Articles

Laparoscopic drainage of an intramural duodenal haematoma: a novel technique and review of the literature

Intramural Duodenal Haematoma (IDH) is an uncommon complication of blunt abdominal trauma. IDH's are most often treated non-operatively. We describe laparoscopic treatment of an IDH after failed conservative m...

Authors: Gregory J Nolan, Cino Bendinelli and Jon Gani

Technique for chest compressions in adult CPR

Chest compressions have saved the lives of countless patients in cardiac arrest as they generate a small but critical amount of blood flow to the heart and brain. This is achieved by direct cardiac massage as ...

Authors: Taufiek K Rajab, Charles N Pozner, Claudius Conrad, Lawrence H Cohn and Jan D Schmitto

Complicated Intra-Abdominal Infections Observational European study (CIAO Study)

Complicated intra-abdominal infections are frequently associated with poor prognoses and high morbidity and mortality rates.

Authors: Massimo Sartelli, Fausto Catena, Luca Ansaloni, Daniel V Lazzareschi, Korhan Taviloglu, Harry Van Goor, Pierluigi Viale, Ari Leppaniemi and Carlo De Werra

Role of clinical judgment and tissue harmonic imaging ultrasonography in diagnosis of paediatric acute appendicitis

Appendicitis is the most common surgical emergency in children; yet, diagnosis of equivocal presentations continues to challenge clinicians.

Authors: Ossama Zakaria, Tamer A Sultan, Tarek H Khalil and Tamer Wahba

Ten-year experiences with Tracheostomy at a University teaching hospital in Northwestern Tanzania: A retrospective review of 214 cases

Tracheostomy remains a very important life saving surgical procedure worldwide and particularly in our environment where patients present late in upper airway obstruction. Little work has been done on this sub...

Authors: Japhet M Gilyoma, Darius D Balumuka and Phillipo L Chalya

An Observational Study of the Etiology, clinical presentation and outcomes associated with peritonitis in Lilongwe, Malawi

Peritonitis is a life-threatening condition with a multitude of etiologies that can vary with geographic location. The aims of this study were to elucidate the etiology, clinical presentation and outcomes asso...

Authors: Jonathan C Samuel, Javeria S Qureshi, Gift Mulima, Carol G Shores, Bruce A Cairns and Anthony G Charles

Appendicular perforation at the base of the caecum, a rare operative challenge in acute appendicitis, a literature review

Acute appendicitis is the most common acute surgical condition of the abdomen. Diagnosis is made based on full clinical history and examination as well as supported by a routine blood investigation and urine t...

Authors: Chee Siong Wong and Syed Altaf Naqvi

A technical modification for percutaneous tracheostomy: prospective case series study on one hundred patients

The purpose of this study is to describe a technical modification of percutaneous tracheostomy that combines principles of the Percu Twist™ and the Griggs-Portex^® methods in a reusable kit. One hundred patients u...

Authors: Joao B Rezende-Neto, Argenil J Oliveira, Mario P Neto, Fernando A Botoni and Sandro B Rizoli

Intramedullary nailing of the femur and the systemic activation of monocytes and neutrophils

Trauma such as found patients with femur fractures, induces a systemic inflammatory response, which ranges from mild SIRS to ARDS. Neutrophils (i.e. PMN) play an important role in the pathogenesis of this infl...

Authors: Falco Hietbrink, Leo Koenderman and Luke PH Leenen

Analytical review of 664 cases of penetrating buttock trauma

A comprehensive review of data has not yet been provided as penetrating injury to the buttock is not a common condition accounting for 2-3% of all penetrating injuries. The aim of the study is to provide the a...

Authors: Raimundas Lunevicius and Klaus-Martin Schulte

Reexpansion pulmonary edema following a posttraumatic pneumothorax: a case report and review of the literature

The reexpansion pulmonary edema is a rare, but life threatening complication of a pneumothorax. Early recognition and a fast symptom orientated therapy are necessary for a good outcome. Several cases after non...

