1.Panscleritis After Blunt Ocular Trauma in A Child with Epididymitis.
Yi-Nan LIU ; Yi-Ning GUO ; Yi-Fan SONG ; Yan-Jie TIAN ; Xue-Min LI
Chinese Medical Sciences Journal 2023;38(1):57-61
We reported an 8-year-old boy with panscleritis in left eye and right epididymitis after falling on the ground. Etiologic diagnosis played a key role in this case. Systemic examinations ruled out systemic autoimmune diseases, tumors, and infections as the cause of scleritis and suggested that the disease was caused by a local delayed-type hypersensitivity (DTH) induced by ocular trauma and was non-infectious. Still, the right epididymitis was infectious. Both conditions were treated successfully using steroids and antibiotics, respectively. Thus, early etiologic diagnosis and reasonable treatment are crucial to prevent visual loss.
Male
;
Humans
;
Child
;
Epididymitis/complications*
;
Eye Injuries/complications*
;
Wounds, Nonpenetrating/complications*
;
Scleritis/etiology*
;
Face
2.Blunt cardiac rupture in patient with liver laceration.
Wen-lin WANG ; Wei-sheng ZENG ; Ren-chao JIANG
Chinese Journal of Traumatology 2003;6(1):54-55
Accidents, Traffic
;
Adult
;
Heart Injuries
;
complications
;
Humans
;
Lacerations
;
complications
;
Liver
;
injuries
;
Male
;
Wounds, Nonpenetrating
;
complications
3.Clinical outcomes of non-operative management and clinical observation in non-angioembolised hepatic trauma: A systematic review of the literature.
Francesco VIRDIS ; Mauro PODDA ; Salomone DI SAVERIO ; Jayant KUMAR ; Roberto BINI ; Carlos PILASI ; Isabella RECCIA
Chinese Journal of Traumatology 2022;25(5):257-263
PURPOSE:
Liver is the most frequently injured organ in abdominal trauma. Today non-operative management (NOM) is considered as the standard of care in hemodynamically stable patients, with or without the adjunct of angioembolisation (AE). This systematic review assesses the incidence of complications in patients who sustained liver injuries and were treated with simple clinical observation. Given the differences in indications of treatment and severity of liver trauma and acknowledging the limitations of this study, an analysis of the results has been done in reference to the complications in patients who were treated with AE.
METHODS:
A systematic literature review searched "liver trauma", "hepatic trauma", "conservative management", "non operative management" on MEDLINE (via PubMed), Cochrane Central Register of Controlled Trials databases, EMBASE, and Google Scholar, to identify studies published on the conservative management of traumatic liver injuries between January 1990 and June 2020. Patients with traumatic liver injuries (blunt and penetrating) treated by NOM, described at least one outcome of interests and provided morbidity outcomes from NOM were included in this study. Studies reported the outcome of NOM without separating liver from other solid organs; studies reported NOM complications together with those post-intervention; case reports; studies including less than 5 cases; studies not written in English; and studies including patients who had NOM with AE as primary management were excluded. Efficacy of NOM and overall morbidity and mortality were assessed, the specific causes of morbidity were investigated, and the American Association for the Surgery of Trauma classification was used in all the studies analysed. Statistical significance has been calculated using the Chi-square test.
RESULTS:
A total of 19 studies qualified for inclusion criteria were in this review. The NOM success rate ranged from 85% to 99%. The most commonly reported complications were hepatic collection (3.1%), followed by bile leak (1.5%), with variability between the studies. Other complications included hepatic haematoma, bleeding, fistula, pseudoaneurysm, compartment syndrome, peritonitis, and gallbladder ischemia, all with an incidence below 1%.
CONCLUSION
NOM with simple clinical observation showed an overall low incidence of complications, but higher for bile leak and collections. In patients with grade III and above injuries, the incidence of bile leak, collections and compartment syndrome did not show a statistically significant difference with the AE group. However, the latter result is limited by the small number of studies available and it requires further investigations.
Abdominal Injuries/complications*
;
Compartment Syndromes
;
Humans
;
Injury Severity Score
;
Liver/injuries*
;
Retrospective Studies
;
Wounds, Nonpenetrating/complications*
4.Ruptured azygos vein caused by blunt trauma on left chest.
Jian-guo CAO ; Ning-feng DAI ; Chang-zhi CHEN
Chinese Medical Journal 2012;125(18):3355-3356
6.Rupture of a Choledochal Cyst in an Adult Female: A Rare Consequence of Blunt Abdominal Trauma.
Lu-Jia CHEN ; Ping CHENG ; Yin-Kai XUE ; Li-Bo CHEN
Chinese Medical Journal 2016;129(19):2394-2394
Abdominal Injuries
;
etiology
;
surgery
;
Adult
;
Choledochal Cyst
;
complications
;
surgery
;
Female
;
Humans
;
Laparotomy
;
Wounds, Nonpenetrating
;
etiology
;
surgery
7.A case of isolated posterior capsule rupture and traumatic cataract caused by blunt ocular trauma.
Korean Journal of Ophthalmology 2001;15(2):140-144
An isolated rupture of the posterior capsule that is caused by a blunt ocular trauma has been rarely reported and is usually detected incidentally during surgery for a complicated cataract. We found an isolated posterior capsule rupture on the third day after trauma in a 25-year-old man who was admitted for the treatment of traumatic hyphema and we performed a phacoemusification and anterior vitrectomy with PC-IOL, implantation because of the traumatic cataract which had progressed after the injury. The PC-IOL was implanted safely into the capsular bag without severe enlargement of the posterior capsular rupture. The break seems to function as a capsulotomy which provides a clear visual axis. We report this case with a review of the literatures.
Adult
;
Case Report
;
Cataract/*etiology
;
Eye Injuries/*complications
;
Human
;
Lens Capsule, Crystalline/*injuries
;
Male
;
Rupture/etiology
;
Wounds, Nonpenetrating/*complications
8.Article: A case of a twisted heart due to blunt trauma (SMJ Vol 43 Issue 8 August 2002).
Singapore medical journal 2002;43(11):590-590
Accidents, Traffic
;
Adult
;
Heart Injuries
;
complications
;
etiology
;
pathology
;
Hernia
;
etiology
;
pathology
;
Humans
;
Male
;
Pericardium
;
injuries
;
Rupture
;
Wounds, Nonpenetrating
;
complications
10.Delayed diagnosis for tricuspid regurgitation after blunt chest trauma.
Haige ZHAO ; Robert A MCCREADY ; Jingya FAN ; Peng HU ; Yiming NI ; Dominige CALCATERRA ; Liang MA
Chinese Medical Journal 2014;127(9):1794-1795