Trauma Case Reports最新文献

{"title":"Arteriovenous fistula presenting with progressive dyspnea and claudication: Clinical clues and surgical resolution.","authors":"Vinojan Satchithanantham, Heseetha Thananchayan, Bavani Senthuran, Anton Jenil, Matheivaanan Sivalingam, Ketheeswary Sivasithamparam, Gajanthan Raveendran, Mahilrajan Ganesu","doi":"10.1016/j.tcr.2026.101373","DOIUrl":"10.1016/j.tcr.2026.101373","url":null,"abstract":"<p><strong>Introduction: </strong>Traumatic arteriovenous fistulas often remain undiagnosed for extended periods, only becoming evident when complications arise.</p><p><strong>Case presentation: </strong>A 65-year-old female presented with dyspnea and intermittent claudication of the left thigh and calf. She had a history of abdominal hysterectomy with critical care stay 30 years ago, likely involving femoral line insertion. Echocardiogram showed severe pulmonary hypertension and preserved ejection fraction. Examination revealed bruit in the left iliac fossa and groin. CT angiogram (CTA) showed a superficial femoral artery-vein fistula, external iliac vein aneurysm, and dilated inferior vena cava. Surgical repair was planned after MDT discussion. Under spinal anesthesia, retroperitoneal control of the external iliac artery was attempted but was difficult due to a large external iliac vein. Left groin was then explored, and control of the common femoral, superficial femoral, profunda femoris arteries and femoral vein was achieved. The fistulous tract was opened and repaired. Surgery was successful with the disappearance of the thrill and a favorable post-operative recovery.</p><p><strong>Discussion: </strong>Prolonged critical care with probable femoral cannulation may have caused the arteriovenous fistula (AVF), though its location in the superficial femoral artery is slightly against. Here, AVF led to pulmonary hypertension, and steal syndrome with intermittent claudication. Chronic high-flow venous return caused an external iliac vein aneurysm. CTA confirmed the diagnosis, and surgical repair was preferred due to its location. Owing to pulmonary hypertension and poor tolerance to prolonged anesthesia, the venous aneurysm was left untreated.</p><p><strong>Conclusions: </strong>This case underscores the need for timely diagnosis of AVFs.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101373"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13235363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200109","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":"Surgical management of thoracic impalement injuries in sub-Saharan Africa: A three-case series from Benin.","authors":"Abdel Kémal Bori Bata, Ahmad Ibrahim, Mahugnon Emmanuel Martino Gbessi, Désiré Nékoua","doi":"10.1016/j.tcr.2026.101377","DOIUrl":"10.1016/j.tcr.2026.101377","url":null,"abstract":"<p><p>Thoracic impalement injuries remain rare but dramatic, and represent a major challenge in low-resource settings. We report the successful surgical management of three male patients, aged 22 to 56 years, treated managed at our tertiary center in Benin between June 2022 and March 2023. Two cases involved isolated thoracic impalement, and one involved a thoracoabdominal injury. This case series illustrates the complexity of managing these traumas in the sub-Saharan context and underscores the pressing need to improve technical infrastructure and improved access to emergency thoracic care.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101377"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13223519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151536","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 chylothorax after blunt thoracic injury: A case series from a level 1 trauma centre.","authors":"Kaiwen Cabbabe, Joseph Mathew, Warren Clements, Silvana Marasco, Christopher Groombridge","doi":"10.1016/j.tcr.2026.101391","DOIUrl":"10.1016/j.tcr.2026.101391","url":null,"abstract":"<p><p>Traumatic chylothorax is an uncommon complication of thoracic injury resulting from disruption of the thoracic duct or its tributaries. Non-iatrogenic blunt traumatic chylothorax is particularly rare and may present with delayed clinical features, making diagnosis challenging. We present a case series of four patients with blunt trauma-associated chylothorax managed at a level 1 trauma centre over a 22-year period. We aim to highlight patterns of delayed diagnosis, explore the relationship between injury level and chylothorax laterality, and describe the multidisciplinary management strategies used in this rare but clinically significant complication of thoracic trauma. All patients presented with pleural effusions following thoracic trauma, with diagnostic delays ranging from 2 to 10 days. Mechanisms of injury included falls and high-speed motor vehicle collisions, and associated injuries commonly