Log in

Relevant bibliographies by topics / Abdominopelvic trauma / Journal articles

To see the other types of publications on this topic, follow the link: Abdominopelvic trauma.

Journal articles on the topic 'Abdominopelvic trauma'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 49 journal articles for your research on the topic 'Abdominopelvic trauma.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.

1

Sodagari, Faezeh, Douglas S. Katz, Christine O. Menias, Mariam Moshiri, John S. Pellerito, Adel Mustafa, and Margarita V. Revzin. "Imaging Evaluation of Abdominopelvic Gunshot Trauma." RadioGraphics 40, no. 6 (October 2020): 1766–88. http://dx.doi.org/10.1148/rg.2020200018.

Full text

APA, Harvard, Vancouver, ISO, and other styles

2

Ierardi, Anna Maria, Ejona Duka, Natalie Lucchina, Chiara Floridi, Alessandro De Martino, Daniela Donat, Federico Fontana, and Gianpaolo Carrafiello. "The role of interventional radiology in abdominopelvic trauma." British Journal of Radiology 89, no. 1061 (May 2016): 20150866. http://dx.doi.org/10.1259/bjr.20150866.

Full text

APA, Harvard, Vancouver, ISO, and other styles

3

Baghdanian, Arthur H., Anthony S. Armetta, Armonde A. Baghdanian, Christina A. LeBedis, Stephan W. Anderson, and Jorge A. Soto. "CT of Major Vascular Injury in Blunt Abdominopelvic Trauma." RadioGraphics 36, no. 3 (May 2016): 872–90. http://dx.doi.org/10.1148/rg.2016150160.

Full text

APA, Harvard, Vancouver, ISO, and other styles

4

Taftachi, Farrokh, Leyla Abdolkarimi, Maryam Ameri, Azadeh Memarian, Alireza Behzadi, and Hooman Bakhshandeh. "Association Between Adrenal Hematoma and Mortality in Pediatric Multiple Blunt Traumas: An Autopsy Evaluation." Global Journal of Health Science 9, no. 4 (August 4, 2016): 70. http://dx.doi.org/10.5539/gjhs.v9n4p70.

Full text

Abstract:

<p>Adrenal hematoma is a common hidden catastrophic complication in pediatric victims of multiple blunt traumas. Adrenal hematoma has no obvious symptoms and may not be detected by diagnostic methods such as magnetic resonance imaging, computed tomography scan, and sonography; consequently, this complication may be neglected in children with multiple blunt traumas and cause death through sudden adrenal crisis.</p><p>The current study was conducted on 55 dead children (<13 y) and 110 matured youths (13–17 y) who died in consequence of multiple blunt traumas, comprising car crashes, fall from heights, and falling debris. Our autopsy results showed that the overall prevalence of adrenal hematoma was 26% and this rate was higher in lower ages (1–6 y). There was no significant difference regarding the occurrence of adrenal hematoma between the genders. Adrenal hematoma was most common in abdominal and pelvic traumas. Peritoneal hemorrhage, liver damage, spleen rupture, omental injury, retroperitoneal hemorrhage, renal hematoma, and pelvic fracture were the most common complications associated with adrenal hematoma. In contrast to the previous studies, hematoma was mostly observed in the left adrenal. The incidence of damage to the pancreas, which similarly to the adrenal is a retroperitoneal organ, was very low (1.7%).</p><p>The high incidence of adrenal hematoma due to severe abdominopelvic trauma in children warrants further research. Future studies should shed sufficient light on the efficacy of prophylactic steroids in patients with suspicion of severe abdominopelvic trauma.</p>

APA, Harvard, Vancouver, ISO, and other styles

5

Jawad, Hamza, Constantine Raptis, Aaron Mintz, Douglas Schuerer, and Vincent Mellnick. "Single-Contrast CT for Detecting Bowel Injuries in Penetrating Abdominopelvic Trauma." American Journal of Roentgenology 210, no. 4 (April 2018): 761–65. http://dx.doi.org/10.2214/ajr.17.18496.

Full text

APA, Harvard, Vancouver, ISO, and other styles

6

Elbanna, Khaled Y., Mohammed F. Mohammed, Shih-Chieh Huang, David Mak, J. Philip Dawe, Emilie Joos, Heather Wong, Faisal Khosa, and Savvas Nicolaou. "Delayed manifestations of abdominal trauma: follow-up abdominopelvic CT in posttraumatic patients." Abdominal Radiology 43, no. 7 (October 19, 2017): 1642–55. http://dx.doi.org/10.1007/s00261-017-1364-4.

Full text

APA, Harvard, Vancouver, ISO, and other styles

7

Willer, Brittany L., Christian Mpody, Rajan K. Thakkar, Joseph D. Tobias, and Olubukola O. Nafiu. "Association of Race With Postoperative Mortality Following Major Abdominopelvic Trauma in Children." Journal of Surgical Research 269 (January 2022): 178–88. http://dx.doi.org/10.1016/j.jss.2021.07.034.

Full text

APA, Harvard, Vancouver, ISO, and other styles

8

Muñiz, A. E. "88: Pelvic Radiographs Are Not Needed In Children With Major Abdominopelvic Trauma Who Are Evaluated With an Abdominopelvic Computed Tomography Scan." Annals of Emergency Medicine 56, no. 3 (September 2010): S29. http://dx.doi.org/10.1016/j.annemergmed.2010.06.131.

Full text

APA, Harvard, Vancouver, ISO, and other styles

9

Roudsari, Bahman S., Kevin J. Psoter, Siddharth A. Padia, Matthew J. Kogut, and Sharon W. Kwan. "Utilization of Angiography and Embolization for Abdominopelvic Trauma: 14 Years’ Experience at a Level I Trauma Center." American Journal of Roentgenology 202, no. 6 (June 2014): W580—W585. http://dx.doi.org/10.2214/ajr.13.11216.

Full text

APA, Harvard, Vancouver, ISO, and other styles

10

Haste, Adam K., Brian L. Brewer, and Scott D. Steenburg. "Diagnostic Yield and Clinical Utility of Abdominopelvic CT Following Emergent Laparotomy for Trauma." Radiology 280, no. 3 (September 2016): 735–42. http://dx.doi.org/10.1148/radiol.2016151946.

Full text

APA, Harvard, Vancouver, ISO, and other styles

11

Elbanna, Khaled Y., Mohammed F. Mohammed, Shih-Chieh Huang, David Mak, J. Philip Dawe, Emilie Joos, Heather Wong, Faisal Khosa, and Savvas Nicolaou. "Correction to: Delayed manifestations of abdominal trauma: follow-up abdominopelvic CT in posttraumatic patients." Abdominal Radiology 43, no. 11 (January 30, 2018): 3204–5. http://dx.doi.org/10.1007/s00261-017-1439-2.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

Kanlerd, Amonpon, Krissada Nakornchai, Karikarn Auksornchart, and Warapan Watkwaw. "Incidence, Outcomes, and Factors Associated with Intra-Abdominal Hypertension and Primary Abdominal Compartment Syndrome in Abdominopelvic Injury Patients." Anesthesiology Research and Practice 2020 (August 17, 2020): 1–8. http://dx.doi.org/10.1155/2020/1982078.

