominal trauma has assumed clinical importance with recent reports of improved mortality with conservative management. There is increasing use of hepatic scintigraphy in evaluation of upper abdominal trauma. Two recently observed cases are used to illustrate the typical findings in this entity.- - - - - - - - - - ranking = 2keywords = trauma (Clic here for more details about this article) |
7/835. Growing skull fracture of the orbital roof. Case report.Growing skull fractures are rare complications of head trauma and very rarely arise in the skull base. The clinical and radiological finding and treatment of a growing fracture of the orbital roof in a 5-year-old boy are reported, and the relevant literature is reviewed. The clinical picture was eyelid swelling. Computed tomography (CT) scan was excellent for demonstrating the bony defect in the orbital roof. Frontobasal brain injury seems to play an important role in the pathogenesis of the fracture growth. Growing skull fracture of the orbital roof should be considered in the differential diagnosis in cases of persistent ocular symptoms. craniotomy with excision of gliotic brain and granulation tissue, dural repair and cranioplasty is the treatment of choice.- - - - - - - - - - ranking = 8.3851672676994keywords = injury, brain, trauma (Clic here for more details about this article) |
8/835. Laparoscopic drainage of an intramural duodenal hematoma.A 21-year-old man was admitted with vomiting and abdominal pain 3 days after sustaining blunt abdominal trauma by being tackled in a game of American football. A diagnosis of intramural hematoma of the duodenum was made using computed tomography and upper gastrointestinal tract contrast radiography. The hematoma caused obstructive jaundice by compressing the common bile duct. The contents of the hematoma were laparoscopically drained. A small perforation was then found in the duodenal wall. The patient underwent laparotomy and repair of the injury. Laparoscopic surgery can be used as definitive therapy in this type of abdominal trauma.- - - - - - - - - - ranking = 6.956697876163keywords = injury, trauma (Clic here for more details about this article) |
9/835. infection of a traumatic pelvic hematoma with mycoplasma hominis.fever developed in a previously healthy young man who had sustained extensive pelvic trauma. mycoplasma hominis was isolated in pure culture from six of seven specimens taken from a retroperitoneal hematoma over a one-week period, and mycoplasmacidal antibodies were present in high titer in the convalescent-phase serum. The fever abated after thorough surgical drainage of the infected hematoma.- - - - - - - - - - ranking = 5keywords = trauma (Clic here for more details about this article) |
10/835. femoral neuropathy during anticoagulant therapy.Ten cases of acute femoral neuropathy complicating anticoagulant therapy were followed over periods of 1 to 5 years. Most patients had either sensory or motor residual symptoms, but the two patients who had early surgical intervention made rapid recoveries. The danger of parenteral injections or minor trauma to the abdomen, buttocks, or thighs in patients receiving anticoagulant therapy is emphasized.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
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