involved rib or vertebral fractures. Diagnosis was confirmed with pleural fluid triglyceride analysis. Initial management consisted of thoracostomy drainage and dietary modification in all cases, with additional therapies including octreotide infusion and surgical pleurodesis when conservative measures failed. Chylous drainage volumes ranged from 903 mL to 3680 mL, with leak duration between 4 and 22 days. One patient developed significant complications related to prolonged chyle loss including malnutrition and infection. All cases ultimately achieved resolution. This case series highlights the delayed diagnosis of traumatic chylothorax following blunt thoracic trauma and underscores the importance of maintaining clinical suspicion in patients with evolving pleural effusions. Management requires a multidisciplinary approach, and while conservative measures are often effective, persistent high-output leaks may require pharmacological or surgical intervention.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101391"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13217832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138838","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":"A novel treatment for the fixation of displaced femoral neck fractures in young patients: A case report.","authors":"Michael P Kucharik, Nicholas Bostrom, Douglas L Cerynik, Anjan R Shah","doi":"10.1016/j.tcr.2026.101378","DOIUrl":"10.1016/j.tcr.2026.101378","url":null,"abstract":"<p><p>Displaced femoral neck fractures in physiologically young patients remain a significant treatment challenge due to high complication rates associated with internal fixation, including osteonecrosis, non-union, and hardware failure. This case report describes the successful use of a novel implant, the SimpliFix Hip System, in the surgical management of a 30-year-old female marathon runner who sustained a displaced transcervical femoral neck fracture. Following closed reduction on a fracture table, three partially threaded cannulated screws were inserted and cross-locked with headless cross screws using the SimpliFix system, which permits controlled compression and rotational stability while minimizing implant footprint. The construct was configured to impart rigidity at the calcar and controlled valgus compression to promote union. Postoperatively, the patient was maintained toe-touch weightbearing for 10 weeks. Radiographs at routine follow-up demonstrated anatomic healing without evidence of implant failure or loss of reduction. At one year, the patient had resumed pre-injury activity levels, running 50 miles per week without pain or limitation. This case demonstrates the potential advantages of the SimpliFix system in young, active patients, particularly its capacity to resist femoral neck shortening, maintain reduction, and enhance biomechanical stability while preserving minimally invasive technique. The positive clinical and radiographic outcome highlights the promise of this implant as an alternative to conventional compression screws or fixed-angle devices. Further studies are warranted to assess long-term outcomes and comparative efficacy.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101378"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13234249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200132","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":"Severe post-traumatic Pancreatoduodenal injury with septic shock and enteric fistula: A multidisciplinary challenge - Case report.","authors":"Lamiae Bennis, Adil Habbab, Soumaya Alj, Ridouan Benomar Benelkhaiat, Mohammed Khallouki","doi":"10.1016/j.tcr.2026.101384","DOIUrl":"10.1016/j.tcr.2026.101384","url":null,"abstract":"<p><p>Severe pancreatoduodenal trauma presents complex management challenges with high morbidity and mortality. We report a case of 16-year-old male sustained severe pancreatoduodenal injuries following a high-velocity motorcycle collision, presenting with pancreatic contusion and partial duodenal transection. The postoperative course was complicated by septic shock, acute kidney injury, and subsequent development of a high-output duodenal fistula with multidrug-resistant infections. Through coordinated critical care, targeted antimicrobial therapy, and nutritional support, the patient demonstrated clinical improvement with resolution of major complications, ultimately achieving sufficient stability for ICU discharge. However, a significant functional impairment persisted requiring ongoing care. This case highlights the critical importance of prompt recognition of combined pancreatoduodenal injuries, staged surgical intervention, and multidisciplinary management in high-energy trauma.