Trauma Case Reports最新文献

{"title":"Prehospital resuscitative endovascular balloon occlusion of the aorta during long-distance ground transport for traumatic liver injury: A case report.","authors":"Hiroki Satou, Akihito Tampo, Motoi Okada","doi":"10.1016/j.tcr.2026.101407","DOIUrl":"10.1016/j.tcr.2026.101407","url":null,"abstract":"<p><strong>Background: </strong>Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an established adjunct treatment of hemorrhagic shock caused by subdiaphragmatic bleeding. However, evidence for its use in prehospital settings and long-distance transportation in remote locations remains limited. Herein, we report a case of hemorrhagic shock secondary to traumatic liver injury, for which prehospital REBOA was successfully employed.</p><p><strong>Case presentation: </strong>A 41-year-old man sustained multiple traumatic injuries after being run over by heavy machinery. The patient was diagnosed with hemorrhagic shock resulting from a grade IIIb liver injury. Owing to limited local resources and the anticipated clinical deterioration during long-distance transportation to an emergency medical center, a physician-staffed ground ambulance was dispatched. During which the hemodynamic status of the patient deteriorated, tracheal intubation and REBOA were performed in the ambulance. Partial aortic occlusion was initially applied, followed by complete occlusion when cardiac arrest was imminent. On arrival in the operating room, the patient underwent massive blood transfusion, damage-control laparotomy with perihepatic packing, and subsequent transcatheter arterial embolization. No REBOA-related complications occurred. The patient was discharged from the intensive care unit on hospital day seven.</p><p><strong>Conclusion: </strong>Prehospital REBOA may serve as an effective bridge for definitive hemorrhage control during long-distance transportation in resource-limited regions. Successful implementation requires experienced trauma teams and coordinated system-level management.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101407"},"PeriodicalIF":0.0,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13330614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delayed hemorrhage from a variant renal-origin inferior phrenic artery after liver trauma repair: A case report.","authors":"Longbo Wang, Yurong Wen, Xiyang Sheng, Gengyuan Shi, Yongzhao Li, Dongdong Wang, Wei Wang, Chen Mi, Siyang Wang, YongYue Du, Hanteng Yang","doi":"10.1016/j.tcr.2026.101393","DOIUrl":"10.1016/j.tcr.2026.101393","url":null,"abstract":"<p><p>We report the case of a 19-year-old woman who experienced delayed hemorrhage 4 h after emergency liver repair for traumatic rupture. Digital subtraction angiography (DSA) confirmed that the source of bleeding was an anatomically variant right inferior phrenic artery (originating from the right renal artery), and the patient subsequently underwent successful hemostasis via transcatheter arterial embolization (TAE). This case reveals the masking effect of hypotension during compensated shock on vascular injuries and highlights the limitations of routine surgical exploration in identifying rare vascular variants. Furthermore, it emphasizes the necessity of a comprehensive management strategy based on preoperative imaging, dynamic intraoperative exploration, and multidisciplinary team (MDT) collaboration.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101393"},"PeriodicalIF":0.0,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13325736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-surgical recovery from splenic rupture hemorrhage using herbal medicine: Insights from a case report.","authors":"Xiaowang Nie, Songbo Yang, Xianghuai Long, Wuliang Diao","doi":"10.1016/j.tcr.2026.101371","DOIUrl":"10.1016/j.tcr.2026.101371","url":null,"abstract":"<p><strong>Background: </strong>To date, there have been no documented cases of complete recovery from hemorrhage due to traumatic splenic rupture treated exclusively with Chinese herbal medicine. This case report details a 54-year-old Han male who achieved full recovery from splenic rupture-induced hemorrhage through the self-administration of oral and topical Chinese herbs following an accident.</p><p><strong>Case presentation: </strong>The patient fell from approximately 3 m while collecting herbs, landing on his left chest and abdomen, resulting in persistent pain and discomfort. Initially, he self-treated with Chinese herbs, but his symptoms worsened, leading to bloating, general weakness, dizziness, chest tightness, and fever. Imaging revealed multiple left rib fractures, splenic contusions, and significant blood and fluid accumulation in his abdominal and pelvic cavities. Despite these serious findings, the patient chose to continue managing his condition at home with Chinese herbal remedies. Five days later, due to ongoing symptoms, his family insisted on hospitalization for a thorough evaluation. During his stay, he received general medical treatment while continuing with the Chinese herbs. After four days, his condition improved, and subsequent imaging showed a reduction in blood and fluid accumulation. Follow-up over a year confirmed complete recovery without the need for surgery or blood transfusion.