Ulus Travma Acil Cer
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Aortic injuries can easily be missed in polytraumatized patients due to either associated injuries or vagueness of physical examination findings. Especially in young adults without associated injuries, relatively low atherosclerotic changes may limit the dissection of traumatic descending aortic injuries. We present a 34-year-old male patient who only had a complaint of back pain following a traffic accident. ⋯ Aortography showed rupture of the aorta and a pseudoaneurysm near the isthmus. Following surgical excision of the pseudoaneurysm and aortic repair with a Dacron graft interposition he was discharged with complete relief of symptoms. This case emphasizes the need for a high index of clinical suspicion in timely diagnosis and prompt treatment of traumatic aortic ruptures.
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Ulus Travma Acil Cer · Oct 2003
Case Reports[Iatrogenic hypernatremia during hydatid cyst operation].
Hypernatremia due to salt gain is generally iatrogenic. This case report presents a 55 year-old woman who was operated because of hepatic hydatid cyst. ⋯ When the patient awaked and became conscious at 36th hour in intensive care unit, she was extubated and transferred to ward with serum sodium concentration of 142 mEq/L. The serum sodium concentration should be monitored carefully in hydatid cyst operation, during which hypertonic saline is used for scelosidal effects as general anesthesia can mask neurologic signs due to hypernatremia.
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Ulus Travma Acil Cer · Oct 2003
Case ReportsTension pneumopericardium in chest trauma with gunshot wound.
Tension pneumopericardium is a rare complication of gunshot wounds. A 28 year-old male patient with tension pneumopericardium after chest trauma by gunshot bullet injury was reported. On initial examination, hemopneumothorax and fracture of the clavicle were found on the right side. ⋯ Tension pneumopericardium occurred on the second day of admission and a tube was inserted in to the pericardial space through subxyphoid incision. No blood but some air was drained from pericardial space. After removing the pericardial and right thorax tubes on the fifth and sixth days respectively, the patient was discharged with complete recovery.
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Ulus Travma Acil Cer · Oct 2003
Case Reports[Color flow duplex ultrasonography is an effective alternative method].
Increasing use of percutaneous interventional cardiac and peripheral arterial procedures has resulted in high incidence of femoral pseudoaneurysms. This case report presents a 68 year-old male with a femoral pseudoaneurysms after percutaneous iliac transluminal angioplasty, who was treated with ultrasound guided compression successfully. Although surgical procedures are widely performed in Turkey, it should be kept in mind that compression therapy is effective and may present as an initial step in the management of femoral pseudoaneurysms.
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Ulus Travma Acil Cer · Oct 2003
Evaluation of physical findings in acute wrist trauma in the emergency department.
The aim of the study was to evaluate the value of physical findings to predict fracture in patients with acute wrist trauma. ⋯ Edema, pain on grip and supination, and especially pain on passive and active motion and localized tenderness can be valuable to predict or rule out fracture in acute wrist trauma cases who have no deformity.