S Afr J Surg
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Cardiac rupture as a result of blunt trauma is not commonly encountered. Seven patients with this injury have been treated at Groote Schuur Hospital over the past 14 years. All presented with cardiovascular collapse and 4 developed signs of cardiac tamponade. ⋯ Five patients had right atrial ruptures and 2 right ventricular ruptures. One patient with right ventricular rupture died in the operating room, while another patient with multiple right atrial ruptures died from multiple organ failure after 11 days. We also briefly review the history, mechanisms and pathology.
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There are few studies which address the burnt male patient who has been intentionally assaulted by his partner. Thirty such patients were admitted to the Somerset Hospital Burns Unit between January 1993 and May 1995. The average age was 37 years and the mean total burn surface area was 19.6% (range 2-55%). ⋯ Three patients died: 1 of respiratory failure and 1 of septicaemia, while 1 committed suicide. The burnt and battered male patient is a real clinical entity which is becoming more common. Treatment should investigate psychosocial factors in addition to ensuring healing of the burn wound.