Articles

Small bowel intussusception with the Meckel's diverticulum after blunt abdominal trauma: a case report

Intussusception with the Meckel's diverticulum is a rare but well-known cause of small bowel obstruction in the adult. After blunt abdominal trauma, intussusception is exceedingly rare and has been reported pr...

Authors: El Bachir Benjelloun, Abdelmalek Ousadden, Karim Ibnmajdoub, Khalid Mazaz and Khalid Ait Taleb

Caecal perforation with faecal peritonitis – unusual presentation of Bochdalek hernia in an adult: a case report and review of literature

The improper fusion of the postero-lateral foramen of the diaphragm was first described by Bochdalek in 1848. The incidence of congenital diaphragmatic hernia varies from1:2000 to 1:5000 live births and Bochda...

Authors: Ameet Kumar, Vikas Maheshwari, TS Ramakrishnan and Samaresh Sahu

Exsanguinating upper GI bleeds due to Unusual Arteriovenous Malformation (AVM) of stomach and spleen: a case report

In this paper we are reporting one case of exsanguinating upper gastrointestinal tract (GIT) bleed requiring massive blood transfusion and immediate life saving surgery.

Authors: Mohammad Iqbal Khan, Muhammad Tariq Baqai, Mohammad Fahd Baqai and Naveed Mufti

Coronary artery dissection and acute myocardial infarction following blunt chest trauma

Blunt chest trauma might lead to cardiac injury ranging from simple arrhythmias to lethal conditions such as cardiac rupture. We experienced a case of initially overlooked traumatic coronary artery dissection ...

Authors: Johannes L Bjørnstad, Johan Pillgram-Larsen and Theis Tønnessen

Primary abdominal hydatid cyst presenting in emergency as appendicular mass: a case report

Hydatid disease, caused by Echinococcus granulosus, is a common parasitic infection of the liver. Disseminated intra-abdominal hydatid disease may occur following rupture of the hydatid cyst into the peritonea...

Authors: Utpal De

Wound dehiscence: is still a problem in the 21th century: a retrospective study

The aim of this study was to evaluate the risk factors of wound dehiscence and determine which of them can be reverted.

Authors: John Spiliotis, Konstantinos Tsiveriotis, Anastasios D Datsis, Archodoula Vaxevanidou, Georgios Zacharis, Konstantinos Giafis, Spyros Kekelos and Athanasios Rogdakis

WSES SM (World Society of Emergency Surgery Summer Meeting) highlights: emergency surgery around the world (Brazil, Finland, USA)

Emergency surgery is performed in every hospital with a A and E unit all around the world. However it is organized in different ways with different results.

Authors: Renato Poggetti, Ari Leppanemi, Paula Ferrada, Juan Carlos Puyana, Andrew B Peitzman, Luca Ansaloni, Fausto Catena, Antonio D Pinna and Ernest E Moore

Molecular mechanisms and management of traumatic brain injury – missing the link?

Authors: Michael A Flierl, Wade R Smith, Steven J Morgan and Philip F Stahel

ATLS^® and damage control in spine trauma

Substantial inflammatory disturbances following major trauma have been found throughout the posttraumatic course of polytraumatized patients, which was confirmed in experimental models of trauma and in vitro s...

Authors: Oliver I Schmidt, Ralf H Gahr, Andreas Gosse and Christoph E Heyde

WJES: how to review a clinical paper

Authors: Kaoru Koike, Luca Ansaloni, Fausto Catena and Ernest E Moore

Molecular mechanisms of traumatic brain injury: the missing link in management

Head injury is common, sometimes requires intensive care unit admission, and is associated with significant mortality and morbidity. A gap still remains in the understanding of the molecular mechanism of this ...

Authors: Tonny Veenith, Serena SH Goon and Rowan M Burnstein

Percutaneous retrieval of a biliary stent after migration and ileal perforation

We present a case of a migrated biliary stent that resulted in a distal small bowel perforation, abscess formation and high grade partial small bowel obstruction in a medically stable patient without signs of ...

Authors: Derek M Culnan, Bryan J Cicuto, Harjit Singh and Robert A Cherry

A rare cause of recurrent gastrointestinal bleeding: mesenteric hemangioma

Lower gastrointestinal hemorrhage accounts for approximately 20% of gastrointestinal hemorrhage. The most common causes of lower gastrointestinal hemorrhage in adults are diverticular disease, inflammatory bow...

