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8 "Jung Chul Kim"
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Case Reports
Small Bowel Hernia due to a Blunt Pelvic Injury
Min Jae Gal, Jung Chul Kim
J Trauma Inj. 2021;34(3):187-190.   Published online September 30, 2021
DOI: https://doi.org/10.20408/jti.2020.0022
  • 2,423 View
  • 63 Download
AbstractAbstract PDF

A 91-year-old female presented to Chonnam National University Hospital Regional Trauma Center with a lateral compression type III fracture of the pelvis. She was managed non-operatively for a week in the intensive care unit under close observation and had an emergency operation due to delayed onset of an acute obstructed direct inguinal hernia. Traumatic abdominal wall hernias are rare. However, trauma surgeons should always be aware of the possibility of such injuries because of their critical consequences.

Summary
Internal Iliac Artery Ligation with Pad Packing for Hemodynamic Unstable Open Comminuted Sacral Fracture
Sung Kyu Kim, Yun Chul Park, Young Goun Jo, Wu Seong Kang, Jung Chul Kim
J Trauma Inj. 2017;30(4):238-241.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.238
  • 3,706 View
  • 36 Download
  • 1 Citations
AbstractAbstract PDF

A 52-year-old man experienced blunt trauma upon falling from a height of 40 m while trying to repair the elevator. The patient’s systolic blood pressure and hemoglobin levels were 60 mmHg and 7.0 g/dL, respectively, upon admission. A large volume of bloody discharge was observed in the open wound of the perianal area and sacrum. A computed tomography scan revealed an open comminuted sacral fracture with multiple contrast blushes. He underwent emergency laparotomy. Both internal iliac artery ligations were performed to control bleeding from the pelvis. Protective sigmoid loop colostomy was performed because of massive injury to the anal sphincters and pelvis. Pad packing was performed for a sacral open wound and perineal wound at the prone position. After resuscitation of massive transfusion, he underwent the second operation 2 days after the first operation. The pad was removed and the perineal and sacral open wounds were closed. After the damage-control surgery, he recovered safely. In this case, the hemodynamically unstable, open comminuted sacral fracture was treated safely by internal iliac artery ligation with pad packing.

Summary

Citations

Citations to this article as recorded by  
  • Penetrating sacral injury with a metallic pipe: a case report and literature review
    Mahnjeong Ha, Kyoung Hyup Nam, Jae Hun Kim, In Ho Han
    Journal of Trauma and Injury.2022; 35(2): 131.     CrossRef
Isolated Common Hepatic Duct Injury after Blunt Abdominal Trauma
Yun Chul Park, Young Goun Jo, Wu Seong Kang, Eun Kyu Park, Hee Jun Kim, Jung Chul Kim
J Trauma Inj. 2017;30(4):231-234.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.231
  • 3,247 View
  • 43 Download
AbstractAbstract PDF

Extrahepatic bile duct injury is commonly associated with hepatic, duodenal, or pancreatic injuries, and isolated extrahepatic bile duct injury is rare. We report a patient who presented with an isolated extrahepatic bile duct injury after blunt trauma. A 50-year-old man was referred to our hospital after having suffered a fall down injury. His laboratory findings showed hyperbiliribinemia with elevated aspartate aminotransferase and alanine aminotransferase level. Initial abdominal computed tomography (CT) showed a mild degree of hemoperitoneum without evidence of abdominal solid organ injury. On the 3rd day of hospitalization, the patient complained of dyspnea and severe abdominal discomfort. Follow-up abdominal CT showed no significant interval change. Owing to the patient’s condition, Emergency laparotomy revealed a large amount of bile-containing fluid collection and about 1 cm in size laceration on the left lateral side of the common hepatic duct. Primary repair of the injured bile duct with T-tube insertion was performed On postoperative day (POD) 30, endoscopic retrograde cholangiopancreatography showed minimal bile leakage and endoscopic sphincteroplasty and endoscopic retrograde biliary drainage were performed. On POD 61, the T-tube was removed and the patient was discharged.

Summary
Diagnostic Laparoscopy and Laparoscopic Diverting Sigmoid Loop Colostomy in Penetrating Extraperitoneal Rectal Injury: A Case Report
Young Goun Jo, Yun Chul Park, Wu Seong Kang, Jung Chul Kim, Chan Yong Park
J Trauma Inj. 2017;30(4):216-219.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.216
  • 5,471 View
  • 26 Download
  • 1 Citations
AbstractAbstract PDF

Laparoscopy has been one of the most effective modalities in various surgical situations, although its use in trauma patients has some limitations. The benefits of laparoscopy include cost-effectiveness, shorter length of hospital stay, and less postoperative pain. This report describes diagnostic laparoscopy and laparoscopic diverting sigmoid loop colostomy in penetrating extraperitoneal rectal injury. A 41-year-old male presented with perineal pain following penetrating trauma caused by a tree limb. Computed tomography showed air density in the perirectal space and retroperitoneum. As his vital signs were stable, we performed diagnostic laparoscopy and confirmed no intraperitoneal perforation. Therefore, laparoscopic diverting sigmoid loop colostomy was performed. He was discharged without any complications despite underlying hepatitis C-related cirrhosis. Colostomy closure was performed 3 months later.

