Trauma Case Reports最新文献

{"title":"Isolated mesocolon injury and sigmoid colon necrosis secondary to abdominal blunt trauma","authors":"Imen Ben Ismail ,&nbsp;Mohamed Karim Tounsi ,&nbsp;Marwen Sghaier ,&nbsp;Mohamed Boujemaa ,&nbsp;Hakim Zenaidi ,&nbsp;Ayoub Zoghlami","doi":"10.1016/j.tcr.2025.101208","DOIUrl":"10.1016/j.tcr.2025.101208","url":null,"abstract":"<div><h3>Introduction</h3><div>Blunt abdominal trauma from road traffic crashes can lead to a range of injuries, including those to the mesocolon. While solid organ injuries are common, mesocolon injuries resulting in bowel necrosis are rare but potentially life-threatening. This case report describes a 47-year-old male involved in a high-impact road traffic crash, who developed mesocolon injury with subsequent bowel necrosis.</div></div><div><h3>Case presentation</h3><div>A 47-year-old male, a drunk driver, was admitted following a high-impact road traffic crash. Initial examination revealed hemodynamic instability and significant abdominal tenderness. A contrast-enhanced CT scan showed hemoperitoneum and signs of mesenteric injury. Surgery revealed generalized hemoperitoneum with blood clots and a ruptured sigmoid mesocolon, resulting in necrosis of approximately 20 cm of bowel. The patient underwent Hartmann's procedure, and his postoperative recovery was uneventful.</div></div><div><h3>Discussion</h3><div>Mesocolon injuries are rare, accounting for 1–5 % of blunt abdominal trauma cases. Symptoms often overlap with other abdominal pathologies, complicating diagnosis. Imaging, especially CT, is crucial in identifying the extent of injury. Surgical intervention is required for cases involving bowel necrosis, with Hartmann's procedure being the treatment of choice. Early diagnosis and prompt surgical management are critical for favorable outcomes.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of considering mesocolon injuries in trauma patients, especially in the context of abdominal tenderness and hemodynamic instability. Timely imaging and surgical intervention are essential for managing these rare but serious injuries.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101208"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypertrophic cardiomyopathy in the trauma patient: A case report and review of the literature","authors":"Andrew Hendrix ,&nbsp;Thomas Crafton ,&nbsp;Logan Carlyle ,&nbsp;Jacob Hessey","doi":"10.1016/j.tcr.2025.101204","DOIUrl":"10.1016/j.tcr.2025.101204","url":null,"abstract":"<div><h3>Introduction</h3><div>Hypertrophic cardiomyopathy (HCM), a prevalent genetic cardiac condition characterized by myocardial thickening, poses unique challenges in trauma care. Sparse evidence seems to agree that HCM patients have worse outcomes following non-cardiac surgeries, particularly emergent procedures. However, despite a prevalence of 1 in 500 in the US population, the intersection of HCM and Advanced Trauma Life Support (ATLS) remains undiscussed in current literature.</div></div><div><h3>Case presentation</h3><div>A 54-year-old female with unknown past medical history presented as a level 2 trauma alert following a motor vehicle collision. Due to persistent hypotension and transient bradycardia in the trauma bay a further cardiologic evaluation was performed and found severe hypertrophic obstructive cardiomyopathy (HOCM).</div></div><div><h3>Clinical discussion</h3><div>We report a case of a polytrauma patient found to have severe HOCM as well as provide a review of the literature including pathophysiological considerations in the management of the trauma patient with HCM.</div></div><div><h3>Conclusions</h3><div>Caring for the trauma patient with HCM requires a multidisciplinary strategy that integrates advanced cardiac imaging and cautious hemodynamic management, underlining the necessity for heightened awareness.