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Article Synopsis
  • Isolated superior mesenteric vein (SMV) injuries from blunt abdominal trauma, though rare, can be life-threatening, especially in children, and lack established treatment guidelines.
  • A 10-year-old girl suffered a complete SMV laceration after a severe car accident and underwent successful urgent surgery that included using a graft from her internal jugular vein to repair the vein.
  • The report emphasizes that proper vascular repair can prevent intestinal damage and highlights the internal jugular vein as an effective graft option in serious SMV injuries.
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Article Synopsis
  • - Traumatic ureteral injuries are rare, making up less than 1% of urologic injuries, and are more commonly caused by penetrating trauma than blunt trauma.
  • - A 31-year-old man suffered a delayed diagnosis of a proximal ureter injury after a motorcycle accident that initially led to a liver and mesenteric injury requiring surgery.
  • - Persistent flank pain and abnormal lab results prompted further imaging, ultimately revealing the ureter injury, highlighting the need for awareness of potential urological damage during abdominal trauma assessments.
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Splenic rupture secondary to pancreatic malignancy invasion: A rare case.

Trauma Case Rep

December 2024

Department of Surgery, R Adam Cowley Shock Trauma Center, University of Maryland Medical Center, 22 South Green Street, Baltimore, MD 21201, United States of America.

Article Synopsis
  • Malignancy, especially from blood cancers, is a rare cause of spleen rupture, but there are very few cases from pancreatic cancer specifically.
  • This report is about a 60-year-old man who hurt his spleen after a fall and needed surgery, where doctors found he had pancreatic cancer that spread to the spleen.
  • It highlights how important it is for doctors to think about serious conditions like cancer, even when the injury seems simple or not severe.
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Spontaneous haemoperitoneum is described as a collection of blood in the peritoneal cavity due to non-traumatic aetiology. Common causes in the literature include splenic, hepatic and gynaecological pathology. Patients with spontaneous haemoperitoneum usually present with non-specific dull aching abdominal pain.

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Trauma is one of the leading causes of disability and mortality in working-age population. Abdominal injuries comprise 20-30% of traumas. Uncontrolled bleeding is the main cause of death in 30-40% of patients.

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