• Title/Summary/Keyword: rupture accident

Search Result 165, Processing Time 0.029 seconds

Surgical Correction of Bilateral Gastrocnemius Muscle Rupture and Its Prognosis in a Korean Native Calf

  • Gyuho Jeong;Younghye Ro;Kyunghyun Min;Woojae Choi;Ilsu Yoon;Hyoeun Noh;Danil Kim
    • Journal of Veterinary Clinics
    • /
    • v.40 no.3
    • /
    • pp.215-220
    • /
    • 2023
  • A 3-month-old Korean native cattle (Hanwoo) calf with difficulty taking normal posture and an inability to rise was referred for a definite diagnosis and active treatment, including surgery. The calf had a history of an accident in which both hind limbs were trapped in a barn structure. After admission, a "rabbit leg" posture was observed, a typical sign of gastrocnemius muscle rupture, and both digits were knuckled downward like they were trying to grip the ground. This was considered to be a result of the superficial digital flexor not rupturing but only the gastrocnemius muscle rupturing. Physical examination revealed laceration of the metatarsus and firmness behind both stifle joints which were presumed to be the sites of gastrocnemius muscle rupture. Skeletal abnormalities, including fractures, were ruled out by radiography. Based on these findings, the patient was diagnosed with bilateral gastrocnemius muscle rupture, and surgery was performed to reconnect the head of the ruptured muscle. Because the rupture occurred perpendicular to the muscle direction, the locking loop technique, a method of suturing severed tendons, was used to reduce the tension. After surgery, the cast was used to prevent further injuries and promote voluntary rehabilitation. Follow-up was completed, with the calf showing normal posture and gait 112 days after surgery. This is the first case report in the Republic of Korea describing the successful diagnosis and treatment of bilateral gastrocnemius muscle rupture in a calf.

Rupture of the Trachea and the Esophagus Following Blunt Trauma: A Report of a Case (Blunt Trauma 에 의한 기관-식도 파열의 치험 1례)

  • 정윤채
    • Journal of Chest Surgery
    • /
    • v.8 no.2
    • /
    • pp.119-124
    • /
    • 1975
  • This is a case report of the rupture of the trachea and the esophagus following external blunt trauma without any associated injury. A 7 year old male patient was brought to the emergency room. Hanyang University Hospital, on 23 Jul, 1974 while he played under the pile of pingpong table A table was fall down over the patient accidentally. The patient was injured by the table and found lying in unconsciousness on the ground.There was subcutaneous emphysema on his anterior chest and neck. A contusion on the upper part of the sternum was noted. The breathing sound were diminished over the left side of the chest. Ronchi were heard over the right lung field. This patient was suffered from vomiting, dypsnea, and irritable mental state after this accident. On the chest roentgenogram in A-P view, hyperlucency at the mediastinum and parapericardiac area suggested the pneumomediastinum. On the next day, a diagnosis of the tracheal and esophageal rupture was confirmed by the esophagogram with Lipiodol swallowing. A right thoracotomy was performed and ruptured orifice of the trachea and the esophagus were closed with interrupted sutures. Postoperative course was uneventful and primary closure of the rupture of the trachea and the esophagus were succeeded.

  • PDF

Asymptomatic Uterine Rupture Caused by Trauma in a Small-Sized Non-Gravid Dog

  • Ye-Eun Kim;Sang-Hyun Nam;Won-Jong Lee;Chang-Hwan Moon;Geum-Lan Hong;Ju-Young Jung;Jae-Min Jeong;Hae-Beom Lee;Seong-Mok Jeong;Dae-Hyun Kim
    • Journal of Veterinary Clinics
    • /
    • v.41 no.2
    • /
    • pp.112-116
    • /
    • 2024
  • Uterine rupture is uncommon in small animals and can be caused by trauma, infection, dead fetus, or inappropriate obstetric techniques. A 4-year-old, intact female mixed-breed dog weighing 3 kg presented for elective ovariohysterectomy with a history of a motor vehicle accident two months previously. The patient showed no clinical signs of uterine abnormalities or evidence of pregnancy during physical examination. Clinical examinations, radiography, and ultrasonography revealed no significant findings. During ovariohysterectomy, a completely transected left uterine horn and dome-shaped ends were identified. The uterine layers were everted such that the endometrium could be seen outside the uterine horn. The dog recovered without post-operative complications and was discharged the following day. This report describes a rare case of an asymptomatic uterine rupture caused by trauma in a non-gravid dog.

Traumatic Diaphragmatic Hernia: A Report of 3 Cases (외상성 횡격막 헤르니아: 3례 수술 보고)

  • 유세영
    • Journal of Chest Surgery
    • /
    • v.2 no.1
    • /
    • pp.59-64
    • /
    • 1969
  • Three cases of traumatic diaphragmatic hernia were repaired in this department from June 1967 to Nov.1968. The first case, a 14 year old girl, was diagnosed as diaphragmatic hernia during the operation of the diffuse peritonitis from jejunaI perforation 3 days after the traffic accident at local clinic and she was transfered to this hospital after the closure of the perforated jejunum. Herniated stomach, transverse colon, spleen and left lobe of the liver were repositioned and the diaphragmatic rupture at the posterolateral portion of the left diaphragm was repaired with two layer sutures by transthoracic approach. The second case. a 26 year old man. was diagnosed immediately after the traffic accident at local clinic and transfered to this hospital 24 hours later. Herniated and distended stomach, transverse colon and jejunum were repositioned and the large diaphragmatic rupture, about 9 cm in length, from the posterolateral portion to the base of the pericardium was directly repaired with two layer sutures. The third case, a 26 year old man, who had a history of stab wound at left lower lateral chest two years ago,was admitted with the sudden onset of abdominal pain and vomiting. The diaphragmatic hernia was confirmed with barium enema. The herniated stomach and transverse colon through the defect, about 3.5 cm in diameter, at anterolateral portion of the left diaphragm, were repositioned and the defect was repaired with two layer sutures. All of the cases recovered uneventfully.