</p><p><strong>Conclusion: </strong>This case illustrates the potential effectiveness of Chinese herbal medicine in managing hemorrhage from traumatic splenic rupture. The patient's significant recovery without surgical intervention or blood transfusion suggests a promising role for Chinese herbal treatments in acute traumatic hemorrhage, warranting further research and clinical investigation.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101371"},"PeriodicalIF":0.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatic appendicitis: A case report and literature review.","authors":"Visarat Palitnonkiat, Sirote Wongwaisayawan, Tharin Thampongsa","doi":"10.1016/j.tcr.2026.101366","DOIUrl":"10.1016/j.tcr.2026.101366","url":null,"abstract":"<p><p>The primary cause of acute appendicitis is obstruction of the proximal lumen of the appendix, although the underlying etiology remains unclear in many cases. Trauma is a rare but documented cause of appendicitis. We present the case of a 38-year-old man who developed right lower quadrant abdominal pain four days after jumping from the second floor of a department store. He reported no prior episode of lower abdominal pain. Abdominal computer tomography (CT) confirmed the diagnosis of acute appendicitis, and the patient subsequently underwent an emergency appendectomy. This case report and literature review highlight the importance of promptly considering appendicitis in patients presenting with acute abdominal pain following abdominal trauma and underscore the need for timely evaluation and appropriate management.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101366"},"PeriodicalIF":0.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13311325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neglected McKee fracture of the capitellum in a child: Case report.","authors":"Mohammed Yassine Cherqaoui, Mohamed Ayoub Bensghir, Abdessamad Fathi, Hajar Rouaghi, Abdelmounim Cherqaoui","doi":"10.1016/j.tcr.2026.101398","DOIUrl":"10.1016/j.tcr.2026.101398","url":null,"abstract":"<p><strong>Introduction: </strong>Capitellar fractures of the humerus are extremely rare in children, representing only about 1% of pediatric elbow fractures, and neglected cases are even more exceptional. This report describes a unique case of a 7-month-old neglected type IV capitellar fracture in a 12-year-old girl, highlighting the therapeutic challenges and the outcomes of delayed management.</p><p><strong>Case presentation: </strong>A 12-year-old girl presented with a 7-month-old neglected capitellar fracture following a fall on an outstretched hand. The injury was initially misdiagnosed and treated with splint immobilization. On examination, she had marked elbow stiffness (extension -70°, flexion 90°) with preserved pronation-supination, no neurovascular defi and a Mayo Elbow Performance Score (MEPS) of 65. Imaging revealed a type IV McKee fracture with callus formation, confirming its chronic nature. Open reduction and internal fixation were performed through a lateral (Kocher) approach using two anterior-to-posterior Herbert screws after anterior capsulectomy. Early rehabilitation began after one week. At 12-month follow-up, flexion improved to 110°, extension to -40°, and MEPS reached 95. Radiographs showed no signs of avascular necrosis or osteoarthritis.</p><p><strong>Conclusion: </strong>Even in neglected cases, anatomical reduction and stable fixation can achieve favorable outcomes in pediatric capitellar fractures. Capitellar resection should be avoided in children due to the risk of osteoarthritis. Delay in management primarily affects functional recovery rather than increasing the risk of avascular necrosis or degenerative changes. This case underlines that preservation and fixation of the fragment, coupled with early rehabilitation, remain the treatment of choice, even after prolonged neglect.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101398"},"PeriodicalIF":0.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13273686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148278834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-traumatic superior mesenteric artery syndrome following lumbar spine stabilization: A case report and literature review.","authors":"Imen Ben Ismail, Khadija Yaich, Marwen Sghaier, Saber Rebii, Hakim Zenaidi, Ayoub Zoghlami","doi":"10.1016/j.tcr.2026.101404","DOIUrl":"10.1016/j.tcr.2026.101404","url":null,"abstract":"<p><strong>Background: </strong>Superior Mesenteric Artery Syndrome (SMAS) is a rare cause of proximal intestinal obstruction resulting from compression of the third portion of the duodenum between the aorta and the superior mesenteric artery. It is most frequently reported in patients with rapid weight loss, catabolic states, or after elective spinal deformity surgery. SMAS following post-traumatic spinal stabilization is extremely uncommon and under-recognized.