Full text

Abstract:

Background. The primary aim was to identify the incidence of intra-abdominal hypertension (IAH) and primary abdominal compartment syndrome (1oACS) of abdominopelvic injury patients at Thammasat University Hospital (TUH), Thailand, and the secondary objective was to evaluate those factors that contributed to developing these conditions. Methods. The retrospective cohort of 38 abdominopelvic injury cases was admitted to the intensive care unit at Thammasat University Hospital, from January 1st to December 31st, 2018. The bladder pressure was recorded every 4 hours until the urethral catheter was removed. Data of age, gender, weight, height, body mass index, injury mechanisms, initial vital signs, imaging, laboratory data, blood component requirements, abdominal organs involved, treatments including surgery and intervention radiology, abbreviated injury scale (AIS) and injury severity score (ISS), length of ICU stays, and results of treatment were all analyzed. Results. The patients were mostly young (mean age 31.5 years), male (68.4%), and suffering from blunt trauma (89.5%). The mean maximum bladder pressure was 8.3 ± 5.2 mmHg. Six patients (15.8%) developed IAH, and one patient (2.6%) was diagnosed with 1oACS. Two patients expired. The multivariate analysis showed the patient who had initial Cr ≥ 1.5 g/dL, lower extremity including pelvis AIS ≥3, and ISS >15 was significantly associated with the developing of IAH. Conclusions. The incidence of IAH and 1oACS was 15.8% and 2.6%. Predicted factors to find developing IAH were initial Cr ≥ 1.5 g/dL, lower extremity AIS ≥3, and ISS >15. We should consider awareness of IAH and 1oACS in abdominopelvic injury patients.

APA, Harvard, Vancouver, ISO, and other styles

13

Terreblanche, Owen D., Savvas Andronikou, Linda T. Hlabangana, Taryn Brown, and Pieter E. Boshoff. "Should registrars be reporting after-hours CT scans? A calculation of error rate and the influencing factors in South Africa." Acta Radiologica 53, no. 1 (February 2012): 61–68. http://dx.doi.org/10.1258/ar.2011.110103.

Full text

Abstract:

Background There is a heavy reliance on registrars for after-hours CT reporting with a resultant unavoidable error rate. Purpose To determine the after-hours CT reporting error rate by radiology registrars and influencing factors on this error rate. Material and Methods A 2-month prospective study was undertaken at two tertiary, level 1 trauma centers in Johannesburg, South Africa. Provisional CT reports issued by the registrar on call were reviewed by a qualified radiologist the following morning and information relating to the number, time and type of reporting errors made as well as the body region scanned, indication for the scan, year of training of the registrar, and workload during the call were recorded and analyzed. Results A total of 1477 CT scans were performed with an overall error rate of 17.1% and a major error rate of 7.7%. The error rate for 2nd, 3rd, and 4th year registrars was 19.4%, 15.1%, and 14.5%, respectively. A significant difference was found between the error rate in reporting trauma scans (15.8%) compared to non-trauma scans (19.2%) although the difference between emergency scans (16.9%) and elective scans (22.6%) was found to be not significant, a finding likely due to the low number of elective scans performed. Abdominopelvic scans elicited the highest number of errors (33.9%) compared to the other body regions such as head (16.5%) and cervical, thoracic, or lumbar spine (11.7%). Increasing workload resulted in a significant increase in error rate when analyzed with a generalized linear model. There was also a significant difference noted in the time of scan groups which we attributed to a workload effect. Missed findings were the most frequent errors seen (57.3%). Conclusion We found an increasing error rate associated with increasing workload and marked increase in errors with the reporting of abdominopelvic scans. There was a decrease in the error rate when looking an increasing year of training although this there was only found to be significant difference between the 2nd and 3rd year registrars.

APA, Harvard, Vancouver, ISO, and other styles

14

Boonsinsukh, Thana, and Panitpong Maroongroge. "Effectiveness of transcatheter arterial embolization for patients with shock from abdominopelvic trauma: A retrospective cohort study." Annals of Medicine and Surgery 55 (July 2020): 97–100. http://dx.doi.org/10.1016/j.amsu.2020.04.029.

Full text

APA, Harvard, Vancouver, ISO, and other styles

15

Young, Katelyn, Melina Benson, Andrew Higgins, James Dove, Marie Hunsinger, Mohsen Shabahang, Joseph Blansfield, Denise Torres, Kenneth Widom, and Jeffrey Wild. "In the Modern Era of CT, Do Blunt Trauma Patients with Markers for Blunt Bowel or Mesenteric Injury Still Require Exploratory Laparotomy?" American Surgeon 83, no. 7 (July 2017): 722–27. http://dx.doi.org/10.1177/000313481708300728.

Full text

Abstract:

After blunt trauma, certain CT markers, such as free intraperitoneal air, strongly suggest bowel perforation, whereas other markers, including free intraperitoneal fluid without solid organ injury, may be merely suspicious for acute injury. The present study aims to delineate the safety of non-operative management for markers of blunt bowel or mesenteric injury (BBMI) that are suspicious for significant bowel injury after blunt trauma. This was a retrospective review of adult blunt trauma patients with abdominopelvic CT scans on admission to a Level I trauma center between 2012 and 2014. Patients with CT evidence of acute BBMI without solid organ injury were included. The CT markers for BBMI included free intraperitoneal fluid, bowel hematoma, bowel wall thickening, mesenteric edema, hematoma and stranding. Two thousand blunt trauma cases were reviewed, and 94 patients (4.7%) met inclusion criteria. The average Injury Severity Score was 13.6 ± 10.1 and the median hospital stay was four days. The most common finding was free fluid (74 patients, 78.7%). The majority of patients (92, 97.9%) remained asymptomatic or clinically improved without abdominal surgery. After a change in abdominal examination, two patients (2.1%) underwent laparotomy with bowel perforation found in only one patient. Thus, 93 patients did not have a surgically significant injury, indicating that these markers demonstrate 1.1 per cent positive predictive value for bowel perforation. The presence of these markers after blunt trauma does not mandate laparotomy, though it should prompt thorough and continued vigilance toward the abdomen.

APA, Harvard, Vancouver, ISO, and other styles

16

Muñiz, Antonio E. "Evaluation of Blunt Abdominal Trauma in Children: The Utility of the Pelvic Radiograph and Abdominopelvic Tomography Scan." Southern Medical Journal 99, no. 9 (September 2006): 1030. http://dx.doi.org/10.1097/00007611-200609000-00035.