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101204"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical multidisciplinary approach to a complex war case with urological, colorectal and orthopaedics lesions","authors":"Francesco Quaglino ,&nbsp;Antonella Evangelista ,&nbsp;Marta Breda ,&nbsp;Sara Ruscio ,&nbsp;Gianluca Collo ,&nbsp;Luca Cestino ,&nbsp;Maria Antonucci ,&nbsp;Stefania Soncini ,&nbsp;Beatrice Degan ,&nbsp;Salome Pfannkuche ,&nbsp;Elisa Berdondini","doi":"10.1016/j.tcr.2025.101200","DOIUrl":"10.1016/j.tcr.2025.101200","url":null,"abstract":"<div><div>We present the case of a 21 years-old male who suffered major multiple injuries as the result of a mine explosion occurred on 19/09/23 in Armenia. They included shrapnel wounds involving the penile urethra, the bladder, the rectum, the anal canal and the upper and lower extremities and multiple fractures of the pelvis. Initially he underwent a stabilizing surgery at the field hospital; he was then transferred to the Astghik Medical Center where a new emergency surgery was performed with the creation of a lateral colostomy and the placement of a midline cystostomy drainage.</div><div>On 08/10/23, the patient was admitted to the Department of Surgery at Maria Vittoria Hospital in Turin, Italy, with signs of sepsis. Broad-spectrum intravenous antibiotic therapy was promptly initiated. A week later, due to the persistence of the septic state, we performed a surgical abdominal revision consisting of a drainage of multiple intraperitoneal abscesses and resection of the injured rectal tract with conversion of the lateral colostomy into a terminal one, a direct repair of a leakage found in the bladder and a replacement of the cystostomy dreinage. The patient was discharged in good conditions 45 days after surgery.</div><div>Five months later, the patient underwent a Hartmann's reversal with a Knight-Griffen anastomosis combined with urethral and perineal reconstruction, pubectomy, cystorrhaphy and placement of a new lateral cystostomy. The patient was discharged 45 days after surgery in good clinical conditions. The cystocath and the bladder catheter were removed in outpatient setting two weeks later.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101200"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intramedullary implant exchange and adequate soft tissue coverage in exposed implants following fracture related infection in operatively treated ankle fractures","authors":"R.B. Beks ,&nbsp;P. van Oosten ,&nbsp;D. van Embden ,&nbsp;M. Botman ,&nbsp;T. Schepers","doi":"10.1016/j.tcr.2025.101206","DOIUrl":"10.1016/j.tcr.2025.101206","url":null,"abstract":"<div><div>Ankle fractures are common with an increasing incidence due to aging populations. A major complication after surgery for ankle fractures is deep infection, which requires additional treatments and adversely affect long-term outcomes. Treatment of fracture-related infections focuses on achieving fracture union and may involve either retaining or removing the implant, depending on the stability of the implant, with early involvement of a plastic surgeon crucial for adequate tissue coverage. This study presents four cases demonstrating the successful use of intramedullary screw fixation of the fibula to stabilize partially healed fractures, reduce implant load and improve soft tissue coverage in patients with fracture-related infection after operatively treated ankle fractures. Therefore, exchange to intramedullary screw fixation should be considered in patients with fracture related infection of the fibula to reduce the bacterial load of foreign material and allow for better soft tissue coverage and healing.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101206"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of the induced membrane technique in an open fracture of the first phalangeal column of the thumb","authors":"Sohayb Darraz,&nbsp;Amine El Farhaoui,&nbsp;Mohammed Lamziraa,&nbsp;Llyesse Haichour,&nbsp;Omar Mokhtari,&nbsp;Adnane Lachkar,&nbsp;Najib Abdeljaouad,&nbsp;Hicham Yacoubi","doi":"10.1016/j.tcr.2025.101203","DOIUrl":"10.1016/j.tcr.2025.101203","url":null,"abstract":"<div><div>The case involves a 53-year-old patient admitted for trauma to the right hand following an accident with a grinder. The 4 cm wound on the first ray caused a tendon deficit without vascular or nerve damage. An open fracture of the first metacarpal with a 2 cm bone loss was diagnosed. Initial treatment included wound irrigation, debridement, suturing, and osteosynthesis using biological cement and a Bone fixation using Iselin pinning with two K-wires. A second procedure, six weeks later, involved a bone graft using the Masquelet technique, showing bone consolidation after five months. This technique is proving increasingly effective for complex open fractures, promoting vascularization and cortication through the release of growth factors like BMP-2 and VEGF. Studies confirm the presence of osteoclasts and osteoblasts in the induced membrane, aiding osteointegration. Initially developed for the lower limb, the technique has successfully been extended to the hand, providing a viable option for bone substance loss.