Introduction: Blunt trauma as a cause of pneumoperitoneum is less frequent and its occurrence without a ruptured viscus is rarely seen.
Presentation Of Case: We report a case of blunt neck trauma in which a motorcycle rider hit a fixed object causing severe laryngotracheal injury. The patient developed pneumothorax bilaterally and had pneumoperitoneum despite no injury to the internal viscus. Bilateral chest tube drainage and abdominal exploratory laparotomy was performed.
Conclusion: Free air in the abdomen after blunt traumatic neck injury is very rare. If pneumoperitoneum is suspected in the presence of pneumothorax, exploratory laparotomy should be performed to rule out intraabdominal injury. As, there is no consensus for this plan yet, further prospective studies are warrant. Conservative management for pneumoperitoneum in the absence of viscus perforation is still a safe option in carefully selected cases.
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http://dx.doi.org/10.1016/j.ijscr.2014.11.022 | DOI Listing |
Animals (Basel)
December 2024
Animal Welfare Science and Ethics Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, Hawkshead Lane, Hatfield AL9 7TA, UK.
Donkey slaughter in West Africa has received limited scientific attention, despite increasing over recent years. This study aimed to explore factors affecting donkey welfare, both ante-mortem and at slaughter, in the Upper East region of Ghana. A total of 134 donkeys at five different slaughter points were assessed using animal-based indicators.
View Article and Find Full Text PDFWorld Neurosurg
December 2024
Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal. Electronic address:
Background: Traumatic brain injury (TBI) management guidelines vary across regions and there is limited research on real-world adherence to these guidelines. We conducted a global survey to assess the adherence of neurosurgeons to TBI guidelines and evidence-based medicine (EBM).
Method: A 24-item survey was created using Google Forms, covering demographic information, neurotrauma training, basic knowledge of EBM, surgical and in-hospital management.
Laryngoscope
December 2024
Division of Surgery, University of Western Australia, Perth, Western Australia, Australia.
Objective: To determine which ear environment risk factors impact ossiculoplasty hearing outcomes and to generate a statistically-valid grading system for ossiculoplasty outcome reporting.
Study Type: Retrospective case series.
Methods: A multi-institutional database was generated from cases performed between 2011 and 2019.
Trauma Case Rep
December 2024
Division of Emergency Medicine, Hakodate Goryoukaku Hospital, Hakodate City, Hokkaido, Japan.
Background: Pharyngeal perforation has been documented as a consequence of substantial external force applied to the neck. Such trauma is frequently accompanied by additional organ injury and cervical fracture. In this report, we present an exceptionally rare instance in which minor blunt trauma to the neck resulted in pharyngeal injury without concomitant damage to other organs.
View Article and Find Full Text PDFKyobu Geka
December 2024
Department of Surgery, Yaizu City Hospital, Yaizu, Japan.
A foreign national male in his 30s presented to our hospital after falling overboard. He appeared to have had a rope around his neck during the fall;however, no witnesses observed this. The patient was agitated in the emergency room and was walking around incessantly.
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