</p><p><strong>Case presentation: </strong>We report the case of a 17-year-old male with no significant past medical history who sustained a lumbar burst fracture (L3) after a domestic fall from a height of three stories. He underwent percutaneous pedicle screw fixation with an initially uneventful postoperative course. On postoperative day 11, he developed persistent postprandial vomiting and epigastric pain. Physical examination revealed dehydration and epigastric tenderness without peritoneal signs. Laboratory studies demonstrated mild hyponatremia and inflammatory response, with preserved renal function. Abdominal computed tomography revealed marked dilation of the stomach and proximal duodenum with a markedly reduced aortomesenteric distance (3 mm), consistent with SMAS, without evidence of intra-abdominal effusion or obstruction. A conservative management approach was implemented, including nasogastric decompression, intravenous fluid resuscitation, urinary catheterization, and close clinical monitoring. The patient's symptoms progressively resolved, and he resumed full oral intake within one week, without the need for surgical intervention.</p><p><strong>Conclusion: </strong>This case highlights that SMAS can occur even after post-traumatic spinal stabilization in otherwise healthy adolescents. Awareness of this rare complication is essential for early recognition and timely intervention. Conservative management, when instituted promptly, can be highly effective and may prevent unnecessary surgical procedures. Spine surgeons and perioperative teams should consider SMAS in the differential diagnosis of postoperative vomiting and feeding intolerance, even in post-traumatic contexts.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101404"},"PeriodicalIF":0.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13234237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful re-distraction osteogenesis on the consolidated bone resulted from previous distraction osteogenesis of tibia: A case report.","authors":"Asep Santoso, Seti Aji Hadinoto, Hillan Akbar, Dykall Naf'an Dzikri","doi":"10.1016/j.tcr.2026.101374","DOIUrl":"10.1016/j.tcr.2026.101374","url":null,"abstract":"<p><p>Treating massive tibial bone defects resulting from high-energy trauma are pose a significant challenge in the field of orthopaedic surgery. While several methods exist for addressing extensive bone defects, distraction osteogenesis (DO) recognized as one of good options. A 22-year-old male was referred to our orthopaedic clinic due to a wound infection and bone defect on right lower leg area. The patients previously treated with distraction osteogenesis (bone transport) by another surgeon. The patients stopped the distraction process and refuse further follow-up for 6 months. This resulted in consolidation of the distracted bone, however bone defect was still present by 7.5 cm and a skin defect. The patients received soft tissue coverage procedure with cross-leg flap which performed by the orthopaedic micro surgeon. After successful soft tissue coverage, the patient underwent re-osteotomy and another re-distraction osteogenesis procedure of tibia at the bone resulted from previous distraction osteogenesis. Good quality of callus was resulted after the procedure and finally closed all the bone defect. The total bone resulted from distraction osteogenesis was 23.5 cm. Good quality of bone regeneration could be expected with re-distraction osteogenesis on the consolidated bone resulted from previous distraction osteogenesis of tibia.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101374"},"PeriodicalIF":0.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13240761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Triple impalement by fishing spears ('teta'): Surgical decision-making and multisite management in a resource-limited setting - A case report.","authors":"Saumik Sarkar, Saumitra Sarkar, Shuvro Saha, Avijit Dey, Shankar Kumar Roy","doi":"10.1016/j.tcr.2026.101399","DOIUrl":"10.1016/j.tcr.2026.101399","url":null,"abstract":"<p><p>Penetrating injury is an important reason for hospital admission. In case of multiple penetrating injury early resuscitation, adequate examination and investigation with proper surgical management sequence can significantly reduce the risk of morbidity and mortality. A 34-year-old male from a border area of Sylhet, Bangladesh, presented to the emergency department 6 h after being assaulted with three iron fishing spears (\"teta\"). The patient had impalement injuries to the left cheek, left lumbar region, and left foot. On admission, he was conscious and hemodynamically stable, though with abdominal distension. Radiological investigations confirmed deep soft tissue and visceral penetration. An emergency laparotomy revealed perforations in the transverse colon and ileum, necessitating segmental repair and jejunostomy due to concerns of delayed presentation, bowel edema, and risk of anastomotic failure in a resource limited setting. All three foreign bodies were successfully removed surgically at Sylhet MAG Osmani Medical College Hospital, Bangladesh. Postoperative recovery was uneventful. This case highlights the importance of multidisciplinary surgical intervention, and resilience in managing complex penetrating injuries in a resource limited setting.