Full text

APA, Harvard, Vancouver, ISO, and other styles

17

Moussavi, N., H. Ghani, A. Davoodabadi, F. Atoof, A. Moravveji, S. Saidfar, and H. Talari. "Routine versus selective chest and abdominopelvic CT-scan in conscious blunt trauma patients: a randomized controlled study." European Journal of Trauma and Emergency Surgery 44, no. 1 (September 25, 2017): 9–14. http://dx.doi.org/10.1007/s00068-017-0842-2.

Full text

APA, Harvard, Vancouver, ISO, and other styles

18

Zahirian Moghadam, Telma, and Hamed Mohseni Rad. "A case report of renal vein thrombosis following whiplash by husband with review article." Journal of Renal Injury Prevention 9, no. 1 (October 21, 2019): 07. http://dx.doi.org/10.15171/jrip.2020.07.

Full text

Abstract:

Renal vessel thrombosis results in kidney loss unless be re-vascularized immediately. We report a case of right renal vein thrombosis in a 43 years old woman following whiplash trauma by her husband without any associated parenchymal or arterial injury. She presented to our emergency center with right flank pain for three days. She reported whiplashing by her husband 3 days before admission. Abdominopelvic spiral computerized tomography (CT) with intra-venous contrast showed a non-enhancement, enlargement and peri-renal fat-stranding in the right kidney. With the diagnosis of renal vein thrombosis following whiplash, the patient was heparinized 5000 IU sub-cutaneous every 8 hours and discharged with warfarin after resolution of gross hematuria. Follow-up with nuclear scan 10 weeks later showed the right kidney is non-function.

APA, Harvard, Vancouver, ISO, and other styles

19

Basic, Dragoslav, Ivan Ignjatovic, and Milan Potic. "Iatrogenic ureteral trauma: A 16-year single tertiary centre experience." Srpski arhiv za celokupno lekarstvo 143, no. 3-4 (2015): 162–68. http://dx.doi.org/10.2298/sarh1504162b.

Full text

Abstract:

Introduction. Iatrogenic ureteral injuries can occur during various abdominopelvic and retroperitoneal surgical procedures including gynecological, urological, colorectal and vascular. Objective. The aim of our study was to examine the incidence and types of iatrogenic ureteral injuries occurred over the period of 16 years, as well as to evaluate the values of applied diagnostic and therapeutic procedures. Methods. A retrospective analysis of clinical data (medical records and operative reports) of 55 patients (11 male and 44 female; mean age 54.5 years) with verified iatrogenic ureteral injury from 1998 to 2014, was performed. Results. Iatrogenic ureteral injuries occurred during gynecological procedures in 55%, urological in 25%, colorectal in 15% and vascular in 5% of cases. Mechanisms of injury were incomplete transection (n=23), complete transection (n=1), ligation (n=7), partial perforation (mucosal abrasion) (n=13) and total perforation (n=1). The most frequent diagnostic procedures for postoperative identification of ureteral injuries were abdominal ultrasonography, excretory urography, antegrade pyeloureterography and retrograde ureteropyelography. Early therapeutic procedures were applied in 35 (64%), while delayed in 20 cases (36%). Early (<30 days) or late (>30 days) postoperative complications were verified in 14 cases (25%). Conclusion. Among different surgeries that may lead to the development of iatrogenic ureteral injury, gynecological procedures represent the most common cause. Rapid diagnosis enables immediate ureteral repair and is associated with low morbidity rates, representing a major factor contributing to the treatment success and ultimately preserving the renal function.

APA, Harvard, Vancouver, ISO, and other styles

20

Hallinan, JT, CH Tan, and U. Pua. "The role of multidetector computed tomography versus digital subtraction angiography in triaging care and management in abdominopelvic trauma." Singapore Medical Journal 57, no. 09 (September 2016): 497–502. http://dx.doi.org/10.11622/smedj.2015179.

Full text

APA, Harvard, Vancouver, ISO, and other styles

21

Abedzadeh-Kalahroudi, Masoumeh, HamidReza Talari, Nooshin Mousavi, Hossein Akbari, and Abolfazl Kargar. "The diagnostic value of chest and abdominopelvic computed tomography in detecting thoracolumbar fractures among patients with blunt trauma." Archives of Trauma Research 9, no. 4 (2020): 160. http://dx.doi.org/10.4103/atr.atr_33_20.

Full text

APA, Harvard, Vancouver, ISO, and other styles

22

Chiu, William C., K. Shanmuganathan, Stuart E. Mirvis, and Thomas M. Scalea. "Determining the Need for Laparotomy in Penetrating Torso Trauma: A Prospective Study Using Triple-Contrast Enhanced Abdominopelvic Computed Tomography." Journal of Trauma: Injury, Infection, and Critical Care 51, no. 5 (November 2001): 860–69. http://dx.doi.org/10.1097/00005373-200111000-00007.

Full text

APA, Harvard, Vancouver, ISO, and other styles

23

Muniz, A. E. "Is the Pelvic Radiograph Required in Children with Major Trauma Who Are Evaluated with an Abdominopelvic Computed Tomography Scan?" Academic Emergency Medicine 13, no. 5Supplement 1 (May 1, 2006): S168—S169. http://dx.doi.org/10.1197/j.aem.2006.03.424.

Full text

APA, Harvard, Vancouver, ISO, and other styles

24

Battey, Thomas W. K., David Dreizin, Uttam K. Bodanapally, Amelia Wnorowski, Ghada Issa, Anthony Iacco, and William Chiu. "A comparison of segmented abdominopelvic fluid volumes with conventional CT signs of abdominal compartment syndrome in a trauma population." Abdominal Radiology 44, no. 7 (April 5, 2019): 2648–55. http://dx.doi.org/10.1007/s00261-019-02000-8.

Full text

APA, Harvard, Vancouver, ISO, and other styles

25

Naseri, Maryam, Mohammad Shahsavan, Faeze Salahshour, Soheil Peiman, Seyed Farshad Allameh, Saeed Farzanehfar, Ali Reza Emami-Ardekani, Hamidreza Pouraliakbar, and Mehrshad Abbasi. "EFFECTIVE DOSE FOR RADIOLOGICAL PROCEDURES IN AN EMERGENCY DEPARTMENT: A CROSS-SECTIONAL STUDY." Radiation Protection Dosimetry 189, no. 1 (March 2020): 63–68. http://dx.doi.org/10.1093/rpd/ncaa013.

