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trauma hepatic penetrant

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https://www.readbyqxmd.com/read/27625999/association-between-the-pancreatic-enzyme-level-and-organ-failure-in-trauma-patients
#1
Arulselvi Subramanian, Venencia Albert, Biplab Mishra, Shilpi Sanoria, Ravindra Mohan Pandey
BACKGROUND: The literature suggests an association of pancreatic enzymes with systemic inflammation resulting in secondary organ injury and dysfunction following trauma. Elevation in serum enzymes may not always be predictive of pancreatic disease, and can reflect extra pancreatic production. OBJECTIVES: This study was conducted to evaluate the rise in serum pancreatic enzyme levels with the incidence of organ failure following trauma. PATIENTS AND METHODS: A retrospective review was performed on critically injured patients from December 2009 to March 2010...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27440520/ct-appearance-of-traumatic-inferior-vena-cava-injury
#2
Richard Tsai, Constantine Raptis, Douglas J Schuerer, Vincent M Mellnick
OBJECTIVE: CT plays a crucial role in the evaluation of stable patients with blunt and penetrating trauma in the emergency department. Among the more severe injuries that may occur in penetrating and blunt trauma are those to the inferior vena cava (IVC). The purpose of this study was to evaluate and differentiate the CT findings associated with penetrating versus blunt trauma to the IVC to aid the radiologist in diagnosing IVC injuries. MATERIALS AND METHODS: Cases of blunt and penetrating IVC injury were retrospectively identified using search queries...
July 19, 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27239257/outcome-analysis-of-management-of-liver-trauma-a-10-year-experience-at-a-trauma-center
#3
Wong Hoi She, Tan To Cheung, Wing Chiu Dai, Simon H Y Tsang, Albert C Y Chan, Daniel K H Tong, Gilberto K K Leung, Chung Mau Lo
AIM: To review the outcomes of liver trauma in patients with hepatic injuries only and in patients with associated injuries outside the liver. METHODS: Data of liver trauma patients presented to our center from January 2003 to October 2013 were reviewed. The patients were divided into two groups. Group 1 consisted of patients who had hepatic injuries only. Group 2 consisted of patients who also had associated injuries outside the liver. RESULTS: Seven (30...
May 28, 2016: World Journal of Hepatology
https://www.readbyqxmd.com/read/27096853/epidemiological-evaluation-of-hepatic-trauma-victims-undergoing-surgery
#4
Mitre Kalil, Isaac Massaud Amim Amaral
OBJECTIVE: to evaluate the epidemiological variables and diagnostic and therapeutic modalities related to hepatic trauma patients undergoing laparotomy in a public referral hospital in the metropolitan region of Vitória-ES. METHODS: we conducted a retrospective study, reviewing charts of trauma patients with liver injuries, whether isolated or in association with other organs, who underwent exploratory laparotomy, from January 2011 to December 2013. RESULTS: We studied 392 patients, 107 of these with liver injury...
February 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27033375/-emergencies-of-the-external-genital-area
#5
A Kaminsky, H Sperling
BACKGROUND: In addition to epididymitis and testicular torsion, emergencies of the external genital are rare. Rapid diagnosis and therapy are essential so that immediate therapy can be provided, which is important for survival (Fournier gangrene) of the patient or for the preservation of erectile function (priapism and penile fracture). A detailed patient history and clinical examination are generally sufficient for correct diagnosis. RESULTS: Under certain circumstances, it might be useful to perform ultrasound, computed tomography scan or magnetic resonance imaging or retrograde urethrography...
April 2016: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/26656617/post-traumatic-liver-and-splenic-pseudoaneurysms-in-children-diagnosis-management-and-follow-up-screening-using-contrast-enhanced-ultrasound-ceus
#6
Natalie Durkin, Annamaria Deganello, Maria E Sellars, Paul S Sidhu, Mark Davenport, Erica Makin
BACKGROUND: Pseudoaneurysm (PA) formation following blunt and penetrating abdominal trauma is a recognized complication in solid organ injury, usually diagnosed by contrast-enhanced CT (CECT) imaging. Delayed rupture is a potentially life-threatening event, although its frequency is not known in pediatric trauma. Contrast enhanced ultrasound (CEUS) is a novel radiation-free alternative to CECT with the potential to identify PA. METHODS: A retrospective review of consecutive cases of significant liver and splenic injuries admitted to single institution (tertiary and quaternary referrals) over more than a 12year period was performed...