Authors: Mark Malota, Markus C Kowarik, Barbara Bechtold and Reinhard Kopp

Clinical profile and outcome of surgical treatment of perforated peptic ulcers in Northwestern Tanzania: A tertiary hospital experience

Perforated peptic ulcer is a serious complication of peptic ulcers with potential risk of grave complications. There is paucity of published reports on perforated peptic ulcer disease in our local environment....

Authors: Phillipo L Chalya, Joseph B Mabula, Mheta Koy, Mabula D Mchembe, Hyasinta M Jaka, Rodrick Kabangila, Alphonce B Chandika and Japhet M Gilyoma

Post-traumatic diaphragmatic herniation of the liver, examined by positron emission tomography: case report

We present a case of post-traumatic diaphragmatic herniation of the liver, which mimicked an intrathoracic tumor. After an automobile accident, the patient underwent thoracotomies for hemothorax and lung cance...

Authors: Katsutoshi Sato, Kazumasa Orihashi, Yoshiharu Hamanaka, Norimasa Mitsui, Shinji Hirai, Naru Chatani and Takashi Nishisaka

Breast Gangrene

Breast gangrene is rare in surgical practice. Gangrene of breast can be idiopathic or secondary to some causative factor. Antibiotics and debridement are used for management. Acute inflammatory infiltrate, sev...

Authors: Imtiaz Wani, Iftikhar Bakshi, Fazl Q Parray, Ajaz A Malik, Rauf A Wani, Mubashir Shah, Irfan Husasin, Altaf Malik, Sajad Wani and Wahid Syed

Limb salvage after gas gangrene: a case report and review of the literature

Gas gangrene is a necrotic infection of soft tissue associated with high mortality, often necessitating amputation in order to control the infection. Herein we present a case of gas gangrene of the arm in an i...

Authors: John Aggelidakis, Konstantinos Lasithiotakis, Anastasia Topalidou, John Koutroumpas, Georgios Kouvidis and Paulos Katonis

Spontaneous adrenal pheochromocytoma rupture complicated by intraperitoneal hemorrhage and shock

MEN2A is a hereditary syndrome characterized by medullary thyroid carcinoma, hyperparathyroidism, and pheochromocytoma. Classically patients with a pheochromocytoma initially present with the triad of paroxysm...

Authors: Joseph S Hanna, Philip J Spencer, Cornelia Savopoulou, Edward Kwasnik and Reza Askari

Surgeon-performed sonographic findings in a traumatic trans-anal rectal perforation

Early diagnosis and active management of trans-anal rectal injuries is essential for a favorable outcome. Intraperitoneal free air (IFA) is usually diagnosed by an erect Chest X-ray. Point-of-care ultrasound h...

Authors: Fikri M Abu-Zidan, Mohamed I Abusharia and Katharina Kessler

Single port laparoscopic appendectomy: are we pursuing real advantages?

Single port appendectomy, due to its cosmetic appeal and to a technique similar to classic laparoscopic appendectomy, is provoking an increasing number of publications and case series to explore its feasibilit...

Authors: Nereo Vettoretto and Vincenzo Mandalà

Challenges in the management of extremity vascular injuries: A wartime experience from a tertiary centre in Sri Lanka

Management of peripheral vascular injuries often present critical challenges in resource limited settings of developing countries. The additional burden from a military conflict poses further challenges. Delay...

Authors: WDD de Silva, RA Ubayasiri, CW Weerasinghe and SM Wijeyaratne

Tension pneumothorax and life saving diaphragmatic rupture: a case report and review of the literature

A tension pneumothorax is a known life-threatening condition which requires a needle decompression. A diaphragmatic rupture is a relatively rare injury and is difficult to diagnose. A combination of a tension ...

Authors: Sylvain AA Pilate and Stefaan De Clercq

Midgut malrotation first presenting as acute bowel obstruction in adulthood: a case report and literature review

Malrotation of the midgut is generally regarded as paediatric pathology with the majority of patients presenting in childhood. The diagnosis is rare in adults, which sometimes leads to delay in diagnosis and t...