Full text

Abstract:

Abstract The extent of radiation exposure in emergency settings is not well documented; here, the corresponding effective dose (ED) is provided. In 500 patients admitted in row to the emergency department, ED was compared in patients according to complaints and their visiting physicians. Out of all, 220 patients aged 43.5 ± 22.2 years (admission: 2.0 ± 1.6 days) had at least an imaging. The main reasons for admission were trauma (10.5%) and then orthopedic problems (8.6%). EDs from CT and radiography were 1.66 ± 3.59 and 0.71 ± 1.67 mSv, respectively (from all 2.29 ± 4.12). Patients with abdominal (5.8 ± 5.2 mSv; p < 0.002) and pelvic (12.0 ± 6.3 mSv; p < 0.007) complaints received higher ED from CT and radiography and, also, patients visited by surgeons (7.94 ± 6.9 mSv). CT scan was the main source for ED to patients. Irrespective of the final diagnosis, patients with abdominopelvic complaints and those visited by surgeons are at higher exposure risk.

APA, Harvard, Vancouver, ISO, and other styles

26

Vo, Nghia J., Judson Gash, Jason Browning, and R. Kent Hutson. "Pelvic imaging in the stable trauma patient: is the AP pelvic radiograph necessary when abdominopelvic CT shows no acute injury?" Emergency Radiology 10, no. 5 (April 1, 2004): 246–49. http://dx.doi.org/10.1007/s10140-004-0341-8.

Full text

APA, Harvard, Vancouver, ISO, and other styles

27

Mongan, John, Samira Rathnayake, Yanjun Fu, Dong-Wei Gao, and Benjamin M. Yeh. "Extravasated Contrast Material in Penetrating Abdominopelvic Trauma: Dual-Contrast Dual-Energy CT for Improved Diagnosis—Preliminary Results in an Animal Model." Radiology 268, no. 3 (September 2013): 738–42. http://dx.doi.org/10.1148/radiol.13121267.

Full text

APA, Harvard, Vancouver, ISO, and other styles

28

Baghdanian, Arthur H., Armonde A. Baghdanian, Anthony Armetta, Milo Krastev, Tracey Dechert, Peter Burke, Christina A. LeBedis, Stephan W. Anderson, and Jorge A. Soto. "Effect of an Institutional Triaging Algorithm on the Use of Multidetector CT for Patients with Blunt Abdominopelvic Trauma over an 8-year Period." Radiology 282, no. 1 (January 2017): 84–91. http://dx.doi.org/10.1148/radiol.2016152021.

Full text

APA, Harvard, Vancouver, ISO, and other styles

29

Stewart, Bruce G., James T. Rhea, Robert L. Sheridan, and Robert A. Novelline. "Is the screening portable pelvis film clinically useful in multiple trauma patients who will be examined by abdominopelvic CT? Experience with 397 patients." Emergency Radiology 9, no. 5 (November 2002): 266–71. http://dx.doi.org/10.1007/s10140-002-0232-9.

Full text

APA, Harvard, Vancouver, ISO, and other styles

30

Chang, Sung Wook, Dae Sung Ma, Ye Rim Chang, and Dong Hun Kim. "Practical tips for performing resuscitative endovascular balloon occlusion of the aorta." Hong Kong Journal of Emergency Medicine 28, no. 3 (February 15, 2021): 165–73. http://dx.doi.org/10.1177/1024907921994422.

Full text

Abstract:

Background: Hemorrhage is the leading cause of death in trauma settings. Non-compressible torso hemorrhage, which is caused by abdominopelvic and thoracic injuries, is an important cause of subsequent organ dysfunction and poor outcomes in multiple trauma patients. The management of hemodynamically unstable patients with non-compressible torso hemorrhage has changed, and the concept of damage control resuscitation has been developed in the last decades. Currently, resuscitative endovascular balloon occlusion of the aorta (REBOA) as a method of temporary stabilization is the modern evolution of bleeding control, and it is in the middle of a paradigm shift as a treatment for non-compressible torso hemorrhage. Despite its effectiveness in patients with hemorrhagic shock, the application of REBOA remains limited because of lack of experience and troubleshooting guidelines. Objectives: The aim of study was to provide useful tips for the implementing a step-by-step procedure for REBOA in various hospital settings and capabilities. Methods: We introduced REBOA procedures using a REBOA-customized 7 Fr balloon catheter through the animation models or radiography from preparation to access, catheter management, and device removal after procedure completed. Results: We have described REBOA procedures as follows: identification of the common femoral artery, arterial access for placement of a guidewire, precautions during a sheath insertion, guidewire and balloon positioning in the aorta, occlusion zones and adjustment of balloon location, REBOA strategy for extending the occlusion time, balloon deflation and removal, sheath removal, and medical records. Conclusion: We believe that the practical tips mentioned in this article will help in performing the REBOA procedure systematically and developing an effective REBOA framework.

APA, Harvard, Vancouver, ISO, and other styles

31

Naulet, P., J. Wassel, A. Gervaise, and A. Blum. "Evaluation of the value of abdominopelvic acquisition without contrast injection when performing a whole body CT scan in a patient who may have multiple trauma." Diagnostic and Interventional Imaging 94, no. 4 (April 2013): 410–17. http://dx.doi.org/10.1016/j.diii.2013.01.018.

Full text

APA, Harvard, Vancouver, ISO, and other styles

32

Mosaddegh, Reza, Samane Nabi, Sogand Daei, Fatemeh Mohammadi, Gholamreza Masoumi, Samira Vaziri, and Mahdi Rezai. "Combination of liver enzymes, amylase and abdominal ultrasound tests have acceptable diagnostic values as an alternative test for abdominopelvic CT scan in blunt abdominal trauma." Open Access Emergency Medicine Volume 11 (August 2019): 205–10. http://dx.doi.org/10.2147/oaem.s207066.

Full text

APA, Harvard, Vancouver, ISO, and other styles

33

Barnard, John, Tyler Overholt, Ali Hajiran, Chad Crigger, Morris Jessop, Jennifer Knight, and Chad Morley. "Traumatic Bladder Ruptures: A Ten-Year Review at a Level 1 Trauma Center." Advances in Urology 2019 (December 12, 2019): 1–4. http://dx.doi.org/10.1155/2019/2614586.

