• Title/Summary/Keyword: Traumatology

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Surgical Treatment of Blunt Traumatic Cardiac Rupture - Two Case Reports - (둔상성 외상에 의한 심장파열에 대한 수술적 치험)

  • Noh, Tae Ook;Seo, Pil Won
    • Journal of Trauma and Injury
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    • v.27 no.1
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    • pp.5-8
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    • 2014
  • Although blunt traumatic cardiac rupture is an uncommon injury, it can be associated with a high mortality rate. Two cases of cardiac rupture in blunt trauma patients are described herein. In those cases, applications of mechanical support devices such as ECMO (extracorporeal membrane oxygenation) and early surgery for exploration under cardiopulmonary bypass may be helpful for treating blunt chest trauma patients.

Hepatic Hemangioma Rupture Caused by Blunt Trauma

  • Kim, Gil Hwan;Kim, Jae Hun;Lee, Sang Bong
    • Journal of Trauma and Injury
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    • v.30 no.4
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    • pp.235-237
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    • 2017
  • Hepatic hemangioma is the most frequently occurring benign tumor of the liver. Hepatic hemangioma rupture is a rare phenomenon, which can lead to life-threatening conditions. Here, we report a case of hepatic hemangioma rupture caused by blunt trauma. Explorative laparotomy was performed due to unstable vital signs and abdominal massive hemoperitoneum revealed on computed tomography. We detected arterial bleeding from a hepatic hemangioma and performed primary suture of the liver and postoperative angiographic embolization.

Rectus Sheath Hematoma Caused by Noncontact Strenuous Exercise

  • Kim, Gil Hwan;Kim, Jae Hun;Kim, Ho Hyun
    • Journal of Trauma and Injury
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    • v.30 no.4
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    • pp.227-230
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    • 2017
  • Rectus sheath hematoma (RSH) is an uncommon but well-documented clinical condition. It is usually caused by direct trauma or anticoagulation, although there are many other causes. However, RSH after noncontact strenuous exercise is very rare. We present a rare case of RSH after playing volleyball without direct trauma that was successfully treated by angiographic embolization.

The Occurence of Deep Vein Thrombosis in Abdominal Compartment Patient (복부구획증후군 환자에서 발생한 심부정맥혈전증)

  • Kim, Seong Yup;Jin, Sung Chan
    • Journal of Trauma and Injury
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    • v.26 no.4
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    • pp.312-315
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    • 2013
  • Abdominal compartment syndrome is one cause of deep vein thrombosis of lower extremity. Although prophylactic dose of anticoagulation agent is safely started after 24~48 hours without the evidence of active bleeding, there may be bleeding complication related to invasive procedure which trauma victims undergo. Inferior vena cava filter should be considered in the treatment plan of this complex situation.

Pulmonary Thromboembolism during Acetabular Fracture Operation

  • Seo, Il;Oh, Chang-Wug;Kim, Joon-Woo;Park, Kyeong-Hyun
    • Journal of Trauma and Injury
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    • v.31 no.2
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    • pp.72-75
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    • 2018
  • Acetabular and Pelvic ring fractures are major high-energy trauma injuries and are often combined with other injuries. In particular, cause of long duration of immobilization and combined injuries, venous thromboembolism is a common complication in trauma patients with pelvic or acetabular fractures. We report a case of a fatal pulmonary thromboembolism during the acetabulum fracture operation in a 62-year-old male patient.

Unrecognized Bilateral Dislocation of Temporomandibular Joint during Orotracheal Intubation (진단이 늦어진 기관삽관 후 발생한 턱관절 탈구)

  • Chung, Sang-Bong;Jeon, Hyoungbae;Kim, Taikwan
    • Journal of Trauma and Injury
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    • v.28 no.2
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    • pp.75-78
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    • 2015
  • Mandible dislocation during endotracheal intubation is an unusual occurrence but easy to be overlooked for its unfamiliarity. We recently had a case of iatrogenic bilateral dislocation of a temporomandibular joint during orotracheal intubation and emphasize the importance of an early awareness of this possible complication.

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Small Bowel Hernia due to a Blunt Pelvic Injury

  • Gal, Min Jae;Kim, Jung Chul
    • Journal of Trauma and Injury
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    • v.34 no.3
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    • pp.187-190
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    • 2021
  • A 91-year-old female presented to Chonnam National University Hospital Regional Trauma Center with a lateral compression type III fracture of the pelvis. She was managed non-operatively for a week in the intensive care unit under close observation and had an emergency operation due to delayed onset of an acute obstructed direct inguinal hernia. Traumatic abdominal wall hernias are rare. However, trauma surgeons should always be aware of the possibility of such injuries because of their critical consequences.

Traumatic Separation of Bipartite Patella Underlying Gout

  • Choi, Eun Seok;Sim, Jae Ang;Go, Jae Yun;Na, Young Gon
    • Journal of Trauma and Injury
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    • v.31 no.3
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    • pp.189-193
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    • 2018
  • Gouty arthritis is a common crystal arthropathy, but gout tophus in the bipartite patella is a rare condition. This report presented a traumatic separation of bipartite patellar fragment caused by mild trauma in a patient with comorbid gout. When a patient with bipartite patella and underlying gouty arthritis complains of pain after trauma, clinical suspicion is needed about fragment separation of the bipartite patella.

Incidental traumatic right diaphragmatic rupture: a missed case after trauma

  • Fatima Alharmoodi;Shadin Ghabra;Salem Alharthi
    • Journal of Trauma and Injury
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    • v.36 no.1
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    • pp.56-59
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    • 2023
  • Traumatic diaphragmatic hernia is among the most uncommon conditions after severe trauma, and it is associated with high morbidity and mortality. The diagnosis is difficult and might be missed, but a multimodal investigation might help in terms of diagnostic yield. In this case report, we present a missed right diaphragmatic rupture 14 years after the trauma.

Humeral intramedullary nail bending following trauma: a case report

  • Siem A. Willems;Alexander P. A. Greeven
    • Journal of Trauma and Injury
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    • v.36 no.1
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    • pp.65-69
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    • 2023
  • The surgical approach for humeral implant failure can be challenging due to neurovascular anatomy and the possible necessity of osteosynthesis removal. We present a rare case of humeral nail bending after secondary trauma in a patient with preexistent nonunion of the humerus after intramedullary nailing. During revision surgery, the nail was sawed in half and the distal part was removed, followed by plate osteosynthesis with cable fixation to achieve absolute stability. The patient regained a full range of motion 1 year after surgery, and complete healing of the fracture was seen on imaging.