Eur J Trauma Emerg S
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A young female victim of multiple trauma had a Recovery inferior vena cava filter placed for pulmonary embolism prophylaxis. She was lost to follow-up for planned retrieval of the filter. After a period of more than four years she re-presented and had successful and uneventful retrieval of the filter. Certain inferior vena cava filters may potentially be retrieved even after very long implantation periods.
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To assess the current management and outcome of perforated duodenal peptic ulcer managed with open repair, a focused analysis was conducted, excluding gastric, traumatic and iatrogenic perforations. ⋯ The majority of patients with perforated duodenal ulcer can be diagnosed with conventional clinical and radiological methods, and treated according to established surgical principles. The mortality and duodenal morbidity rates have remained unchanged for the last decade. Shortening preoperative delay could improve the prognosis.
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A dramatic reduction of penetrating trauma is not to be expected in the near future, especially in some regions of the world. In order to identify the body structures damaged after stab or firearm wounds, complementary diagnostic studies play an essential role in assessing the severity of the case. The inclusion of ultrasound among the diagnostic tests for assessing abdominal injuries after blunt trauma because of its confident, repetitive, non-invasive, communicable, and low-cost means to obtain the relevant information is derived from rapidly widespread use of the method for other injury mechanisms, such as penetrating trauma. ⋯ Regarding free fluid, it is possible to determine its presence and composition through the peritoneal aspiration after a sonoguided puncture. On the other hand, ultrasound is able to detect morphologic changes in solid organs after penetrating trauma. In order to reach these possibilities which are offered by the ultrasound technology, a planifying training and education program must be developed.