Full text

Abstract:

Bladder rupture occurs in only 1.6% of blunt abdominopelvic trauma cases. Although rare, bladder rupture can result in significant morbidity if undiagnosed or inappropriately managed. AUA Urotrauma Guidelines suggest that urethral catheter drainage is a standard of care for both extraperitoneal and intraperitoneal bladder rupture regardless of the need for surgical repair. However, no specific guidance is given regarding the length of catheterization. The present study seeks to summarize contemporary management of bladder trauma at our tertiary care center, assess the impact of length of catheterization on bladder injuries and complications, and develop a protocol for management of bladder injuries from time of injury to catheter removal. A retrospective review was performed on 34,413 blunt trauma cases to identify traumatic bladder ruptures over the past 10 years (January 2008–January 2018) at our tertiary care facility. Patient data were collected including age, gender, BMI, mechanism of injury, and type of injury. The primary treatment modality (surgical repair vs. catheter drainage only), length of catheterization, and post-injury complications were also assessed. Review of our institutional trauma database identified 44 patients with bladder trauma. Mean age was 41 years, mean BMI was 24.8 kg/m2, 95% were Caucasian, and 55% were female. Motor vehicle collision (MVC) was the most common mechanism, representing 45% of total injuries. Other mechanisms included falls (20%) and all-terrain vehicle (ATV) accidents (13.6%). 31 patients had extraperitoneal injury, and 13 were intraperitoneal. Pelvic fractures were present in 93%, and 39% had additional solid organ injuries. Formal cystogram was performed in 59% on presentation, and mean time to cystogram was 4 hours. Gross hematuria was noted in 95% of cases. Operative management was performed for all intraperitoneal injuries and 35.5% of extraperitoneal cases. Bladder closure in operative cases was typically performed in 2 layers with absorbable suture in a running fashion. The intraperitoneal and extraperitoneal injuries managed operatively were compared, and length of catheterization (28 d vs. 22 d, p=0.46), time from injury to normal fluorocystogram (19.8 d vs. 20.7 d, p=0.80), and time from injury to repair (4.3 vs. 60.5 h, p=0.23) were not statistically different between cohorts. Patients whose catheter remained in place for greater than 14 days had prolonged time to initial cystogram (26.6 d vs. 11.5 d) compared with those whose foley catheter was removed within 14 days. The complication rate was 21% for catheters left more than 14 days while patients whose catheter remained less than 14 days experienced no complications. The present study provides a 10-year retrospective review characterizing the presentation, management, and follow-up of bladder trauma patients at our level 1 trauma center. Based on our findings, we have developed an institutional protocol which now includes recommendations regarding length of catheterization after traumatic bladder rupture. By providing specific guidelines for initial follow-up cystogram and foley removal, we hope to decrease patient morbidity from prolonged catheterization. Further study will seek to allow multidisciplinary trauma teams to standardize management, streamline care, and minimize complications for patients presenting with traumatic bladder injuries.

APA, Harvard, Vancouver, ISO, and other styles

34

Chow, Kevin L., Ellen C. Omi, John Santaniello, Jane K. Lee, David P. McElmeel, Yalaunda M. Thomas, Thomas J. Cartolano, James C. Doherty, and Eduardo Smith-Singares. "Traumatic abdominal wall hernias: a single-center case series of surgical management." Trauma Surgery & Acute Care Open 5, no. 1 (December 2020): e000495. http://dx.doi.org/10.1136/tsaco-2020-000495.

Full text

Abstract:

BackgroundTraumatic abdominal wall hernias (TAWHs) are a rare clinical entity that can be difficult to diagnose and manage. There is no consensus on management of TAWH due to its low incidence and complex concomitant injury patterns. We hereby present the largest single-center case series in the USA to characterize associated injury patterns, identify optimal strategies for hernia management, and determine outcomes.MethodsPatients who presented with a TAWH from blunt trauma requiring operative management were retrospectively identified over a 14-year period. Demographic data, Injury Severity Score (ISS), associated injuries, type of repair, durability of repair, and complications were collected, and descriptive statistics were calculated.ResultsFifteen patients were identified. The average age was 31±11 years, ISS 15±9, and body mass index 33.4±7.1 kg/m2. Mechanisms included falls (13%), motor vehicle collisions (60%), motorcycle accidents (20%), and pedestrian versus motor vehicle collisions (7%). The most commonly associated injuries included colonic injuries (53%), long bone fractures (47%), pelvic fractures (40%), and small bowel injuries (33%). Nineteen hernia repairs were performed: 6 underwent primary suture repair (32%) and 13 used mesh (68%). There were four recurrences. We could not find any significant relationship between contamination and mesh use or recurrence. There was one mortality related to sepsis.DiscussionTAWHs have an associated injury pattern involving fractures and abdominopelvic visceral injuries where a tailored approach is advisable. Without hollow viscous injuries and gross contamination, these hernias can be repaired safely with mesh in the acute setting. However, in patients with gross contamination or hemodynamic instability, the risk of recurrence with primary repair must be weighed against the risk of infection and prolonged surgery with mesh repair. In those cases, a delayed reconstruction in the elective setting may be optimal.

APA, Harvard, Vancouver, ISO, and other styles

35

Eze, Balantine U., Frank K. Chacha, and Timothy U. Mbaeri. "Direct Visual Internal Urethrotomy in Supine Position in a Patient with Complex Deformities of Both Lower Limbs and Neurogenic Bladder: A Case Report." European Journal of Medical and Health Sciences 3, no. 1 (January 30, 2021): 34–37. http://dx.doi.org/10.24018/ejmed.2021.3.1.685.

Full text

Abstract:

Direct visual internal urethrotomy (DVIU) is a minimally invasive treatment for urethral stricture and is usually done in lithotomy position. We presented a case of a 35-year-old man with complex deformities of both lower limbs from birth. The lower limbs were severely wasted with ankylosis of the hips, flexion of the knee joints and dorsiflexion at the ankle joints. He had a history of progressively worsening difficult in urination characterized by frequency, urgency, urgency incontinence, nocturia, poor urinary stream (improved by straining), intermittency and feeling of incomplete bladder emptying. He had occasional dysuria and total hematuria. He was not a known hypertensive or diabetic patient. No history of trauma, previous urethral instrumentation, and no history of purulent urethral discharge before the onset of problems. On presentation, his abdomen was full with slight suprapubic distention. The anal sphincter was spastic and the prostate was not enlarged. He had normal non-circumcised male external genitalia. There was no spinal deformity and the upper limbs were normal. White cell count was 14,000 cells/ mm3 with a differential neutrophil of 85.5% and urine culture showed moderate growth of coliforms. Abdominopelvic ultrasound showed a thickened bladder wall with mild hydronephrosis bilaterally and a retrograde urethrography and micturating cystourethrography showed 3 short segment bulbar urethral strictures. There was also a Christmas tree appearance of the bladder. A diagnosis of bladder outlet obstruction secondary to multiple short segment idiopathic bulbar urethral strictures on background neurogenic bladder was made. He had intravenous antibiotics for 48 hours and subsequently a DVIU under spinal anesthesia and in the supine position. Catheter was removed on the 7th day post procedure and he started clean intermittent catheterization (CIC) with 12 French catheters. Seven months post procedure, patient is still satisfied with the outcome of his treatment. We concluded that DVIU can be done safely in the supine position and CIC can help improve post procedure outcome and in managing comorbid neurogenic bladder.

APA, Harvard, Vancouver, ISO, and other styles

36

Khan, Sohail Ahmed, Amjad Sattar, Usman Khanzada, Hatem Adel, Syed Omair Adil, and Munawar Hussain. "Facture of the Pars Interarticularis with or without Spondylolisthesis in an Adult Population in a Developing Country: Evaluation by Multidetector Computed Tomography." Asian Spine Journal 11, no. 3 (June 30, 2017): 437–43. http://dx.doi.org/10.4184/asj.2017.11.3.437.