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101203"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pledgets infection and persistent bile leak following severe blunt liver trauma treated by partial liver resection: A case report","authors":"Yoshiro Kobe,&nbsp;Misaki Murasaki,&nbsp;Masaya Ushio,&nbsp;Takayuki Tohma","doi":"10.1016/j.tcr.2025.101198","DOIUrl":"10.1016/j.tcr.2025.101198","url":null,"abstract":"<div><h3>Introduction</h3><div>Persistent bile leakage is a known complication following surgery to control bleeding from severe liver injuries.</div></div><div><h3>Case presentation</h3><div>A 51-year-old Japanese man presented to our hospital in shock following a collision between his motorcycle and a car. He underwent immediate surgery, in which a liver laceration was repaired with pledgeted sutures. Persistent bile leakage from the sutured hepatic site could be controlled post-operatively with stents, but the sutured hepatic site was found to be infected. A partial liver resection was eventually performed to successfully manage the infection.</div></div><div><h3>Conclusion</h3><div>Clinicians should consider surgical intervention for cases of persistent infection after failed conservative treatment for severe liver injury.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101198"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Displaced intra-articular calcaneal fracture with comminuted calcaneocuboid depression fracture: case report","authors":"Motoyuki Takaki ,&nbsp;Akira Yoshino ,&nbsp;Hirono Ojima ,&nbsp;Takuya Yuki ,&nbsp;Asami Morimoto ,&nbsp;Narutaka Katoh","doi":"10.1016/j.tcr.2025.101205","DOIUrl":"10.1016/j.tcr.2025.101205","url":null,"abstract":"<div><h3>Background</h3><div>Although it is well known that some calcaneal fractures extend to the calcaneocuboid joint, there have been no reports detailing the techniques of reduction in calcaneal fractures with severe displaced depressed calcaneocuboid joint fractures.</div></div><div><h3>Purpose</h3><div>We experienced a case of calcaneal fracture with severe displaced comminuted calcaneocuboid joint depression fracture. The purpose of this report is to introduce reduction and fixation techniques.</div></div><div><h3>Case</h3><div>51-Year-old male. He was injured after falling from a height of 6 m while pruning trees at his workplace. He was carried to his previous hospital and was urgently hospitalized with a diagnosis of left calcaneus comminuted fracture, left ankle lateral malleolar fracture, 1st lumbar compression fracture, and sacral fracture.</div><div>The patient presented with a depression type calcaneal fracture including an intraarticular depression fracture of the calcaneocuboid joint. At surgery, the depression fracture of the calcaneocuboid joint was directly molded to the cuboid, before the posterior talocalcaneal fracture was reduced and temporarily fixed to the cuboid bone with a Kirshner wire. The lateral column was opened using a spreader and shortening of the lateral column was reconstructed when the posterior talocalcaneal intra-articular fracture was reduced.</div></div><div><h3>Discussion</h3><div>In calcaneal fractures involving the calcaneocuboid joint, those with minor displacement are often reduced indirectly by posterior facet reduction. In cases of depression fractures of the calcaneocuboid joint with severe displacement, there is a risk of shortening of the lateral column, so length of the lateral column must be restored sufficiently. We think that dissection of the fracture site and temporary joint fixation is required for reduction.</div></div><div><h3>Conclusion</h3><div>For calcaneal fractures with intra-articular depression fractures of the calcaneocuboid joint, reduction techniques to reconstruct the length of the lateral column using a lamina spreader are useful, such as temporary joint fixation after reduction of the calcaneocuboid joint using Kirshner wire.