Eur J Trauma Emerg S
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The rupture of a hydatid cyst into the abdominal cavity is a rare and serious complication. ⋯ The rupture of hydatid cysts into the peritoneal cavity should be included in the differential diagnosis of acute abdominal pain in endemic areas. Perforation in a young patient may be the first presentation of hydatid cyst. Multiple hydatid cysts may be a predisposing factor for perforation. Location of the cyst on segment VI of the liver may be a predisposing factor as well. Emergency surgery is the main treatment for intraperitoneal rupture of hydatid cysts and medical treatment should be given postoperatively.
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Eur J Trauma Emerg S · Aug 2010
Immobilization Regime Following Lateral Patellar Dislocation: A Systematic Review and Meta-Analysis of the Current Evidence Base.
Historically, patients following patellar dislocation have been immobilized in a cylinder plaster of Paris cast for around 6 weeks. However, there remains controversy over whether immobilization should be advocated following this injury. There also remains debate over the methods and duration for which patients are immobilized. ⋯ The results suggested that there is no significant difference in clinical outcomes when using a cylinder cast or posterior splint in full extension compared to an elastic bandage. No studies were identified specifically assessing the clinical outcomes of patients immobilized compared to those not immobilized, or assessing different durations of immobilization. The present evidence base is insufficient in both size and methodological quality to justify the use of immobilization for patients following a lateral patellar dislocation.
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Eur J Trauma Emerg S · Aug 2010
The Kocher-Langenbeck Approach: Differences in Outcome of Transverse Acetabular Fractures Depending on the Patient's Position.
The Kocher-Langenbeck approach is most frequently used for open reduction and internal fixation of transverse acetabular fractures, the positioning of the patient still falling to the preference of the surgeon. The impact of 'prone' and 'lateral' positioning on radiographic outcome and postoperative complication rates was evaluated by this retrospective study. ⋯ The weight of the leg may make reduction more difficult in the lateral position, leading to a poorer radiographic outcome.
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Eur J Trauma Emerg S · Aug 2010
Disproportionate Acidosis After Traumatic Bladder Rupture: A Case-Control Study.
Traumatic bladder injury is rare and often missed on initial evaluation. We sought to identify early markers of bladder injury with a high sensitivity. ⋯ Disproportionate acidosis in the trauma patient is a sensitive indicator of bladder injury, especially with a pelvic fracture or hematuria. Fully resuscitated patients with persistent acidosis and an appropriate mechanism should be evaluated for bladder injury.