Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
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Aneurysms of popliteal veins are a rare but silent danger that may involve pulmonary embolism. This case report is of a 63-year-old woman with a venous aneurysm of the left popliteal vein who suffered pulmonary embolism twice during treatment with phenprocoumon. Three days after resection she suffered an embolism of the left popliteal vein. Follow-up at 12 months with duplex showed no signs of thrombosis.
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Traumatic brain injury (TBI) is still the major cause of death under 45 years of age and an important one for children under 15. Its incidence is 332/100,000 inhabitants. It results from an impact with the skull with/without lesion of the brain but at least a short-term neurological disorder. ⋯ With GCS of <15 or with risk factors, TBI requires a CT scan and in-hospital surveillance. Acutely life-threatening, i.e. space-occupying, bleeding must be operated on immediately. Epidural or subdural bleeding, especially in comatose patients, is still a vital risk and thus requires immediate surgery.