Full text

Abstract:

<sec><title>Study Design</title><p>Descriptive cross-sectional study.</p></sec><sec><title>Purpose</title><p>To determine the prevalence of lumbar spondylolysis and spondylolisthesis in a general adult population unrelated to lower back pain as evaluated by multidetector computed tomography.</p></sec><sec><title>Overview of Literature</title><p>There is a significant paucity of information related to the prevalence of spondylolysis and spondylolisthesis and its degenerative changes in a general adult population unrelated to lower back pain in developing countries.</p></sec><sec><title>Methods</title><p>A retrospective study was conducted on abdominopelvic computed tomography (CT) scans performed between January 1st 2015 and December 31st 2015 for various clinical indications. Patients with lower back pain, with a history of trauma or road traffic accident, or referred from orthopedic or neurosurgery departments were excluded to avoid any bias. CT scans were reviewed in axial, sagittal, and coronal planes using bone window settings for evaluating spondylolysis and spondylolisthesis.</p></sec><sec><title>Results</title><p>Of 4,348 patients recruited, spondylolysis and spondylolisthesis were identified in 266 (6.1%) and 142 (3.3%) patients, respectively. Age was significantly higher in both spondylolysis and spondylolisthesis patients than in those without spondylolysis and spondylolisthesis (47.19±15.45 vs. 42.5±15.96, <italic>p</italic><0.001 and 53.01±15.31 vs. 42.44±15.88, <italic>p</italic><0.001, respectively). Gender was significantly associated with spondylolisthesis (<italic>p</italic>=0.029) but not spondylolysis. Of patients who were >60 years old, both spondylolysis (<italic>p</italic>=0.018) and spondylolisthesis (<italic>p</italic>=0.025) were significantly more prevalent in females.</p></sec><sec><title>Conclusions</title><p>The prevalence of pars interarticularis fracture observed higher with gradual increase in the prevalence with advancing age. In particular, preponderance was significantly higher among older females.</p></sec>

APA, Harvard, Vancouver, ISO, and other styles

37

Farooqi, Iqra N., and Anupa Sharma. "Unusual Case of Pelvic Osteomyelitis Revealing Osteoporosis." Journal of the Endocrine Society 5, Supplement_1 (May 1, 2021): A230—A231. http://dx.doi.org/10.1210/jendso/bvab048.468.

Full text

Abstract:

Abstract Pelvic osteomyelitis is an uncommon and challenging condition to treat. Pressure ulcers, spinal injuries, contiguous sources of tracking infections, pelvic surgical procedures, traumatic injuries and open fractures all serve as nidi for developing pelvic osteomyelitis. We present a case of pelvic osteomyelitis suspected to be caused by insufficiency fractures due to osteoporosis in an anorexic adult.51 year old postmenopausal Caucasian female with undiagnosed anorexia presented to the hospital for severe right-sided pelvic pain and nausea. She denied fevers, vomiting, trauma, surgical procedures, history of pelvic infections, abnormal vaginal discharge, travel, prolonged steroid therapy. She disclosed a strict vegetarian diet, excessive daily exercise, low dairy intake and over 100lb intentional weight loss over the past 30 years. She reported normal menses, used oral contraceptives between ages of 25 to 30, and reached menopause at 49 years. For many years, she denied medical care including age-appropriate cancer screenings. She is employed in academia and denies tobacco, alcohol or drug use. On admission, height 153cm and weight 43kg, BMI 16.7kg/m2. Examination was notable for frail body habitus, moderate RLQ and pelvic tenderness, prominent PSIS and SI joints with decreased RLE range of motion. Laboratory results showed calcium 9.5mg/dL (n 8.6–10.4), phosphorus 4.1mg/dL (2.5–4.5), ALP 181IU/L (45–115), PTH 23pg/dL (n 9–76), Vitamin D 35ng/dL (n 25–80), 24-hour urinary calcium 285mg/24h (n 50–400). Abdominopelvic CT scan showed chronic right pubic ramus and bilateral sacral insufficiency fractures confirmed on MRI with septic arthritis of the pubic symphysis, osteomyelitis of pubic bodies and intramuscular abscess extending to the right adductor muscle. Wound culture was positive for Streptococcus viridans and pelvic bone biopsy showed degenerative changes. The patient completed IV Ceftriaxone therapy and underwent DXA scan confirming osteoporosis (T-scores:-3.8 lumbar spine L1-L4, -3.6 left femoral neck, -3.3 right femoral neck). Alendronate 10mg daily and calcium citrate-vitamin D 1000mg-800IU twice daily was prescribed. Diagnostic workup for secondary causes of severe osteoporosis was unremarkable except for hypercalciuria, for which calcium supplement was held with a plan to repeat in the future. Concern for her cachectic appearance and severity of her illness also elicited a dietician referral. Pelvic osteomyelitis and septic arthritis are seldom found without inciting insults. We report an atypical cause of presumed anorexia induced osteoporosis resulting in pelvic osteomyelitis. Untreated osteoporosis may lead to fracture, resulting in inflammation and predisposing patients to infections. Thus, early recognition and evaluation of osteoporosis in patients at high risk for fracture, such as patients with anorexia, is critical for prevention.

APA, Harvard, Vancouver, ISO, and other styles

38

Naeem, Muhammad, Mark J. Hoegger, Frank W. Petraglia, David H. Ballard, Maria Zulfiqar, Michael N. Patlas, Constantine Raptis, and Vincent M. Mellnick. "CT of Penetrating Abdominopelvic Trauma." RadioGraphics, May 21, 2021, 200181. http://dx.doi.org/10.1148/rg.2021200181.

Full text

APA, Harvard, Vancouver, ISO, and other styles

39

Coccolini, Federico, Fausto Catena, Yoram Kluger, Massimo Sartelli, Gianluca Baiocchi, Luca Ansaloni, and Ernest Eugene Moore. "Abdominopelvic trauma: from anatomical to anatomo-physiological classification." World Journal of Emergency Surgery 13, no. 1 (October 31, 2018). http://dx.doi.org/10.1186/s13017-018-0211-4.

Full text

APA, Harvard, Vancouver, ISO, and other styles

40

Mojtabaie, Parmiss, Ciaran E. Redmond, Christopher R. Lunt, Brian Gibney, Nicolas Murray, Luck Louis, and Savvas Nicolaou. "Lower Urinary Tract Injuries: A Guide for the Emergency Radiologist." Canadian Association of Radiologists Journal, May 11, 2020, 084653712091387. http://dx.doi.org/10.1177/0846537120913875.

