Critical Care
Balaji RajaRam; Sayan Nath; Supreet Kaur; Dinesh Bagaria; Rajeshwari Subramaniam; Vimi Rewari
Volume 9, Issue 1 , January 2023, , Pages 2-3
Abstract
Colonic injuries after blunt trauma abdomen are a rare entity which may sometimes have a delayed presentation. In the intensive care unit (ICU), various interventions like sedation, analgesia and paralysis may confoundclinical examination findings pertaining to abdominal pathology. Computed tomography ...
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Colonic injuries after blunt trauma abdomen are a rare entity which may sometimes have a delayed presentation. In the intensive care unit (ICU), various interventions like sedation, analgesia and paralysis may confoundclinical examination findings pertaining to abdominal pathology. Computed tomography (CT) provides anexcellent diagnostic modality in blunt trauma abdomen but requirement of high ventilatory support and/orvasopressors may preclude safe transfer of patients from ICU to radiology suites. Point of care ultrasound (POCUS)provides an excellent adjunct in diagnosis of hollow viscus perforation and is considered as a reliable alternative toplain radiograph for the diagnosis of pneumoperitoneum
Emergency medicine
Mohammad Rezazadehkermani; Seyed Vahid Hosseini
Volume 9, Issue 1 , January 2023, , Pages 60-63
Abstract
Objective: Gastrointestinal bleeding is one of the surgical emergencies that is routinelyvisited in emergency departments. Although most of these patients are managed withendoscopic modalities, some of them are managed with surgical interventions. Most ofemergency surgical interventions are done via ...
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Objective: Gastrointestinal bleeding is one of the surgical emergencies that is routinelyvisited in emergency departments. Although most of these patients are managed withendoscopic modalities, some of them are managed with surgical interventions. Most ofemergency surgical interventions are done via laparotomy. With evolution in minimalinvasive surgery, the role of laparoscopic surgeries in emergency settings is on a rise.Case Presentation: In this report we describe a case of lower gastrointestinal bleedingthat was presented with melena and during workups no bleeding lesion was detectedin colon, stomach or duodenum. Further investigations revealed bleeding of proximaljejunum mass that was resected with the laparoscopic approach which is rarely used inthe emergency management of patients with gastrointestinal bleedings. Also, resectionand anastomosis of proximal jejunal loop was challenging in this case.Conclusion: This report is intended to describe the feasibility of laparoscopy in proximalsmall bowel lesion resection in emergency settings as well as the role of CT angiography indetecting the source of obscure gastrointestinal bleeding
Emergency medicine
Hassan Amiri; Mojtaba Chardoli; Maryam Sarvari; Samad Shams Vahdati; Niloufar Ghodrati; Roshan Fahimi
Volume 5, Issue 2 , July 2019, , Pages 56-60
Abstract
Objective: This study investigates the possible magnetic resonance imaging (MRI) findings in patients with cervical trauma having a normal level of consciousness and normal CT reports. These patients have tenderness or an uncomfortable feeling in the traumatized area as well.Methods: In this cross-sectional ...
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Objective: This study investigates the possible magnetic resonance imaging (MRI) findings in patients with cervical trauma having a normal level of consciousness and normal CT reports. These patients have tenderness or an uncomfortable feeling in the traumatized area as well.Methods: In this cross-sectional anterograde study, cases were selected among patients referred to the emergency department of Hafte Tir, Iran University of Medical Sciences from 2012 to 2014. Inclusion criteria to select cases were: age above 15, blunt neck trauma, GCS=15, normal CT scan reports of neck, no past medical history of cervical vertebral surgery, and no persistent neurologic lesions. In order to analyse qualitative data, chi-square test was used and for quantitative data t test was applied accordingly.Results: Two hundred eighty patients with chief complaints of neck pain due to trauma entered our study. Among this batch, 264 of them had normal CT scan reports and MRI was done for all of them. According to the results, the maximum injury in MRI was related to intervertebral disc injury (38 cases), ligamentous edema (35 cases), and muscle edema (22 cases), respectively. Neck tenderness from the beginning of the accident and transient neurologic signs had a significant role in MRI results (P < 0.05).Conclusion: In patients with acute cervical trauma having normal CT reports, MRI must be done in those with the average age of 45 or more, tenderness in the neck area, and in those with neurologic transient symptoms.