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101384"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158443","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":"Isolated scrotal skin laceration following dog bite complicated by post-traumatic chronic scrotal pain: A case report.","authors":"Maachi Youssef, Boustani Amine, Amine Salim Lalaoui, Slaoui Amine, Karmouni Tariq, Koutani Abdellatif, Elkhader Khalid","doi":"10.1016/j.tcr.2026.101390","DOIUrl":"10.1016/j.tcr.2026.101390","url":null,"abstract":"<p><strong>Background: </strong>Genital dog bite injuries are rare but potentially severe. While most literature-reported cases describe testicular injuries and significant tissue loss, isolated scrotal skin lacerations represent a less severe clinical entity.</p><p><strong>Case presentation: </strong>We report a 32-year-old male with an isolated skin laceration of the scrotum due to a dog bite, without any testicular involvement on clinical and ultrasonographic evaluation. Debridement and primary closure with antimicrobial prophylaxis and tetanus-rabies immunization ensured favorable early outcomes. However, the patient returned at 6 months with significant chronic scrotal pain despite unremarkable repeat clinical and imaging examinations.</p><p><strong>Conclusion: </strong>This case highlights that even in the absence of structural injury, dog bite trauma to the scrotum may lead to post-traumatic chronic scrotal content pain (CSCP) through neuropathic sensitization mechanisms. Early recognition and a multimodal pain management approach are essential for optimal long-term outcomes.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101390"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13253077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228411","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":"A complete tear of Achilles tendon caused by a kite string - A case report.","authors":"Anil Kumar Kotteda, Mehar Dhillon, Akshay Shreegan, Prasoon Kumar, Ankit Dadra, Sandeep Patel","doi":"10.1016/j.tcr.2026.101381","DOIUrl":"10.1016/j.tcr.2026.101381","url":null,"abstract":"<p><strong>Background: </strong>Kite flying in India and other South-East Asian countries is a significant cultural activity, especially during festive seasons. There is an increasing use of non-biodegradable kite strings like the Chinese manja has caused a rise in injuries not just to kite flyers but also to pedestrians and motorcyclists, sometimes even causing life threatening injuries.</p><p><strong>Case: </strong>We present a rare case of a 27-year-old male patient who was injured by a kite string while crossing the road. He sustained a lacerated wound and a completely torn tendo achilles on the right side. Surgical debridement and end-to-end Krackow repair of the tendon was done using non-absorbable suture successfully. Functional outcome of the patient at 12 months follow-up was excellent.</p><p><strong>Conclusion: </strong>This case highlights the rare but serious risk of Achilles tendon injury caused by kite strings. It emphasizes the need for public awareness, safety regulations, and enforcement regarding the use of hazardous kite strings. Early diagnosis and prompt surgical management are essential for optimal outcomes in such injuries.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101381"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13320247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148369562","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":"Knee dislocation associated with patellar tendon rupture: case report and literature review.","authors":"Jorge Isla, Rafael Calvo, Héctor Cifuentes, Consuelo Carrasco, Waldo González, Manuel Terraza, Hernán Salas","doi":"10.1016/j.tcr.2026.101400","DOIUrl":"10.1016/j.tcr.2026.101400","url":null,"abstract":"<p><p>Knee dislocations and multiligament knee injuries represent a significant clinical and surgical challenge, particularly when associated with patellar tendon rupture, a rare combination with a high functional impact that may initially go unrecognized. Management of these injuries requires meticulous planning to restore anatomy, joint stability, and extensor mechanism function in order to optimize long-term functional outcomes. We report the case of a patient who sustained a knee dislocation associated with patellar tendon rupture, which was surgically managed using a two-stage approach. Current evidence in the literature is limited to case reports and small case series; therefore, no specific classification system or standardized management guidelines are currently available. Level of evidence: V (Case report).