Authors: Okiemute F Emanuwa, Abraham A Ayantunde and Tony W Davies

Is it time to recast the principles of antimicrobial prophylaxis?

Perioperative antimicrobial prophylaxis has been a time-honored principle in the prevention of surgical site infection. Its effectiveness has recently been questioned. Potential reasons for the lack of demonst...

Authors: Mark A Malangoni

Ten-year experiences with Tetanus at a Tertiary hospital in Northwestern Tanzania: A retrospective review of 102 cases

Tetanus is still a major health problem in developing countries and it is associated with a high morbidity and mortality rate. There is paucity of published data regarding the management of tetanus in Tanzania...

Authors: Phillipo L Chalya, Joseph B Mabula, Ramesh M Dass, Nkinda Mbelenge, Stephen E Mshana and Japhet M Gilyoma

Spontaneous expulsion from rectum: a rare presentation of intestinal lipomas

Lipomas are rare, subserosal, usually solitary, pedunculated small lesions appearing mainly in the large intestine with a minimal malignancy potential. They usually run asymptomatic and become symptomatic when...

Authors: Vasileios K Kouritas, Ioannis Baloyiannis, Georgios Koukoulis, Ioannis Mamaloudis, Dimitris Zacharoulis and Matheos Efthimiou

Seatbelts and road traffic collision injuries

Modification of seatbelts and their legislation played an important role in reducing morbidity and mortality of occupants in road traffic collisions. We aimed to review seatbelt development, its mechanism of a...

Authors: Alaa K Abbas, Ashraf F Hefny and Fikri M Abu-Zidan

Massive rectal bleeding from acquired jejunal diverticula

Small bowel diverticulosis is an uncommon and often asymptomatic condition that is sporadically observed during radiographic examination or laparotomy. Although it is frequently seen in duodenum, jejunal and i...

Authors: Sheraz Yaqub, Birte V Evensen and Kristin Kjellevold

Management of spontaneous isolated dissection of the superior mesenteric artery: Case report and literature review

The aim of this study was to assess retrospectively the clinical presentation, management and outcome of three patients with isolated SMA dissection encountered at Okinawa Prefectural Chubu Hospital, Japan fro...

Authors: Morihiro Katsura, Hidemitsu Mototake, Hiroaki Takara and Kazuhide Matsushima

Pneumatosis intestinalis leading to perioperative hypovolemic shock: Case report

Pneumatosis intestinalis (PI) is an uncommon disorder defined as multiple foci of gas within the intestinal wall. Despite recognition of an increasing number of cases of PI, the optimal management strategy, wh...

Authors: Yukako Takami, Toshimori Koh, Minoru Nishio and Noboru Nakagawa

Two weeks delayed bleeding in blunt liver injury: case report and review of the literature

Most cases of blunt hepatic trauma are treated nowadays non-operatively. This type of conservative treatment has resulted in increased complication rate. Delayed complications occur in cases that didn't requir...

Authors: Uri Kaplan, Oshama A Hatoum, Alexander Chulsky, Hussam Menzal and Doron Kopelman

Acute gallbladder torsion - a continued pre-operative diagnostic dilemma

Acute gallbladder volvulus continues to remain a relatively uncommon process, manifesting itself usually during exploration for an acute surgical abdomen with a presumptive diagnosis of acute cholecystitis. Th...

Authors: Nicolas J Mouawad, Brianne Crofts, Rachel Streu, Randal Desrochers and Beth C Kimball

Aberrant right subclavian artery- suggested mechanism for esophageal foreign body impaction: Case report

Aberrant right subclavian artery (ARSA) is asymptomatic in most cases. This variant anatomy can cause dysphagia in elderly patients. Impaction of foreign body in the esophagus is rarely the presenting symptom ...