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101205"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survival of a patient with an acute traumatic subdural hematoma and high-grade liver injury with associated IVC injury without surgical intervention","authors":"Patrick T. Lee ,&nbsp;Elliot Jessie ,&nbsp;David T. Efron","doi":"10.1016/j.tcr.2025.101194","DOIUrl":"10.1016/j.tcr.2025.101194","url":null,"abstract":"<div><div>Blunt trauma can often result in multi-organ injury. Traumatic brain injury with significant intracranial hemorrhage is usually addressed with surgical intervention to prevent further injury, particularly in the presence of midline shift. Concurrent liver injury and hemorrhage can present challenges in management. Here, we discuss the case of a 46-year-old male who presented after a motor vehicle crash and was found to have a subdural hematoma (SDH) with midline shift and herniation, which was determined to be non-survivable by neurosurgery. On cross-sectional imaging, the patient was additionally found to have a Grade V liver injury with extension into the inferior vena cava. No surgical interventions were performed for the intracranial hemorrhage or intra-abdominal injuries. The patient did not succumb to these injuries, but had a decrease in the size of the intracranial hemorrhage, and eventually regained consciousness during the hospital course, surviving to discharge.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101194"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare consequence of snakebite: A case report and literature review","authors":"Fadi Aboud ,&nbsp;Micheal Assaf ,&nbsp;Haim Shtarker","doi":"10.1016/j.tcr.2025.101174","DOIUrl":"10.1016/j.tcr.2025.101174","url":null,"abstract":"<div><div>Snakebites can have a diverse array of symptoms, manifesting both locally and systemically. Local symptoms include mainly swelling and pain. Rarely some patients can develop compartment syndrome. The symptoms of a snakebite can mimic those of compartment, potentially causing a delay diagnosis and treatment which can lead to devastating and a long-lasting disability.</div><div>We present a case of an eight-year-old female who presented with systemic envenomation after a snakebite to her left lower leg. Upon arrival, she received supportive care, including antivenom, and demonstrated a good systemic response. However, her leg swelling and pain gradually worsened. She was examined daily by orthopedic surgeons. Clinical examinations initially showed no signs of compartment syndrome until 68 h after admission, when a passive stretch test became positive, and intra-compartmental pressure was found to be elevated. The patient was promptly taken to the operating room for compartment release. The muscles showed no ischemia and two weeks after the release primary closure was done. This case highlights the importance of clinician vigilance and awareness of the potential for delayed onset of compartment syndrome following a snakebite. Our patient was diagnosed and treated in a timely manner, resulting in complete recovery without permanent disability.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101174"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fixation of fibular head avulsion fractures with the proximal tibiofibular screw: Technique guide and clinical experience","authors":"Ryan A. Paul ,&nbsp;Shu Yang Hu ,&nbsp;Ananya Pathak ,&nbsp;Ryan Khan ,&nbsp;Daniel B. Whelan","doi":"10.1016/j.tcr.2025.101175","DOIUrl":"10.1016/j.tcr.2025.101175","url":null,"abstract":"<div><h3>Background</h3><div>Fibular head avulsion fractures are often associated with posterolateral corner injuries. Conventional fixation have consisted of transosseous or anchor-based suture techniques.</div></div><div><h3>Purpose</h3><div>This technique paper reports on the use of a cannulated screw for fixation of fibular head avulsion fractures by a single surgeon at a tertiary referral center.</div></div><div><h3>Methods</h3><div>Thirty-seven patients underwent open reduction and internal fixation of fibular head avulsion fractures between 2006 and 2022.</div></div><div><h3>Results</h3><div>At final follow up (mean 3.5 years ± 2.5) all fractures went on to bony union. All patients regained functional range of motion with mean extension of 1 degree (median 0 degrees, range 0 to −5 degrees) and mean flexion of 121 degrees (median 127.5 degrees, range 90 to 135 degrees).</div></div><div><h3>Conclusion</h3><div>Our results suggest that a cannulated screw across multiple cortices provides robust fixation and allows for early motion.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101175"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}