Authors: Mircelal Kazimi, Murat Ulas, Cem Ibis, Mutlu Unver, Nazan Ozsan, Funda Yilmaz, Galip Ersoz, Murat Zeytunlu, Murat Kilic and Ahmet Coker

Emergency surgery, acute care surgery and the boulevard of broken dreams

Authors: Fausto Catena and Ernest E Moore

Feasibility of laparoscopy for small bowel obstruction

Adherential pathology is the most common cause of small bowel obstruction. Laparoscopy in small bowel obstruction does not have a clear role yet; surely it doesn't always represent only a therapeutic act, but ...

Authors: Eriberto Farinella, Roberto Cirocchi, Francesco La Mura, Umberto Morelli, Lorenzo Cattorini, Pamela Delmonaco, Carla Migliaccio, Angelo A De Sol, Luca Cozzaglio and Francesco Sciannameo

Evaluation of trauma care using TRISS method: the role of adjusted misclassification rate and adjusted w-statistic

Major trauma is a leading cause of death worldwide. Evaluation of trauma care using Trauma Injury and Injury Severity Score (TRISS) method is focused in trauma outcome (deaths and survivors). For testing TRISS...

Authors: Sadik S Llullaku, Nexhmi Sh Hyseni, Cen I Bytyçi and Sylejman K Rexhepi

Small bowel haemorrhage associated with partial midgut malrotation in a middle-aged man

We describe a case of life-threatening small bowel haemorrhage in a 56 year old man, who was found to have partial midgut malrotation at laparotomy. An association between congenital malrotation and gastrointe...

Authors: Ajay Belgaumkar, Dheeraj Karamchandani, Praveen Peddu and Klaus-Martin Schulte

Erratum to: An unusual and difficult diagnosis of intestinal obstruction: The abdominal cocoon. Case report and review of the literature

Since publication of our article, "An unusual and difficult diagnosis of intestinal obstruction: The abdominal cocoon. Case report and review of the literature." World J Emerg Surg. 2006, 1: 8 we believe that ...

Authors: Ali O Devay, Ismail Gomceli, Birol Korukluoglu and Ahmet Kusdemir

WSES SM (World Society of Emergency Surgery Summer Meeting) highlights, education in emergency surgery

Authors: Michael D Kelly

Intrathoracic drainage of a perforated prepyloric gastric ulcer with a type II paraoesophageal hernia

With an incidence of less than 5%, type II paraesophageal hernias are one of the less common types of hiatal hernias. We report a case of a perforated prepyloric gastric ulcer which, due to a type II hiatus he...

Authors: Robert A Pol, Hiske W Wiersma, Bas JGL Zonneveld and Marinus Eeftinck Schattenkerk

Prosthetic abdominal wall hernia repair in emergency surgery: from polypropylene to biological meshes

The use of nonabsorbable prosthetic materials such as polypropylene, polyester, and ePTFE, have expanded and are now widely used in reparative surgery for abdominal wall hernias.

Authors: G Campanelli, F Catena and L Ansaloni

Comparison of quality control for trauma management between Western and Eastern European trauma center

Quality control of trauma care is essential to define the effectiveness of trauma center and trauma system. To identify the troublesome issues of the system is the first step for validation of the focused cust...

Authors: Stefano Massimiliano Calderale, Raluca Sandru, Gregorio Tugnoli, Salomone Di Saverio, Mircea Beuran, Sergio Ribaldi, Massimo Coletti, Giorgio Gambale, Sorin Paun, Livio Russo and Franco Baldoni

Spectrum of perforation peritonitis in Pakistan: 300 cases Eastern experience

Perforation peritonitis is the most common surgical emergency encountered by the surgeons all over the world as well in Pakistan. The spectrum of etiology of perforation peritonitis in tropical countries conti...

Authors: Shahida Parveen Afridi, Faiza Malik, Shafiq Ur-Rahman, Shahid Shamim and Khursheed A Samo

Simultaneous idiopathic segmental infarction of the great omentum and acute appendicitis: a rare association

Idiopathic segmental infarction of the greater omentum is an uncommon cause of acute abdomen. The etiology is still unclear and the symptoms mimic acute appendicitis. Its presentation simultaneously with acute...

Authors: Luigi Battaglia, Filiberto Belli, Alberto Vannelli, Giuliano Bonfanti, Gianfrancesco Gallino, Elia Poiasina, Mario Rampa, Marco Vitellaro and Ermanno Leo

Decision making in patients with acute abdominal pain at a university and at a rural hospital: does the value of abdominal sonography differ?

Abdominal sonography is regarded as a quick and effective diagnostic tool for acute abdominal pain in emergency medicine. However, final diagnosis is usually based on a combination of various clinical examinat...