February 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26624504/penetrating-trauma-to-the-kidney-and-meckel-s-diverticulum-in-a-patient-with-unilateral-renal-agenesis
#7
Sanju Sobnach, Rajshree Segobin, Andrew Nicol, Sorin Edu, Delawir Kahn, Pradeep Navsaria
INTRODUCTION: Emergency laparotomy for abdominal gunshot wounds is frequently performed in South Africa and remains associated with significant morbidity and mortality. The occurrence of congenital anomalies during surgery is an unexpected finding and presents a major challenge. PRESENTATION OF CASE: The successful management of a haemodynamically unstable 26-year-old man with unilateral renal agenesis, concomitant right renal and hepatic injuries, and a transected Meckel's Diverticulum following an abdominal gunshot wound is presented...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26377603/pyogenic-liver-abscess-after-gunshot-injury-10%C3%A2-years-experience-at-a-single-level-1-trauma-center
#8
O Dandin, E J Valle, G Pimentha, C I Schulman, U Teomete, K G Proctor, N Namias
OBJECTIVES: Liver abscesses are approximately 50 % of all visceral abscesses, and trauma presents as a rare cause of the liver abscess. Otherwise, hepatic abscess is an uncommon complication of gunshot wound (GSW) to the liver among all trauma cases. Here we reviewed their experience in detail. METHOD: From January 1, 2004 to September 30, 2013, there were 2143 patients admitted to Ryder Trauma Center at Jackson Memorial Hospital/University of Miami with severe abdominal trauma: 1227 penetrating and 866 blunt...
September 16, 2015: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/25865084/angiographic-embolization-for-major-trauma-in-a-low-middle-income-healthcare-setting-a-retrospective-review
#9
Adil Aijaz Shah, Abdul Rehman, Adil Hussain Haider, Raza Sayani, Raza Hasnain Sayyed, Kamran Ali, Syed Nabeel Zafar, Zia-ur Rehman, Hasnain Zafar
INTRODUCTION: Interventional radiology (IR) provides a range of adjunctive techniques to assist with hemorrhage control after trauma that can be employed pre- or post-operatively. The role of IR in lower-middle income countries (LMICs) remains unexplored. This study describes the use of adjunctive angioembolization (AE) in severely injured patients following its recent implementation at an urban trauma center in a LMIC. METHODS: Adult patients (≥ 16 years) requiring AE from 2011 to 2013 at a single trauma-care facility were included...
June 2015: International Journal of Surgery
https://www.readbyqxmd.com/read/25770395/mesh-wrapping-for-severe-hepatic-injury-a-beneficial-option-in-the-trauma-surgeon-s-armamentarium
#10
Ryan Kennedy, Sidney B Brevard, Patrick Bosarge, Jon D Simmons, Mohammed A Frotan, Jeremy A Baker, Lynda Tuart, Cindy Pritchett, Richard P Gonzalez
BACKGROUND: The purpose of this study was to assess the efficacy of absorbable mesh wrapping (MW) versus perihepatic packing (HP) for severe hepatic injury. METHODS: From January 2001 to December 2012, data were collected for MW patients with hepatic injury. Patients who underwent HP were matched with MW patients by injury mechanism, liver injury grade, Injury Severity Score, and age. RESULTS: Twenty-six MW and twenty-six HP patients were matched...
