The strength and the energy of a striking blow with a clenched fist may be as high as 300 kgf (3,000 H) and 824.4 J respectively. Pressing a human body against a hard surface leads to a deep chest deflection while the rupture of the liver is associated with a lower blow strength and energy (2,000 H and 141.5 J respectively). In such situations, the shockproof mechanisms of the injury prevail giving rise to antishock peripheral and central ruptures of the liver due to the general deformation and displacement of this organ in the direction of the blow. In the absence of barriers preventing the inertial movement of the body, even a strong strike (1950 H) with an energy of 202.5 J does not cause a damage to the liver; it occurs when the strike strength and energy amount to 2650 H and 260.1 J respectively. In such cases, the direct injury mechanism develops manifested in the formation of local liver injures. The results of the study suggest the possibility of the rupture of the liver inflicted by a clenched fist strike delivered to the abdomen.
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Cureus
December 2024
Department of Anatomy, Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur, IND.
Purpose Hepatic abscesses remain a significant clinical challenge due to high morbidity and mortality. This research aims to examine the etiological spectrum, management approaches, clinical features, and results in hepatic abscesses in a tertiary care facility in northern India, emphasizing the distinctions among pyogenic liver abscesses (PLAs) and amoebic liver abscesses (ALAs). Methods This retrospective study was done at GSVM Medical College, Kanpur, analyzing 725 patients with hepatic abscesses over a 10-year period.
View Article and Find Full Text PDFMedicine (Baltimore)
January 2025
Department of General Surgery, Nujiang Prefecture People's Hospital, Yunnan, Nujiang, China.
Rationale: Peritoneal mucinous cystadenoma is rare in the clinic, lacks specific clinical manifestations, tumor markers, and imaging features, and is easily misdiagnosed and missed. Clinical practitioners should maintain a high level of vigilance. Here, we report a case of laparoscopic peritoneal mucinous cystadenoma stripping to improve our understanding of the disease.
View Article and Find Full Text PDFObstet Gynecol Surv
December 2024
Assistant Professor, Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, Nashville, TN.
Importance: With a strong association between hepatic adenomas and estrogen established, understanding the risks, evaluation, and perinatal management of hepatic adenomas is necessary for obstetric clinicians.
Objective: The aim of this study is to review the preconception counseling, perinatal management, and postpartum care of hepatic adenomas.
Evidence Acquisition: A literature review identified relevant research, review articles, textbook chapters, databases, and societal guidelines.
Zhonghua Gan Zang Bing Za Zhi
December 2024
Hepatology Unit, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou510515,China.
To compare the effectiveness and safety profile of centrifugal and membrane plasma separation model in artificial liver therapy with a dual plasma molecular adsorption system (DPMAS). A retrospective study was conducted. Data of inpatients with liver failure who were treated with DPMAS therapy in the Liver Disease Center of Nanfang Hospital, Southern Medical University, from October 2022 to June 2024 were included.
View Article and Find Full Text PDFHinyokika Kiyo
December 2024
The Department of Pathology, Nihonkai General Hospital.
Spontaneous rupture of renal cell carcinoma (RCC) occurs in 0.3-0.6% of all RCC cases.
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