Authors: Eran Brauner, Moshe Lapidot, Ran Kremer, Lael A Best and Yoram Kluger

Management of blunt extracranial traumatic cerebrovascular injury: a multidisciplinary survey of current practice

Extracranial traumatic cerebrovascular injury (TCVI) is present in 1-3% of all blunt force trauma patients. Although options for the management of patients with these lesions include anticoagulation, antiplate...

Authors: Mark R Harrigan, Jordan A Weinberg, Ya-Sin Peaks, Steven M Taylor, Luis P Cava, Joshua Richman and Beverly C Walters

A case of a traumatic chyle leak following an acute thoracic spine injury: successful resolution with strict dietary manipulation

Chylothorax is a rare form of pleural effusion that can be associated with both traumatic and non-traumatic causes. Thoracic duct ligation is often the treatment of choice in postsurgical patients; however the...

Authors: Andrea M Pakula, Wendy Phillips and Ruby A Skinner

Non-trocar related major retroperitoneal bleeding during laparoscopic appendectomy

Most of the reported vascular injuries in laparoscopic appendectomies occur during trocar or Veress needle insertions. As laparoscopy continues to evolve, it is essential that surgeons report unusual complicat...

Authors: Haytham MA Kaafarani, Julian D'Achille and Roger A Graham

Multiple giant diverticula of the jejunum causing intestinal obstruction: report of a case and review of the literature

Multiple diverticulosis of jejunum represents an uncommon pathology of the small bowel. The disease is usually asymptomatic and must be taken into consideration in cases of unexplained malabsorption, anemia, c...

Authors: Evangelos Falidas, Konstantinos Vlachos, Stavros Mathioulakis, Fotis Archontovasilis and Constantinos Villias

A Comprehensive review of abdominal infections

Authors: Nicole Lopez, Leslie Kobayashi and Raul Coimbra

Primary omental torsion (POT): a review of literature and case report

Eitel first described omental torsion in 1899, since then, fewer than 250 cases have been reported. Although omental torsion is rarely diagnosed preoperatively, knowledge of this pathology is important to the ...

Authors: Jacopo Andreuccetti, Cecilia Ceribelli, Ottavia Manto, Massimo Chiaretti, Paolo Negro and Domenico Tuscano

Bologna Guidelines for Diagnosis and Management of Adhesive Small Bowel Obstruction (ASBO): 2010 Evidence-Based Guidelines of the World Society of Emergency Surgery

There is no consensus on diagnosis and management of ASBO. Initial conservative management is usually safe, however proper timing for discontinuing non operative treatment is still controversial. Open surgery ...

Authors: Fausto Catena, Salomone Di Saverio, Michael D Kelly, Walter L Biffl, Luca Ansaloni, Vincenzo Mandalà, George C Velmahos, Massimo Sartelli, Gregorio Tugnoli, Massimo Lupo, Stefano Mandalà, Antonio D Pinna, Paul H Sugarbaker, Harry Van Goor, Ernest E Moore and Johannes Jeekel

Case Report: Successful non-operative management of spontaneous splenic rupture in a patient with babesiosis

Babesiosis is a zoonotic disease transmitted by the Ixodes tick species. Infection often results in sub-clinical manifestations; however, patients with this disease can become critically ill. Splenic rupture has ...

Authors: William D Tobler Jr, Deborah Cotton, Timothy Lepore, Suresh Agarwal and Eric J Mahoney

Right-sided diaphragmatic rupture after blunt trauma. An unusual entity

Traumatic injuries of the diaphragm remain an entity of difficult diagnosis despite having been recognised early in the history of surgery, especially when it comes to blunt trauma and injuries of the right di...

Authors: Ramon Vilallonga, Vicente Pastor, Laura Alvarez, Ramon Charco, Manel Armengol and Salvador Navarro

WSES consensus conference: Guidelines for first-line management of intra-abdominal infections

Intra-abdominal infections are still associated with high rate of morbidity and mortality.