March 2015: American Journal of Surgery
https://www.readbyqxmd.com/read/25279664/endogenous-nutritive-support-after-traumatic-brain-injury-peripheral-lactate-production-for-glucose-supply-via-gluconeogenesis
#11
Thomas C Glenn, Neil A Martin, David L McArthur, David A Hovda, Paul Vespa, Matthew L Johnson, Michael A Horning, George A Brooks
We evaluated the hypothesis that nutritive needs of injured brains are supported by large and coordinated increases in lactate shuttling throughout the body. To that end, we used dual isotope tracer ([6,6-(2)H2]glucose, i.e., D2-glucose, and [3-(13)C]lactate) techniques involving central venous tracer infusion along with cerebral (arterial [art] and jugular bulb [JB]) blood sampling. Patients with traumatic brain injury (TBI) who had nonpenetrating head injuries (n=12, all male) were entered into the study after consent of patients' legal representatives...
June 1, 2015: Journal of Neurotrauma
https://www.readbyqxmd.com/read/24990540/interhospital-transfer-of-liver-trauma-in-new-mexico-a-state-of-austere-resources
#12
Nova Szoka, Cristina Murray-Krezan, Richard Miskimins, Alissa Greenbaum, David Tobey, Syed Faizi, Sonlee West, Stephen Lu, Thomas Howdieshell, Gerald Demarest, Itzhak Nir
BACKGROUND: There is debate in the trauma literature regarding the effect of prolonged prehospital transport on morbidity and mortality. This study analyzes the management of hepatic trauma patients requiring surgery and compares the outcomes of the group that was transferred to the University of New Mexico Hospital (UNMH) from outside institutions, to the directly admitted group. MATERIALS AND METHODS: The UNMH Trauma Database was queried from 2005-2012. Of 674 patients who sustained liver injuries, 163 required surgery: 46 patients (28...
September 2014: Journal of Surgical Research
https://www.readbyqxmd.com/read/24797305/predictive-value-of-liver-transaminases-levels-in-abdominal-trauma
#13
Ismail Bilgic, Sibel Gelecek, Ali Emre Akgun, M Mahir Ozmen
INTRODUCTION: We aimed to evaluate whether hepatic transaminase levels could predict the presence and severity of liver injury following abdominal trauma. METHODS: We performed a retrospective analysis of 75 surgically treated patients and 21 non-surgically treated patients with liver injury who were managed between 2004 and 2012. We retrieved demographic, laboratory, radiologic, and intraoperative data, as well as surgical procedures and the outcome from the patients' medical records...
July 2014: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24558659/outcomes-and-indications-for-intervention-in-non-operative-management-of-paediatric-liver-trauma-a-5-year-retrospective-study
#14
R Inchingolo, A Ljutikov, A Deganello, P Kane, J Karani
AIM: To determine the applicability of accurate computed tomography (CT) evaluation and embolization as non-operative management for liver trauma in a paediatric population. MATERIAL AND METHODS: A retrospective observational study of 37 children (mean age 10.5 years) with hepatic trauma (28 blunt, 9 penetrating) admitted to a trauma referral centre over a 5 year period. All patients were evaluated with CT and scored with an Association for the Surgery of Trauma score...
February 2014: Clinical Radiology
https://www.readbyqxmd.com/read/24173483/hepatic-trauma-a-21-year-experience
#15
Thiago Messias Zago, Bruno Monteiro Pereira, Bartolomeu Nascimento, Maria Silveira Carvalho Alves, Thiago Rodrigues Araujo Calderan, Gustavo Pereira Fraga
OBJECTIVE: To evaluate the epidemiological aspects, behavior, morbidity and treatment outcomes for liver trauma. METHODS: We conducted a retrospective study of patients over 13 years of age admitted to a university hospital from 1990 to 2010, submitted to surgery or nonoperative management (NOM). RESULTS: 748 patients were admitted with liver trauma. The most common mechanism of injury was penetrating trauma (461 cases, 61.6%), blunt trauma occurring in 287 patients (38...