  • PDF

Helium-Air Exchange Flow Through Openings with Vertical Partitions (수직평판을 삽입한 개구부의 헬륨 및 공기 치환류)

  • 강태일
    • Journal of Advanced Marine Engineering and Technology
    • /
    • v.24 no.3
    • /
    • pp.79-87
    • /
    • 2000
  • This paper describes experimental investigations of helium-air exchange flow through openings with vertical partitions. Such exchange flows may occur following rupture accident of stand pipe in high temperature gas cooled reactor. Exchange flow rates are investigated experimentally by using partitioned opening and opening with extended partition to assess fluids interference of the exchange flow at the stand pipe rupture accident. A tests vessel with the two types of opening on top of test cylinder is used in the experiments. An estimation method of mass increment is developed and applied to measure the exchange flow rate. A technique of flow visualization by Mach-Zehnder interferometer is provided to recognize the exchange flows. Amplitude and progress of interference fringes of the flows are observed and used as a support in comparison with the exchange flow rates. Flow passages of upward flow of the helium and downward flow of the air for both two types of the opening are separated by inserted partition within the opening, but in the case of partitioned opening, unseparated flow is formed at the opening entrance and the two flows interface. The exchange flow rate for the partitioned opening is not greater than that of the opening with extended partition because of the fluids interference at the entrance of opening. Finally, the fluids interference at the opening entrance is found to be one of important factors on the helium-air exchange flow rate.

  • PDF

Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury

  • Nitta, Masakazu;Tamakawa, Taro;Kamimura, Natsuo;Honda, Tadayuki;Endoh, Hiroshi
    • Journal of Trauma and Injury
    • /
    • v.32 no.3
    • /
    • pp.172-175
    • /
    • 2019
  • Although thoracic endovascular aortic repair (TEVAR) has grown to become the standard of care to treat blunt thoracic aortic injury (BTAI), the long-term effects of TEVAR are still unclear. We here present a 72-year-old man with BTAI due to a traffic accident. He successfully underwent TEVAR and was transferred to another rehabilitation hospital 2 months after the accident. However, 1 month later, he underwent gastroscopy with fever and hematemesis and was diagnosed with aorto-esophageal fistula (AEF). After being re-transferred to Niigata University Medical and Dental Hospital, we tried to convince him to undergo surgical treatment, but he strongly refused. He received palliative care and died due to rupture of the aortic pseudoaneurysm 3 days after the hospital transfer. Fatal complications like AEF may occur after TEVAR, so clinicians need to carefully follow patients who underwent TEVAR.

Right Atrium Rupture as a Result of Blunt Trauma from a Traffic Accident - One case report - (교통사고에 의한 둔상으로 발생한 우심방 파열 - 1예 보고 -)

  • Jang, In-Seok;Choi, Jun-Young;Kim, Sung-Hwan;Lee, Chung-Eun;Kim, Jong-Woo;Rhie, Sang-Ho
    • Journal of Chest Surgery
    • /
    • v.40 no.1 s.270
    • /
    • pp.66-68
    • /
    • 2007
  • Traumatic cardiac injury is an extremely serious medical condition. It is possible to overlook a cardiac injury where there is no chest wall trauma. We here report the 47-year-old woman who got a crach car accident and had a tear of the right atrium. The distortion force from a decelerating injury may cause cardiac rupture at a fixed point. The most common symptom that alerts the clinician to a potentially fatal cardiac injury is the change in vital signs. Therefore cardiac injury should be considered in any patient with unexplained hypotension who has experienced decelerating trauma, even without external injury to the chest wall.

Using machine learning to forecast and assess the uncertainty in the response of a typical PWR undergoing a steam generator tube rupture accident

  • Tran Canh Hai Nguyen ;Aya Diab
    • Nuclear Engineering and Technology
    • /
    • v.55 no.9
    • /
    • pp.3423-3440
    • /
    • 2023
  • In this work, a multivariate time-series machine learning meta-model is developed to predict the transient response of a typical nuclear power plant (NPP) undergoing a steam generator tube rupture (SGTR). The model employs Recurrent Neural Networks (RNNs), including the Long Short-Term Memory (LSTM), Gated Recurrent Unit (GRU), and a hybrid CNN-LSTM model. To address the uncertainty inherent in such predictions, a Bayesian Neural Network (BNN) was implemented. The models were trained using a database generated by the Best Estimate Plus Uncertainty (BEPU) methodology; coupling the thermal hydraulics code, RELAP5/SCDAP/MOD3.4 to the statistical tool, DAKOTA, to predict the variation in system response under various operational and phenomenological uncertainties. The RNN models successfully captures the underlying characteristics of the data with reasonable accuracy, and the BNN-LSTM approach offers an additional layer of insight into the level of uncertainty associated with the predictions. The results demonstrate that LSTM outperforms GRU, while the hybrid CNN-LSTM model is computationally the most efficient. This study aims to gain a better understanding of the capabilities and limitations of machine learning models in the context of nuclear safety. By expanding the application of ML models to more severe accident scenarios, where operators are under extreme stress and prone to errors, ML models can provide valuable support and act as expert systems to assist in decision-making while minimizing the chances of human error.