Authors: Massimo Sartelli, Pierluigi Viale, Kaoru Koike, Federico Pea, Fabio Tumietto, Harry van Goor, Gianluca Guercioni, Angelo Nespoli, Cristian Tranà, Fausto Catena, Luca Ansaloni, Ari Leppaniemi, Walter Biffl, Frederick A Moore, Renato Poggetti, Antonio Daniele Pinna…

Small bowel emergency surgery: literature's review

Emergency surgery of the small bowel represents a challenge for the surgeon, in the third millennium as well. There is a wide number of pathologies which involve the small bowel. The present review, by analyzi...

Authors: Carlo Vallicelli, Federico Coccolini, Fausto Catena, Luca Ansaloni, Giulia Montori, Salomone Di Saverio and Antonio D Pinna

Guidelines in the management of obstructing cancer of the left colon: consensus conference of the world society of emergency surgery (WSES) and peritoneum and surgery (PnS) society

Obstructive left colon carcinoma (OLCC) is a challenging matter in terms of obstruction release as well of oncological issues. Several options are available and no guidelines are established. The paper aims to...

Authors: Luca Ansaloni, Roland E Andersson, Franco Bazzoli, Fausto Catena, Vincenzo Cennamo, Salomone Di Saverio, Lorenzo Fuccio, Hans Jeekel, Ari Leppäniemi, Ernest Moore, Antonio D Pinna, Michele Pisano, Alessandro Repici, Paul H Sugarbaker and Jean-Jaques Tuech

Unusual case of pancreatic inflammatory myofibroblastic tumor associated with spontaneous splenic rupture

Spontaneous splenic rupture considered a relatively rare but life threatening. The three commonest causes of spontaneous splenic rupture are malignant hematological diseases, viral infections and local inflamm...

Authors: Kamal S Hassan, Hector I Cohen, Fadi K Hassan and Shadi K Hassan

Acute small bowel obstruction secondary to intestinal endometriosis, an elusive condition: a case report

Endometriosis is a benign condition affecting females of reproductive age. Although intestinal endometriosis is common it is rare for the condition to manifest as an acute bowel obstruction secondary to ileoca...

Authors: Alistair AP Slesser, Sufian Sultan, Faris Kubba and David P Sellu

Laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma

Nonoperative management (NOM) of hemodynamically stable patients with blunt hepatic injuries is considered the current standard of care. However, it is associated with several in-hospital complications. In sel...

Authors: Ettore Marzano, Edoardo Rosso, Elie Oussoultzoglou, Olivier Collange, Philippe Bachellier and Patrick Pessaux

Necessity of immediate cardiopulmonary resuscitation in trauma emergency

The ability to respond quickly and effectively to a cardiac arrest situation rests on nurses being competent in the emergency life-saving procedure of cardiopulmonary resuscitation. The objective of the curren...

Authors: Baitello Andre Luciano, Gonzáles Ferreira Marcela, Espada Paulo Cesar and JoséMaria Pereira de Godoy

An interactive problem-solving approach to teach traumatology for medical students

We aimed to evaluate an interactive problem-solving approach for teaching traumatology from perspectives of students and consider its implications on Faculty development.

Authors: Fikri M Abu-Zidan and Margaret A Elzubeir

Duodenal obstruction - an unusual presentation of Strongyloides stercoralis enteritis: a case report

Intestinal obstruction is a poorly recognized and probably underreported complication of strongyloidiasis. We present herein an unusual case, of complete duodenal obstruction caused by S. stercoralis.

Authors: Ruy J Cruz Jr, Rodrigo Vincenzi and Bernardo M Ketzer

A case report of thoracic compartment syndrome in the setting of penetrating chest trauma and review of the literature

Trauma-related thoracic compartment syndrome (TCS) is a rare, life threatening condition that develops secondary to elevated intra-thoracic pressure and manifests itself clinically as significantly elevated ai...

Authors: Michael W Wandling and Gary C An