Trauma Case Reports最新文献_第2页

Robotic assisted splenectomy after failure of splenic angioembolization in blunt abdominal trauma 钝性腹部创伤脾血管栓塞失败后机器人辅助脾切除术

Trauma Case Reports Pub Date : 2025-05-27 DOI: 10.1016/j.tcr.2025.101193

Zach Rollins , Deki Tsering , Anthony Mark , Terral Goode

引用次数: 0

Serial irrigation and debridement with the use of Kerecis in the treatment of necrotizing fasciitis: A case report 应用Kerecis连续冲洗清创治疗坏死性筋膜炎1例

Trauma Case Reports Pub Date : 2025-05-27 DOI: 10.1016/j.tcr.2025.101196

Collin T. Erickson, Robert D. Garner, Katherine A. Manseau, Jacob A. Frisbie, Charles Orth

{"title":"Serial irrigation and debridement with the use of Kerecis in the treatment of necrotizing fasciitis: A case report","authors":"Collin T. Erickson, Robert D. Garner, Katherine A. Manseau, Jacob A. Frisbie, Charles Orth","doi":"10.1016/j.tcr.2025.101196","DOIUrl":"10.1016/j.tcr.2025.101196","url":null,"abstract":"<div><h3>Introduction</h3><div>Necrotizing fasciitis is a life-threatening infection that requires emergent irrigation and radical debridement. One of the challenges surgeons often encounter is gaining adequate soft tissue coverage of the defects that remain after debridement. Kerecis SurgiClose (Coloplast, Denmark), a fish skin xenograft, is one option for wound coverage. This has demonstrated potential for fostering an environment beneficial for wound healing in various types of wounds.</div></div><div><h3>Case presentation</h3><div>A 39-year-old female presented to the emergency department with a one-week history of left knee pain after a fall. She had a wound on the anterior knee, which began to develop erythema. Necrotizing fasciitis was diagnosed with the patient's Laboratory Risk Indication of Necrotizing Fasciitis (LRINEC) score of 10. She was started on antibiotics and was taken to surgery. She underwent debridements until a bed of healthy tissue was appreciated. Kerecis SurgiClose was applied over the defect which helped create a healthy tissue bed prior to placing a skin autograft. After grafting, daily dressing changes started and evident healing in the recipient site was seen.</div></div><div><h3>Conclusion</h3><div>This case demonstrates the importance of early diagnosis of necrotizing fasciitis, as well as the utility of fish xenografts in wound coverage once a healthy tissue environment is established. These xenografts are used for many types of wounds, however there is a paucity in the literature supporting their use in necrotizing soft tissue infections. The properties of these grafts potentiate various aspects of healing and show promising results in the healing of deep soft tissue voids.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101196"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167024","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}

引用次数: 0

Right-sided diaphragmatic rupture after trauma—hepatothorax: a diagnostic challenge 外伤性肝胸后右侧膈破裂：一个诊断挑战

Trauma Case Reports Pub Date : 2025-05-27 DOI: 10.1016/j.tcr.2025.101191

Guruprasad Rai , Rajkamal Vishnu , Vijaya Kumara , Ganesh Sevagur Kamath

{"title":"Right-sided diaphragmatic rupture after trauma—hepatothorax: a diagnostic challenge","authors":"Guruprasad Rai , Rajkamal Vishnu , Vijaya Kumara , Ganesh Sevagur Kamath","doi":"10.1016/j.tcr.2025.101191","DOIUrl":"10.1016/j.tcr.2025.101191","url":null,"abstract":"<div><h3>Background</h3><div>Traumatic diaphragmatic rupture is an uncommon condition. Furthermore, due to the shielding effect of the liver, right-sided ruptures occur less frequently than left-sided ones.</div><div>We report two unusual cases of right-sided diaphragmatic rupture due to trauma and describe our experience to aid medical professionals in their diagnosis and management.</div></div><div><h3>Purpose</h3><div>This report focuses on two atypical cases of right-sided traumatic diaphragmatic rupture causing herniation of the liver into the right thorax, a rare condition, and this provides insights for healthcare professionals regarding diagnosis and management.</div></div><div><h3>Case</h3><div>We present two case reports involving male patients aged 64 and 56 who sustained right-sided diaphragmatic ruptures due to blunt trauma mechanisms—a motorcycle accident and a similar road traffic accident, respectively. Clinical examinations and imaging studies revealed hemothorax and elevated right dome of the diaphragm in Case 1 and pneumoperitoneum and multiple fractured ribs with elevated right dome of diaphragm and minimal hemothorax in Case 2. Surgical interventions were conducted for both patients; Case 1 confirmed a right diaphragmatic rupture with liver herniation, which was successfully repaired, and Case 2 surgical intervention revealed a large right-sided diaphragmatic tear, with liver herniating into the thorax. A successful reduction of the liver and closure of the defect were performed.</div></div><div><h3>Conclusion</h3><div>Diaphragmatic rupture should be considered as a differential in patients involved in any abdominal trauma, specifically on the right side, as the presentation is often subtle. Chest x-ray and computed tomography are essential tools to confirm the diagnosis. Surgical repair of the defect is the standard treatment.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101191"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167026","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}

引用次数: 0

Managing missed compartment syndrome in the upper extremity: A review of strategies and challenges 处理上肢遗漏筋膜室综合征：策略和挑战的回顾

