Blunt abdominal trauma: should US be used to detect both free fluid and organ injuries?

Purpose: To evaluate abdominal ultrasonography (US) for indirect (with free fluid analysis only) and direct (with free fluid and parenchymal analysis) detection of organ injury in patients with blunt abdominal trauma, with findings at computed tomography (CT) and/or surgery as the standard of diagnosis.

Materials And Methods: Abdominal US was performed at hospital admission in consecutive patients with blunt abdominal trauma. The presence of free peritoneal fluid and organ injury were recorded and compared with results of abdominal CT in all hemodynamically stable patients.

The Krukenberg procedure: a surgical option for the treatment of double hand amputees in Sierra Leone.

Background: For the past 9 years, Sierra Leone has struggled with a cruel civil war in which the civilian population has been the principal target. The International Committee of the Red Cross established a surgical mission in Netland Hospital, Freetown, and during this surgical mission, we treated crippled individuals who had had one or both hands amputated. We assessed the benefit of the Krukenberg procedure to restore manual dexterity in this group.

Spontaneous anterior and lateral tibial compartment syndrome in a type I diabetic patient: case report.

We report the case of a 46-year-old man with type I diabetes who spontaneously developed compartment syndrome of the anterior and lateral compartment of the left leg. The patient was treated with two compartment fasciotomies.