1/27. Isolated mesenteric injury due to blunt abdominal trauma.Isolated injuries of the small bowel mesentery or mesocolon with subsequent bowel infarction due to blunt abdominal trauma are rare. Two cases are described: 1 involving the mesentery to the terminal ileum and 1 involving the transverse mesocolon and middle colic artery, both with bowel infarction. The modes of clinical presentation and management of patients with injuries to the mesentery, mesocolon and mesenteric vessels following blunt trauma are described.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/27. Mesenteric vein thrombosis triggered by blunt abdominal trauma in a patient with the primary antiphospholipid syndrome.The antiphospholipid syndrome is defined by the presence of autoimmune antiphospholipid antibodies in serum together with venous, arterial or small-vessel thrombosis and/or morbidity with pregnancy. Superior mesenteric vein thrombosis represents a rare complication associated with this syndrome; triggering events such as surgical procedures, drug administration and anticoagulation withdrawal have been reported. We describe a case of superior mesenteric vein thrombosis triggered by blunt abdominal trauma in a 47-year-old man with the primary antiphospholipid syndrome. It confirms a previous report describing a patient suffering from the catastrophic antiphospholipid syndrome after a fall. This provides evidence, previously unreported, for the possible role of trauma as a precipitating factor leading to thrombosis, even in cases of 'simple' antiphospholipid syndromes. Our patient required extensive small-bowel resection but could be discharged after complete recovery.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
3/27. Hepatic portal venous gas caused by blunt abdominal trauma: is it a true ominous sign of bowel necrosis? Report of a case.A case of transient portal venous gas in the liver following blunt abdominal trauma is described. Computed tomography (CT) demonstrated hepatic portal venous gas 4 h after the injury. An exploratory laparotomy revealed segmental necrosis of the small intestine with a rupture of the bladder. Pneumatosis intestinalis was evident on the resected bowel. A histopathologic study revealed congestion and bleeding in the bowel wall and a great deal of the mucosa had been lost because of necrosis. However, neither thrombus nor atherosclerotic changes were observed in the vessels. A bacteriological examination demonstrated anaerobic bacteria from the bowel mucosa, which was most likely to produce portal venous gas. Although the present case was associated with bowel necrosis, a review of literature demonstrated that portal venous gas does not necessarily indicate bowel necrosis in trauma patients. There is another possibility that the portal venous gas was caused by a sudden increase in the intra-abdominal pressure with concomitant mucosal disruption, which thus forced intraluminal gas into the portal circulation in the blunt trauma patients.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
4/27. Blunt injury to the external iliac artery: a case report.Blunt vascular trauma is rare as compared with penetrating vascular trauma. The incidence of iliac artery injury has been reported as low as 0.4 per cent of total arterial trauma. iliac artery injury in blunt trauma is rare because of its anatomic location and protection by the pelvis. This article presents a case of external iliac artery injury secondary to blunt trauma. A deceleration-type mechanism is suggested that results in the production of an intimal flap and later vessel thrombosis. We discuss the clinical details of presentation and angiographic diagnosis as well as treatment options.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
5/27. spleen preserving distal pancreatectomy for blunt abdominal trauma--a case report.The case of a 22-year-old male who underwent spleen preserving distal pancreatectomy (SPDP) for pancreatic trauma is briefly reported. SPDP was performed by preserving the splenic vessels to maintain a reliable splenic blood flow post-operatively. Although technically demanding, this procedure can be performed safely and easily in the emergency, and avoids splenectomy-related problems in the post-operative period.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
6/27. Sonographic intraperitoneal fluid in patients with pelvic fracture: two cases of traumatic intraperitoneal bladder rupture.Two patients who presented to the Emergency Department (ED) in shock with severe pelvic fractures were evaluated for intra-abdominal injury with a focused assessment with sonography in trauma (FAST) examination. Free intraperitoneal fluid was identified in the hepato-renal recess of both patients. At laparotomy both patients were found to have extensive uroperitoneum resulting from intraperitoneal bladder rupture and no other intra-abdominal injuries. The source of shock in both cases was ultimately determined to be arterial hemorrhage from pelvic vessels. The utility of FAST examinations in the setting of major pelvic injury is relatively unstudied. Coincident injuries make the evaluation for source of hemorrhage in this subset of patients challenging. This is a report of sonographic intraperitoneal fluid in the setting of major pelvic injury and hemodynamic instability found to be uroperitoneum and not hemoperitoneum.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
7/27. Rectosigmoid ischemia following blunt abdominal trauma in a patient treated with radiation therapy: case report.Ionizing radiation, frequently used to treat cancer, is known to injure skin and blood vessels and to deleteriously affect wound healing. We present the case of a patient whose previous radiation treatment predisposed him to colonic ischemia following blunt abdominal trauma.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
8/27. Intra-abdominal injuries in nonpenetrating gunshot wounds of the abdominal wall: two unusual cases.Intra-abdominal injuries of the bowel, mesentery, and mesenteric vessels were found at laparotomy in two patients with nonpenetrating gunshot wounds of the abdominal wall. The mechanism of wounding is thought to be the temporary cavity around the wound tract. The importance of complete angiographic investigation and early exploratory laparotomy is stressed.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
9/27. Post-traumatic pseudoaneurysm of the left hepatic artery initially appearing as upper gastrointestinal hemorrhage secondary to hepatic artery-duodenal fistula. A case study.Post-traumatic hepatic artery pseudoaneurysm initially appearing as upper gastrointestinal hemorrhage secondary to rupture in the duodenum is rare. diagnosis was made on selective arteriogram and the patient was managed successfully by ligating the feeding vessel to the aneurysm.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
10/27. Lipiduria after intralipid infusion of a lipid emulsion in a boy with an abdominal trauma.A 4-year-old boy with an abdominal trauma had lipiduria following treatment with total intravenous nutrition for 4 days. Renal function was normal throughout the course and the lipiduria ceased after withdrawal of the intravenous nutrition. The lipids were possibly excreted through the kidneys or entered the urine through a traumatic communication between the lymphatic vessels and the urinary system. Control of renal function and lipiduria after 1 year revealed normal conditions.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
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