Authors: Aristomenis K Exadaktylos, Charlotte Sadowski-Cron, Paul Mäder, Monika Weissmann, Hans Peter Dinkel, Marco Negri and Heinz Zimmermann

Endocrine and metabolic response to trauma in hypovolemic patients treated at a trauma center in Brazil

The metabolic changes in trauma patients with shock contribute directly to the survival of the patient. To understand these changes better, we made a rigorous analysis of the variations in the main examination...

Authors: Luiz CV Bahten, Fernando HO Mauro, Maria F Domingos, Paula H Scheffer, Bruno H Pagnoncelli and Marco AR Wille

Emergency surgery for Meckel's diverticulum

The current work attempts to highlight the various life threatening complications of Meckel's diverticulum and to present the surgical strategies used in the emergency conditions so far in the form of a review...

Authors: Raj Kumar Sharma and Vir Kumar Jain

Ileocolic Intussusception - A rare cause of acute intestinal obstruction in adults; Case report and literature review

Colonic Intussusception although common in children, is a rare cause of acute intestinal obstruction in adults. The etiology, clinical presentation and management of this condition is different in adults as co...

Authors: Muhammad Najm Khan, Avi Agrawal and Paul Strauss

Delayed presentation of Subclavian venous thrombosis following undisplaced clavicle fracture

Medial clavicle fractures are uncommon, accounting for approximately 5 percent of all clavicle fractures. Vascular injuries are uncommon but are recognised as either an immediate complication due to transectio...

Authors: Tony Kochhar, Chethan Jayadev, Jay Smith, Emmet Griffiths and Kamaljit Seehra

Severe bleeding from esophageal varices resistant to endoscopic treatment in a non cirrhotic patient with portal hypertension

A non cirrhotic patient with esophageal varices and portal vein thrombosis had recurrent variceal bleeding unsuccessfully controlled by endoscopy and esophageal transection. Emergency transhepatic portography ...

Authors: Roberto Caronna, Mario Bezzi, Monica Schiratti, Maurizio Cardi, Giampaolo Prezioso, Michele Benedetti, Federica Papini, Simona Mangioni, Gabriele Martino and Piero Chirletti

Videothoracoscopic surgical approach for spontaneous pneumothorax: review of the pertinent literature

Spontaneous pneumothorax is usually caused by the rupture of subpleural blebs/bullae in the underlying lung and is one of the most common elective applications of video-assisted thoracoscopic surgery (VATS). V...

Authors: Hiroyuki Sakurai

Emergency endovascular management of peripheral artery aneurysms and pseudoaneurysms – a review

Endovascular stenting has been successfully employed in the management of aortic aneurysms; however, its use in managing peripheral arterial conditions remains questionable. We review the utility of endovascul...

Authors: Umar Sadat, Peter J Kullar, Ayesha Noorani, Jonathan H Gillard, David G Cooper and Jonathan R Boyle

Portal vein gas in emergency surgery

Portal vein gas is an ominous radiological sign, which indicates a serious gastrointestinal problem in the majority of patients. Many causes have been identified and the most important was bowel ischemia and m...

Authors: Abdulzahra Hussain, Hind Mahmood and Shamsi El-Hasani

Post-traumatic tension faecopneumothorax in a young male: case report

Diaphragmatic rupture due to trauma is both well recognised and uncommon. The difficulties in diagnosing traumatic diaphragmatic rupture at the first admission are the most common causes of latent morbidity an...

Authors: J Kelly, ET Condon, WO Kirwan and HP Redmond

Emergency room surgical workload in an inner city UK teaching hospital

Emergency admissions may account for over 50% of surgical admissions. The impact on service provision and implications for training are difficult to quantify. We performed a cohort study to analyse these workl...

Authors: Tuong A Mai-Phan, Bijendra Patel, Michael Walsh, Ajit T Abraham and Hemant M Kocher

Ileo-anal pouch necrosis secondary to small bowel volvulus: A case report

Small bowel volvulus is a rare occurrence in the Western world and its occurrence after ileo-anal ouch formation is even rarer.

Authors: Sandeep Patel, Gurcharan Salotera, Shashank Gurjar, Jim Hewes, Ibrahim Ahmed and Brian Andrews

An analysis of 13 patients with perforated gastric carcinoma: A surgeon's nightmare?

Perforation is a rare complication of gastric carcinoma and generally not diagnosed preoperatively. To clarify the clinicopathologic characteristics of patients with this condition we reviewed 13 cases of gast...

Authors: Cetin Kotan, Aziz Sumer, Murat Baser, Remzi Kızıltan and M Ali Carparlar

Cecal diverticulitis mimicking acute Appendicitis: a report of 4 cases

Diverticulum of the cecum is a rare, benign, generally asymptomatic lesion that manifests itself only following inflammatory or hemorrhagic complications. Most patients with inflammation of a solitary divertic...