Full text

Abstract:

Traumatic lower urinary tract injuries are uncommon and mainly occur in patients with severe trauma and multiple abdominopelvic injuries. In the presence of other substantial injuries, bladder and urethral injuries may be overlooked and cause significant morbidity and mortality. Therefore, it is important that radiologists are familiar with mechanisms and injuries that are high risk for bladder and urethral trauma. We review the imaging findings associated with these injuries and the appropriate modalities and techniques to further evaluate the patient and accurately diagnose these injuries. Computed tomography cystography and conventional retrograde urethrography are effective tools in identifying injuries to the lower urinary tract and play a crucial role in patient care and prognosis.

APA, Harvard, Vancouver, ISO, and other styles

41

Baştuğ, Betül Tiryaki. "The Frequency of Random Findings on Abdominal / Pelvis Computed Tomography in Pediatric Trauma Patients." Current Medical Imaging Formerly Current Medical Imaging Reviews 16 (December 17, 2020). http://dx.doi.org/10.2174/1573405616666201217110021.

Full text

Abstract:

Aims: In this study, we aimed to find the percentage of random pathologies and abdominopelvic region anomalies that are not related to trauma in pediatric patients. Background: An abdominal assessment of an injured child usually involves computed tomography imaging of the abdomen and pelvis (CTAP) to determine the presence and size of injuries. Imaging may accidentally reveal irrelevant findings. Objectives: Although the literature in adults has reviewed the frequency of discovering these random findings, few studies have been identified in the pediatric population. Methods: Data on 142( 38 female, 104 male) patients who underwent CTAP during their trauma evaluation between January 2019 and January 2020 dates were obtained from our level 3 pediatric trauma center trauma records. The records and CTAP images were examined retrospectively for extra traumatic pathologies and anomalies. Results: 67 patients (47%) had 81 incidental findings. There were 17 clinically significant random findings. No potential tumors were found in this population. Conclusion: Pediatric trauma CTAP reveals random findings. For further evaluation, incidental findings should be indicated in the discharge summaries.

APA, Harvard, Vancouver, ISO, and other styles

42

Mangual-Perez, Danny, Camille Torres-Cintron, Reinaldo Colon-Morillo, Luis Lojo-Sojo, and Antonio Puras-Baez. "Blunt Abdominopelvic Trauma Complicated by Traumatic Testicular Dislocation in a 19-Year-Old Male Patient." JBJS Case Connector 11, no. 3 (2021). http://dx.doi.org/10.2106/jbjs.cc.20.00911.

Full text

APA, Harvard, Vancouver, ISO, and other styles

43

de Freitas, Rafael Kiyuze, Lucas Moretti Monsignore, Luis Henrique de Castro-Afonso, Guilherme Seizem Nakiri, Jorge Elias-Junior, Valdair Francisco Muglia, Sandro Scarpelini, and Daniel Giansante Abud. "Transarterial embolization with n-butyl cyanoacrylate for the treatment of active abdominopelvic bleeding in the polytraumatized patient." CVIR Endovascular 4, no. 1 (May 6, 2021). http://dx.doi.org/10.1186/s42155-021-00222-w.

Full text

Abstract:

Abstract Purpose An increasing number of polytraumatized patient presenting with active abdominal pelvic bleeding (APB) have been treated by endovascular selective embolization. However, reports on evaluate the efficacy, safety and complications caused by this technique have been limited. The aim of this study was to assess the safety and efficacy of embolization of APB using N-butyl cyanoacrylate glue (NBCA). Materials and methods Single center retrospective study, that included consecutive 47 patients presenting with traumatic APB treated by embolization with NBCA between January 2013 and June 2019. The efficacy endpoint was defined as the absence of contrast extravasation immediately after procedure and clinical stabilization in the following 24 h after procedure. Clinical stabilization was defined as no rebleeding after embolization or the need for a surgical approach until the patient is discharged. Safety endpoint were any technical or clinical complications related to the embolization procedure. Results The mean age of patients was 38.6 years (3–81), with a predominance of males (87.2%). The major causal factor of APB being involvement in a car accident, accounting for 68% of cases. Of the 47 cases, 29.8% presented pelvic trauma and the remaining (70.2%) presented abdominal trauma. The efficacy rate was 100%, while no complications related to the procedure were observed. The mortality rate was 14.8% (7/47) due to neurologic decompensation and other clinical causes. Conclusion Endovascular embolization of traumatic abdominopelvic bleedings appear to be a highly safe and effective treatment, while avoiding emergent exploratory open surgeries.

APA, Harvard, Vancouver, ISO, and other styles

44

Talari, Hamidreza, Nushin Moussavi, Abdolhossein Davoodabadi, Sasan Saidfar, and Fatemeh Atoof. "Routine Versus Selective Use of Chest and Abdominopelvic CT-Scan in Blunt Trauma: A Randomized Controlled Study." Iranian Journal of Radiology Special iss, no. 5 (April 13, 2017). http://dx.doi.org/10.5812/iranjradiol.48014.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

Kılınc, Rabia Mihriban, Ahmet Emrah Açan, Gamze Türk, Cem Yalın Kılınç, and İbrahim Önder Yeniçeri. "Evaluation of femoral head bone quality by Hounsfield units: a comparison with dual-energy X-ray absorptiometry." Acta Radiologica, June 2, 2021, 028418512110210. http://dx.doi.org/10.1177/02841851211021035.

Full text

Abstract:

Background Osteoporosis is associated with decreases in bone mineral density (BMD) and is diagnosed using dual-energy X-ray absorptiometry (DXA). Computed tomography (CT), performed in routine practice, can also be used to evaluate bone quality without additional cost. Purpose To determine whether Hounsfield units (HU), a standardized CT attenuation coefficient, measured from the femoral head correlated with DXA-measured BMD. Material and Methods We evaluated 82 patients (14 men, 68 women; mean age, 67 years) undergoing femoral DXA and CT (non-enhanced abdominopelvic and hip scans) with 130 kV to determine whether HU correlated with T-scores. HU were measured by two radiologists using the largest spherical region of interest including the medullary bone of the femoral head from the junction point of the most caudal section of the femoral head with the femoral neck in 5-mm axial sections. The correlations of both sides’ HU values with their ages and DXA femur T-score were evaluated. Results HU values obtained from both femoral heads showed significant variation between the osteoporotic and non-osteoporotic groups (both P = 0.000) and strongly correlated with each other and DXA femur T-scores (left r = 0.75, right r = 0.73, respectively). In ROC curve analysis, predictive power of left HU values in identifying patients with osteoporotic femur DXA T-score was 0.905, and for right HU values it was 0.924. Osteoporosis cutoff values were 198 HU and 204 HU for the left and right hips, respectively. Conclusions HU obtained from CT performed in routine practice correlated with the DXA scores, thus providing an alternative method to determine regional bone quality without additional cost. This may be useful when choosing a fixation method, especially in trauma cases with already-performed abdominopelvic or pelvic CT in emergency services.