Summary

Citations

Citations to this article as recorded by  
  • The floating rectum
    Sean Ng Kwet Chi Ng Ying Kin, William Jiang, Asiri Arachchi, Hanumant Chouhan
    ANZ Journal of Surgery.2022; 92(1-2): 264.     CrossRef
Indirect Reduction and Spinal Canal Remodeling through Ligamentotaxis for Lumbar Burst Fracture
Wu Seong Kang, Jung Chul Kim, Ik Sun Choi, Sung Kyu Kim
J Trauma Inj. 2017;30(4):212-215.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.212
  • 5,460 View
  • 66 Download
AbstractAbstract PDF

The choice of the most appropriate treatment for thoracolumbar or lumbar spine burst fracture remains controversial from conservative treatment to fusion through a posterior or anterior approach. There are many cases where ligamentotaxis is used to reduce the burst fracture. However, indirect reduction using ligamentotaxis is often limited in the magnitude of the reduction that it can achieve. In our patient with severe burst fracture, we were able to restore an almost normal level of vertebral height and secure spinal canal widening by using only ligamentotaxis by posterior instrumentation. Before the operation, the patient had more than 95% encroachment of the spinal canal. This was reduced to less than 10% after treatment.

Summary
Original Article
Surgical Management of Duodenal Traumatic Injuries: A Single Center Study
Oh Hyun Park, Yun Chul Park, Dong Gyu Lee, Ho Hyun Kim, Chan Yong Park, Jung Chul Kim
J Trauma Inj. 2013;26(3):157-162.
  • 1,273 View
  • 5 Download
AbstractAbstract PDF
PURPOSE
Abdominal trauma rarely causes injuries involving duodenum. But, it is associated with higher rate of the complication and mortality than other abdominal injuries. There are many options for the management of duodenal injuries. Herein we are to review our experiences and find out the risk factors related to the morbidity and the mortality in traumatic duodenal injuries.
METHODS
The medical records of total 25 patients who managed by surgical managements and survive more than 48 hours were conducted from January 2006 to December 2012. The clinical characteristics, treatments, and outcomes are reviewed.
RESULTS
Among 25 patients, most of them (n=17, 68.0%) were managed by the pyloric exclusion and the gastrojejunostomy. The 3rd portion is the most injured site (n=15, 60.0%), and the majority exhibited grade 2 severity (n=14, 56.0%). Most of patients had blunt abdominal traumas (n=23, 92.0%) so that many of them (n=14, 56.0%) had other combined abdominal injuries. The mean ISS is 11.5+/-6.2. The surgery related mortality rate was 28.0%. There was no statistical significance between each factors and the mortality except leakage (p=0.012). But, we could find some trends about traumatic duodenal injuries in this study. The mortality rates of them who older than 55 years were higher than others. And, all 3 patients who delayed the operation more than 24 hours after the trauma had some complications or died. Also, the patients who had the 2nd portion injury, grade 3 injury, or combined abdominal injury were less survived.
CONCLUSION
Duodenal injury is related to high rate of morbidity(47.8%) and mortality(28.0%). Age, portion of injury, OIS grade, ISS>15, combined intra-abdominal operation, and trauma to operation time over 24 hrs have some trend with attribution to mortality. Especially leakage of duodenal injury is related to mortality.
Summary
Case Reports
Cerebral Fat Embolism after Traumatic Multiple Fracture: A Case Report
Ho Hyun Kim, Yun Chul Park, Dong Kyu Lee, Chan Yong Park, Jae Hun Kim, Yeong Dae Kim, Jung Chul Kim
J Trauma Inj. 2013;26(2):58-62.
  • 1,195 View
  • 8 Download
AbstractAbstract PDF
A cerebral fat embolism is an uncommon but serious complication of long bone fracture. It can be fatal, and early detection is not easy. Neurologic symptoms are variable, and the clinical diagnosis is difficult. The pathogenesis remains controversial, and several theories have been proposed. Magnetic resonance imaging can detect a cerebral fat embolism with a higher sensitivity than cerebral computed tomography. We report a case of a post-traumatic cerebral fat embolism without pulmonary involvement and review the existing literature.
Summary
Traumatic Perforation of the Duodenal Diverticulum: A Case Report
Ho Hyun Kim, Yun Chul Park, Dong Kyu Lee, Chan Yong Park, Jae Hun Kim, Yeong Dae Kim, Jung Chul Kim
J Trauma Inj. 2013;26(2):53-57.
  • 1,377 View
  • 2 Download
AbstractAbstract PDF
A duodenal diverticulum is a frequent abnormality that is usually diagnosed incidentally. Clinical manifestations usually mimic those of highly-varied entities. Among the complications of a duodenal diverticulum, perforation is fairly rare; rupture due to blunt trauma is even rarer, and no cases have been reported in Korean literature. We report the case of a 61-year-old male patient who presented with a perforated duodenal diverticulum after a blunt trauma. We also review the existing literature.
Summary

J Trauma Inj : Journal of Trauma and Injury