Authors: Oguzhan Karatepe, Osman Bilgin Gulcicek, Gokhan Adas, Muharrem Battal, Yasar Ozdenkaya, Idris Kurtulus, Merih Altiok and Servet Karahan

Metastatic Gas gangrene and Colonic Perforation: a case report

Clostridium septicum myonecrosis is associated with diabetes, colorectal and haematological malignancies. We present a case of metastatic myonecrosis in a diabetic patient with a perforated caecal tumour. The lit...

Authors: Matthew J Powell, Kishore K Sasapu and Christopher Macklin

Delayed rupture of common carotid artery following rugby tackle injury: a case report

Common Carotid Artery (CCA) is an uncommon site of injury following a blunt trauma, its presentation with spontaneous delayed rupture is even more uncommon and a rugby tackle leading to CCA injury is a rare ev...

Authors: Nainoor Thakore, Saleh Abbas and Peter Vanniasingham

Colonic perforation following mild abdominal trauma in a patient with Crohn's disease: a case report

Colonic perforation following mild abdominal trauma in patients with Crohn's disease is a rare occurrence. We present a case of a 21 year old Crohn's sufferer, who presented to the emergency department with si...

Authors: John Bunni, Simon JW Monkhouse and Christopher P Armstrong

Felix Battistella, UC Davis Chief of Trauma and Emergency Surgery, Editorial Board member of World Journal of Emergency Surgery, dies at 48, January 22 2008

Authors: Cheryl Wraa RN, Fausto Catena and Ernest Moore

Pelvic radiography in ATLS algorithms: A diminishing role?

Pelvic x-ray is a routine part of the primary survey of polytraumatized patients according to Advanced Trauma Life Support (ATLS) guidelines. However, pelvic CT is the gold standard imaging technique in the di...

Authors: Matthias P Hilty, Isabelle Behrendt, Lorin M Benneker, Luca Martinolli, Christoforos Stoupis, Donald J Buggy, Heinz Zimmermann and Aristomenis K Exadaktylos

Perforated diverticulitis presenting as necrotising fasciitis of the leg

Diverticulosis of the colon is a common condition of increasing age. Complications of diverticulitis including stricture, perforation and fistula formation often require surgery. Perforated diverticulitis may ...

Authors: Timothy J Underwood, Jeremy Southgate, Robert Talbot and Guy F Nash

Acute gallbladder torsion: an unexpected intraoperative finding

Gallbladder torsion is an uncommon clinical entity and a difficult condition to diagnose preoperatively. Since its first description in 1898 by Wendel there have been over 500 documented cases in the literatur...

Authors: Gnananandan Janakan, Abraham A Ayantunde and Happy Hoque

Splenic rupture after colonoscopy: Report of a case and review of literature

Splenic rupture is a rare complication of colonoscopy. For this reason the diagnosis could be delayed and the outcome dismal. Fifty-four cases of splenic rupture after colonoscopy have been described in the li...

Authors: Alessandro Cappellani, Maria Di Vita, Antonio Zanghì, Andrea Cavallaro, Giovanni Alfano, Gaetano Piccolo and Emanuele Lo Menzo

Postoperative gastric dilatation causing abdominal compartment syndrome

To study the effect of postoperative gastric dilatation on intra-abdominal pressure (IAP).

Authors: Ahmad Mahajna, Sharon Mitkal and Michael M Krausz

Transverse laparostomy is feasible and effective in the treatment of abdominal compartment syndrome in severe acute pancreatitis

Only recently has the important role of abdominal compartment syndrome (ACS) been recognized as a contributing factor to the multiple organ failure commonly seen in severe acute pancreatitis (SAP). Decompressi...

Authors: Ari Leppäniemi, Panu Mentula, Piia Hienonen and Esko Kemppainen

Complicated diverticular disease of the colon, do we need to change the classical approach, a retrospective study of 110 patients in southeast England

Complicated diverticular disease of the colon imposes a serious risk to patient's life, challenge to surgeons and has cost implications for health authority. The aim of this study is to evaluate the management...

Authors: Abdulzahra Hussain, Hind Mahmood, Gokulakkrishna Subhas and Shamsi EL-Hasani

Laparoscopic assisted right hemicolectomy for caecal volvulus

A case of acute caecal volvulus is presented where laparoscopy was used to avoid a major laparotomy. A technique is described for safe deflation of the caecum, which allowed a small incision for resection and ...

Authors: Michael D Kelly, John Bunni and Anne M Pullyblank