</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101400"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158394","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":"Bilateral patellar tendon rupture following indirect trauma in a young patient due to suspected chronic tendon degeneration caused by repetitive microtrauma: A case report.","authors":"Ben Murphy, Nicholas Stratford, Robert Flavin","doi":"10.1016/j.tcr.2026.101385","DOIUrl":"10.1016/j.tcr.2026.101385","url":null,"abstract":"<p><strong>Introduction: </strong>Bilateral patellar tendon rupture is an uncommon injury, particularly in young, healthy individuals without established risk factors for tendinopathy. Most reported cases involve systemic disease or medication-related tendon compromise. We present a rare case of simultaneous bilateral patellar tendon rupture in a healthy, athletic male following an indirect mechanism of injury.</p><p><strong>Case presentation: </strong>A 33-year-old man sustained acute bilateral knee injuries while playing recreational rugby. He reported an audible \"pop\" in both knees, immediate pain, and inability to extend either leg. He had no history of diabetes, connective tissue disease, corticosteroid or fluoroquinolone use, nor other recognized risk factors. Clinical assessment demonstrated inability to straight leg raise bilaterally, with a palpable tendon defect only on the right side. Point-of-care ultrasound suggested bilateral tendon rupture, though diagnostic uncertainty persisted for the left knee due to swelling. The patient underwent urgent surgical repair of the right tendon using a Krackow suture technique with transosseous fixation, followed by delayed repair of the left tendon after departmental ultrasound confirmed rupture. Intra-operatively, both tendons appeared macroscopically degenerative. Postoperative rehabilitation involved bracing, progressive range of motion, and physiotherapy. At 3-month follow-up, he had regained full functional range of motion and returned to unrestricted daily activity.</p><p><strong>Discussion: </strong>Bilateral patellar tendon rupture in the absence of systemic risk factors is rare and may be underrecognized, especially when clinical signs are obscured. This case highlights the diagnostic value of point-of-care ultrasound in ambiguous presentations and reinforces the importance of early surgical repair and structured rehabilitation for optimal functional recovery.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101385"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13223513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151483","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":"A novel approach to Roy-Camille type 2 sacral fracture: Percutaneous lumbopelvic fixation following manual hyperextension-assisted closed reduction.","authors":"Ali Güleç, Abdullah Balcı, Sadettin Çiftci, Ebubekir Eravsar, Selim Safalı, Bahattin Kerem Aydın","doi":"10.1016/j.tcr.2026.101367","DOIUrl":"10.1016/j.tcr.2026.101367","url":null,"abstract":"<p><strong>Background: </strong>Transverse sacral fractures with spinopelvic dissociation, commonly referred to as \"suicidal jumper's fractures\" -particularly Roy-Camille type 2 injuries- represent a rare and unstable injury pattern frequently associated with neurological deficits. Surgical management typically requires complex reduction maneuvers and rigid fixation to restore spinopelvic continuity and optimize functional outcomes.</p><p><strong>Case presentation: </strong>We report the case of an 18-year-old male who sustained a Roy-Camille type 2 sacral fracture following a high-energy motorcycle accident. Neurological examination revealed hypoesthesia in the S3-S5 dermatomes, absent bulbocavernosus reflex and loss of anal sphincter tone. Imaging demonstrated a transverse sacral fracture at the S2 level with posterior displacement of the cephalad segment. A novel closed reduction technique was performed prior to incision, involving simultaneous manual hyperextension at the lumbosacral junction and counter-traction through the extremities. This maneuver achieved satisfactory realignment without requiring joystick manipulation or external fixation. Percutaneous lumbopelvic fixation was subsequently applied using bilateral L5 pedicle and iliac screws. The patient experienced progressive neurological recovery without implant-related complications.</p><p><strong>Conclusion: </strong>This case illustrates that manual hyperextension-assisted closed reduction -when combined with percutaneous lumbopelvic fixation- may serve as a safe, reproducible, and resource-efficient strategy for Roy-Camille type 2 sacral fractures. This technique eliminates the need for external fixation or open reduction, and may be particularly beneficial in urgent trauma scenarios. Further clinical studies are warranted to validate its applicability across broader patient populations and fracture morphologies.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101367"},"PeriodicalIF":0.0,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13224014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151498","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}