APA, Harvard, Vancouver, ISO, and other styles

46

"Malignant priapism secondary to metastatic colon adenocarcinoma: a case report." Journal of Men’s Health, 2021, 1. http://dx.doi.org/10.31083/jomh.2021.101.

Full text

Abstract:

Background and objective: Priapism is an uncommon urological emergency, and is even less commonly caused by colon adenocarcinoma metastasis. The aim of this article is to report a case of malignant priapism caused by metastatic colon adenocarcinoma. Methods and materials: Case sharing and clinical experience summary of a 61-year-old man with priapism and hematuria persisting for more than 30 days presented to our hospital in September 2019. Results: The patient did not have a history of perineal trauma, nervous system disease, or hematological system disease. Penile Doppler ultrasound showed no obvious blood flow signal, and penile arterial blood gas parameters were pH of 7.01, partial pressure of oxygen of 26 mmHg, and partial pressure of carbon dioxide of 71 mmHg, suggesting the occurrence of ischemic priapism. Abdominopelvic computed tomography enhancement images showed a localized irregular shape and high-density imaging of the root of the corpus cavernosum. Histopathology after cystoscopy confirmed the metastasis of colon adenocarcinoma. Superselective embolization of the internal pudendal artery was performed, which partially relieve the abnormal penile erection, but drug treatment did not significantly alleviate the patient's priapism. Conclusion: Priapism secondary to metastatic colon adenocarcinoma suggests systemic dissem-ination, indicative of a poor prognosis. In such cases, unnecessary surgery should be avoided. Superselective embolization could be an optional treatment for priapism secondary to cancer.

APA, Harvard, Vancouver, ISO, and other styles

47

Godø, Bård Neuenkirchen, Jostein Rodseth Brede, and Andreas Jorstad Krüger. "Needs assessment of resuscitative endovascular balloon occlusion of the aorta (REBOA) in patients with major haemorrhage: a cross-sectional study." Emergency Medicine Journal, May 26, 2021, emermed-2020-210808. http://dx.doi.org/10.1136/emermed-2020-210808.

Full text

Abstract:

BackgroundResuscitative endovascular balloon occlusion of the aorta (REBOA) can be used as an adjunct treatment in traumatic abdominopelvic haemorrhage, ruptured abdominal aortic aneurysms, postpartum haemorrhage (PPH), gastrointestinal bleeding and iatrogenic injuries during surgery. This needs assessment study aims to determine the number of patients eligible for REBOA in a typical Norwegian population.MethodsThis was a retrospective cross-sectional study based on data obtained from blood bank registries and the Norwegian Trauma Registry for the years 2017–2018. Patients who received ≥4 units of packed red blood cells (PRBCs) within 6 hours and met the anatomical criteria for REBOA or patients with relevant Abbreviated Injury Scale codes with concurrent hypotension or transfusion of ≥4 units of PRBCs within 6 hours were identified. A detailed two-step chart review was performed to identify potentially eligible REBOA candidates. Descriptive data were collected and compared between subgroups using non-parametric tests for statistical significance.ResultsOf 804 patients eligible for inclusion, 53 patients were regarded as potentially REBOA eligible (corresponding to 5.7 per 100 000 adult population/year). Of these, 19 actually received REBOA. Among the identified eligible patients, 44 (83%) had a non-traumatic aetiology. Forty-two patients (79%) were treated at a tertiary care hospital. Fourteen (78%) of the REBOA procedures were due to PPH.ConclusionThe number of patients potentially eligible for REBOA after haemorrhage is low, and most cases are non-traumatic. Most patients were treated at a tertiary care hospital. The exclusion of non-traumatic patients results in a substantial underestimation of the number of potentially REBOA-eligible patients.

APA, Harvard, Vancouver, ISO, and other styles

48

Kim, Dae Hyun, and Ju-hee Choi. "MON-061 A Case of Central Precocious Puberty Patient with Arnold Chiari Malformation, Type I." Journal of the Endocrine Society 4, Supplement_1 (April 2020). http://dx.doi.org/10.1210/jendso/bvaa046.186.

Full text

Abstract:

Abstract Central precocious puberty (CPP) is caused by early activation of Hypothalamo-Hypophyseal-Gonal (H-P-G) axis. Although the cause of CPP is idiopathic in most cases, small portions of CPP are caused by intracranial lesion such as hypothalamic hamartomas, postencephalitic scars, tubercular meningitis, head trauma, hydrocephalus, tuberous sclerosis, arachnoid cyst, etc. Type I Chiari malformation is a disorder characterized by a displacement of the cerebellar tonsils through the foramen magnum into the upper cervical spinal canal with various neurologic symptom. There have been some reported cases of Arnold-Chiari type I malformations with CPP, however this association is not yet completely understood. We would like to introduce a case of girl experiencing Arnold Chiari type I malformation as well as CPP, who presented with progressive breast budding and acceleration of growth. A 8-year-old girl was presented with 6month history of breast budding and acceleration of growth (5cm/7month). Her family history demonstrated that her mother had been treated with prolactinoma and experienced early menarche. On physical examination, she showed Tanner stage 2(B2, P1). She did not exhibit any neurological signs or symptoms. Thyroid gland was not enlarged and No abnormal skin pigmentation or bony abnormalities were identified. Her height was 124.9cm (37th percentile), weight was 22.4kg (14th percentile), while midparental height was calculated to be 159cm (father: 174cm, mother: 157cm). Her bone age was assessed to be 10 years of age. Luteinizing hormone(LH) showed pubertal response (peak LH: 9.9IU/L) in Luteinizing Hormone Releasing Hormone (LHRH) stimulation test. The abdominopelvic US revealed pubertal response of uterus(length 4.1cm, endometrial echogenicity) without any other abnormality. We performed brain Magnetic Resonance Imaging(MRI) for rule out intracranial lesion, which showed Arnold-Chiari type 1 malformation (downward displacement of the cerebellar tonsil by 6 mm). Following diagnosis, Her parents wanted further neurologic evaluation and treatment in Canada, beacause she was Canadian. In conclusion, Arnold-Chiari type 1 malformation can be a possible cause of CPP without neurological symptoms in children, more cases are needed to clarify the relationship and evaluate reasonable causes of Arnold-Chiari type 1 malformation in the brain, especially in young patients with precocious puberty.

APA, Harvard, Vancouver, ISO, and other styles

49

McCabe, Sam, and Shekher Maddineni Corrado Marini. "Vascular and Interventional Radiology in Blunt Abdominopelvic TraumaÃ¢ÂÂ Institutional Practice and Review of the Literature." Journal of Trauma & Treatment 5, no. 3 (2016). http://dx.doi.org/10.4172/2167-1222.1000324.

Full text

APA, Harvard, Vancouver, ISO, and other styles

We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!