Trauma Case Reports Pub Date : 2025-05-27 DOI: 10.1016/j.tcr.2025.101192

Brian Kwan , Hillary Rolfs , Esther Kuan , Ashley Lamb , Emily Benson , Damayea Hargett

引用次数: 0

Epiphyseal separation of the trochlea due to stress-throwing injury in a pediatric baseball player: A case report and review of the literature 儿童棒球运动员因应力性投掷损伤导致滑车骨骺分离：一例报告及文献回顾

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101187

Yusuke Hattori , Yohei Kawaguchi , Yuji Joyo , Sanshiro Yasuma , Hiroo Shiraga , Hideki Okamoto , Hideki Murakami , Yuko Waguri-Nagaya

引用次数: 0

That's a wrap – the use of an Esmarch bandage to treat compartment syndrome of the forearm in a paediatric patient 这是一个包裹-使用Esmarch绷带治疗小儿科患者的前臂筋膜室综合征

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101202

Ben Murphy , Patrick Carroll , Jacques Noel

{"title":"That's a wrap – the use of an Esmarch bandage to treat compartment syndrome of the forearm in a paediatric patient","authors":"Ben Murphy , Patrick Carroll , Jacques Noel","doi":"10.1016/j.tcr.2025.101202","DOIUrl":"10.1016/j.tcr.2025.101202","url":null,"abstract":"<div><div>A 13 year old boy presented to our emergency department after a fall from his bicycle and sustained a left radius & ulna fracture. The boy had paraesthesia and reduced sensation in his digits. AIN and PIN were intact. He underwent MUA & casting in theatre. He had significant swelling, paraesthesia and severe pain with passive movement of his digits post-op. A diagnosis of compartment syndrome with suspected acute carpal tunnel syndrome was made. Flexor compartment pressure was 68 mmHg and 16 mmHg in the extensor compartment. An Esmarch bandage was temporarily applied in a retrograde fashion from distal to proximal on the elevated limb. The technique was repeated 4 times and final flexor compartment pressure was 23 mmHg. Based on these measurements, carpal tunnel release and distal radius fixation was performed, but no fasciotomy. He remained asymptomatic throughout follow-up and was subsequently discharged from the fracture clinic. We have described a successful case of treating forearm compartment syndrome in the setting of a paediatric forearm fracture conservatively, without the need for a fasciotomy. We demonstrated an objective improvement in compartment pressures with repeated applications of the Esmarch bandage technique. It is quick to implement and safe for the patient. We advocate its use in those patients where a fasciotomy is already planned as that remains the gold standard treatment. This technique should be used to potentially avoid a fasciotomy and the subsequent morbidity associated with that surgical procedure. It should be used in conjunction with sound clinical judgment and examination technique.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101202"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138498","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}

引用次数: 0

Acute appendicitis after motor vehicle collision 机动车碰撞后急性阑尾炎

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101207

Sean M. DuBois , Lauryn A. Ullrich

引用次数: 0

Anatomic variation of the superficial peroneal nerve in the operative field during direct lateral approach for distal fibula fracture 腓骨远端骨折直接外侧入路手术野腓浅神经的解剖变化

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101209

Seungyup Shin, Seong-Tae Kim, Gyeonggyu Choi, Sungho Lee

引用次数: 0

Isolated mesocolon injury and sigmoid colon necrosis secondary to abdominal blunt trauma 腹部钝性创伤继发的孤立性结肠系膜损伤和乙状结肠坏死

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101208

Imen Ben Ismail , Mohamed Karim Tounsi , Marwen Sghaier , Mohamed Boujemaa , Hakim Zenaidi , Ayoub Zoghlami

{"title":"Isolated mesocolon injury and sigmoid colon necrosis secondary to abdominal blunt trauma","authors":"Imen Ben Ismail , Mohamed Karim Tounsi , Marwen Sghaier , Mohamed Boujemaa , Hakim Zenaidi , 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}

引用次数: 0

Iliac wing fractures: Utilizing a novel classification system for tailored surgical management in three case studies 髂翼骨折：在三个病例研究中运用一种新颖的分类系统进行量身定制的手术管理

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101188

Edgar Barros Prieto , Eduardo Noboa , Carlos Peñaherrera Carrillo , Francisco Endara , Paul Vaca Perez , Alejandro Barros Castro , Armando Sánchez

{"title":"Iliac wing fractures: Utilizing a novel classification system for tailored surgical management in three case studies","authors":"Edgar Barros Prieto , Eduardo Noboa , Carlos Peñaherrera Carrillo , Francisco Endara , Paul Vaca Perez , Alejandro Barros Castro , Armando Sánchez","doi":"10.1016/j.tcr.2025.101188","DOIUrl":"10.1016/j.tcr.2025.101188","url":null,"abstract":"<div><div>Iliac wing fractures have long been regarded as relatively benign injuries in the context of pelvic fractures, often not requiring surgical intervention. However, this perception underestimates their complexity and potential complications. In this study, we review the literature and present three clinical cases managed surgically to highlight the challenges and nuances in treating iliac wing fractures. Although these fractures may seem less severe, they can lead to significant functional impairments and long-term complications if not managed appropriately. Through a careful analysis of injury mechanisms, fracture classification, and the use of surgical strategies, this study aims to provide a framework for improved management and outcomes. Clear criteria for surgical intervention, particularly in cases involving displaced fragments, are crucial for reducing pain and restoring function. The application of the latest classification system, based on the concept of the iliac ring, has demonstrated its efficacy in guiding treatment decisions and improving patient quality of life.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101188"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213333","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}

引用次数: 0