July 2013: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/24067528/the-impact-of-a-massive-transfusion-protocol-1-1-1-on-major-hepatic-injuries-does-it-increase-abdominal-wall-closure-rates
#16
Chad G Ball, Christopher J Dente, Beth Shaz, Amy D Wyrzykowski, Jeffrey M Nicholas, Andrew W Kirkpatrick, David V Feliciano
BACKGROUND: Massive transfusion protocols (MTPs) using high plasma and platelet ratios for exsanguinating trauma patients are increasingly popular. Major liver injuries often require massive resuscitations and immediate hemorrhage control. Current published literature describes outcomes among patients with mixed patterns of injury. We sought to identify the effects of an MTP on patients with major liver trauma. METHODS: Patients with grade 3, 4 or 5 liver injuries who required a massive blood component transfusion were analyzed...
October 2013: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/24000026/-morbimortality-in-patients-with-hepatic-trauma
#17
Olival Cirilo Lucena da Fonseca-Neto, Rogério Ehrhardt, Antonio Lopes de Miranda
BACKGROUND: The liver is the intra-abdominal organ more injured in patient victims of trauma. The injury occurs more frequently in the penetrating trauma. The incidence of mortality for injuries of the liver is 10%. AIM: To evaluate the mortality of the patients with hepatic trauma, the treatment applied and its evolution. METHODS: Were analyzed, retrospectively, the charts of all patients with hepatic trauma and surgical indication. Were analyzed: gender, age, ISS (injury severity score), classification of the abdominal trauma type (open or closed), causing instrument of the open traumas, degree of the injury, hepatic segments involved, presence of associated injuries, type of surgical treatment: not-therapeutic laparotomy and therapeutic laparotomy, reoperations, complications, time of hospitalization in days and mortality...
June 2013: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/23887559/a-comprehensive-five-step-surgical-management-approach-to-penetrating-liver-injuries-that-require-complex-repair
#18
Carlos Alberto Ordoñez, Michael W Parra, Juan Carlos Salamea, Juan Carlos Puyana, Mauricio Millán, Marisol Badiel, Juán Sanjuán, Luis F Pino, David Scavo, Wilmer Botache, Ricardo Ferrada
BACKGROUND: The objective of this study was to describe a comprehensive five-step surgical management approach for patients with penetrating liver trauma based on our collective institutional experience. METHODS: A prospective consecutive study of all penetrating liver traumas from January 2003 to December 2011 at a regional Level I trauma center in Cali, Colombia, was conducted. RESULTS: A total of 538 patients with penetrating thoracoabdominal trauma were operated on at our institution...
August 2013: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/23887259/-medico-social-characteristics-of-patients-with-septic-complications-after-penetrating-thoracic-wounds
#19
Sh N Danielian, M A Godkov, M M Abakumov, O V Zubareva, A A Saprin
232 cases of septic complications after penetrating thoracic injury were analyzed. All patients were divided into groups according to the injury mechanism and inhabitancy. Patients with medico-social deviations, as well as patients with hemocontact infections, mental insanity and social deviations were marked out. 75% of patients were reported to have any medico-social deviations. Among them the distributing was as follows: persons with no fixed abode (100%), women (91%), patients over 50 years (86.2%) and patients after knife thoracic injury (77...
2013: Khirurgiia
https://www.readbyqxmd.com/read/23745042/foreign-body-retained-in-liver-long-after-gauze-packing
#20
REVIEW
Jian Xu, Heng Wang, Zheng-Wei Song, Miao-Da Shen, Shao-Hua Shi, Wei Zhang, Min Zhang, Shu-Sen Zheng
This case report describes a foreign body retained in the liver long after perihepatic gauze packing. A 64-year-old female patient had suffered a rib fracture and liver rupture during a traffic accident in 1973. She discovered a mass in her right hypochondrium. Her hepatic ultrasonography showed a round mass (20.3 cm × 17.3 cm × 16.0 cm in size) with fluid echogenicity in the right lobe of her liver, and a hepatic cystic-solid mass (19.7 cm × 18.5 cm × 15.6 cm in size) was identified in an abdominal computerized tomography scan...
June 7, 2013: World Journal of Gastroenterology: WJG
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