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101399"},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13240764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Limb salvage with brachial-to-radial bypass using a saphenous vein graft following severe crush injury: A case report.","authors":"Fulya Topuz","doi":"10.1016/j.tcr.2026.101395","DOIUrl":"10.1016/j.tcr.2026.101395","url":null,"abstract":"<p><strong>Background: </strong>Severe crush injuries to the upper limb can result in complex arterial damage and acute limb ischaemia, which often precludes primary repair. In such challenging settings, distal-target bypass using an autologous conduit may be required to achieve timely revascularisation and limb salvage.</p><p><strong>Case presentation: </strong>A 21-year-old male patient presented with acute ischaemia of the upper limb following a work-related crush injury. Computed tomography angiography revealed a long-segment occlusion of the distal brachial artery and absent distal flow. Emergency surgical exploration revealed extensive arterial and soft-tissue destruction, making primary reconstruction impossible. A long autologous great saphenous vein graft was harvested and tunneled between muscle planes, similar to techniques used in femoropopliteal bypass procedures, to provide a protected, tension-free course. Proximal and distal end-to-side anastomoses were performed between the brachial and radial arteries. Immediate graft patency was confirmed intraoperatively by Doppler ultrasonography and palpable distal pulses. Postoperatively, hand perfusion was restored and limb viability was preserved in the short term, despite associated nerve injury requiring multidisciplinary management.</p><p><strong>Conclusion: </strong>Brachial-to-radial artery bypass using a long saphenous vein graft is an effective limb salvage strategy for severe upper extremity crush trauma when primary arterial repair is not possible. Careful graft tunnelling through muscle planes and tension-free anastomoses may contribute to early patency and favourable clinical outcomes.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101395"},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13240779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate and sustained resolution of chronic post-traumatic diplopia following lower eyelid adhesiolysis using plasma energy (Plexr): An 8-month follow-up case report.","authors":"Sotiris G Tsioumas, Getu Gamo Sagaro, Giovanna Ricci, Vincenzo Bellitto, Giulio Nittari","doi":"10.1016/j.tcr.2026.101388","DOIUrl":"10.1016/j.tcr.2026.101388","url":null,"abstract":"<p><p>A plasma adhesiolysis procedure is a minimally invasive technique that uses plasma energy generated by the Plexr device to separate fibrous adhesions between tissues. Although this technology has been used in periocular procedures, its application in treating chronic restrictive diplopia is largely undocumented. This case aimed to illustrate the potential alternative to surgery in patients with long-term, post-traumatic restricted diplopia via non-surgical intervention. A 35-year-old woman presented with chronic post-traumatic diplopia persisting for eleven years after a left orbital floor blow-out fracture. She had previously undergone two orbital reconstructions using porous polyethylene (Medpor) implants, performed in 2014 and 2019, without achieving functional improvement. In October 2025, she underwent a minimally invasive procedure involving plasma-assisted adhesiolysis of the lower eyelid using the plasma energy (Plexr) device. The intervention led to immediate improvement: ocular motility was restored intraoperatively, and the patient's diplopia resolved completely within approximately 5 min. Importantly, at long-term follow-up on May 12, 2026 (approximately eight months later), the patient remained completely free of diplopia in all gaze positions, with full ocular motility bilaterally and sustained aesthetic improvement of the left lower eyelid, including reduction of edema and tissue asymmetry. This case demonstrates the potential of non-surgical plasma adhesiolysis to achieve both immediate and durable restoration of ocular motility in chronic restrictive diplopia secondary to trauma and multiple orbital surgeries. The fast improvement seen in this case suggests that plasma-based adhesion release may serve as an alternative to traditional surgery for managing long-standing post-traumatic motility restrictions.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101388"},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13234248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}