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J Trauma Inj : Journal of Trauma and Injury



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Case Reports
Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury
Hohyun Kim, Jae Hun Kim, Gil Hwan Kim, Hyun-Woo Sun, Chan Ik Park, Sung Jin Park, Chan Kyu Lee, Suk Kim
J Trauma Inj. 2020;33(2):128-133.   Published online June 30, 2020
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  • 103 Download
AbstractAbstract PDF

Traumatic abdominal wall hernias (TAWHs) are uncommon and the incidence of this, which is rarely encountered in clinical practice, has been estimated at 1%. Furthermore, blunt transection of the entire abdominal wall musculature caused by seatbelt is a very rare complication. We report a case of adult with a complete disruption of the entire anterolateral abdominal wall muscle following the seatbelt injury. A 32-year-old male was wearing a seat belt in a high speed motor vehicle collision. Abdominal computed tomography (CT) scan revealed the complete disruption of bilateral abdominal wall musculatures including TAWH without visceral injury. However, injuries of small bowel and sigmoid colon were observed in the intra-operative field. The patient underwent the repair by primary closure of the defect with absorbable monofilament sutures. This case suggests that especially in TAWH patients, even if a CT scan is normal, clinicians should keep the possibility of bowel injury in mind, and choose a treatment based on the clinical findings.

Large Focal Extrapleural Hematoma of Chest Wall: A Case Report
Hohyoung Lee, Sung Ho Han, Min Koo Lee, Oh Sang Kwon, Kyoung Hwan Kim, Jung Suk Kim, Soon-Ho Chon, Sung Ho Shinn
J Trauma Inj. 2019;32(2):115-117.   Published online June 30, 2019
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AbstractAbstract PDF

Although hemothorax and pneumothorax are common complications seen in rib fractures, focal extrapleural hematoma is quite rare. We report a 63-year-old female patient that developed large focal extrapleural hematoma after falling off a second floor veranda. The patient had sustained 3, 4, 5th costal cartilage rib fractures and a sternum fracture. She had developed suspected empyema with loculations with small amount of hemothorax. She underwent a planned early decortication/adhesiolysis by video assisted thoracoscopic surgery at the 12th post-trauma day due to failed drainage. Unexpectedly, she had no adhesions or any significant retained hematoma mimicking a mass, but was found with the focal extrapleural chest wall hematoma. She was discharged on postoperative 46th day for other reasons and is doing fine today.

Bilateral Chylothorax Due to Blunt Spine Hyperextension Injury: A Case Report
Hohyoung Lee, Sung Ho Han, Min Koo Lee, Oh Sang Kwon, Kyoung Hwan Kim, Jung Suk Kim, Soon-Ho Chon, Sung Ho Shinn
J Trauma Inj. 2019;32(2):107-110.   Published online June 30, 2019
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  • 56 Download
  • 1 Citations
AbstractAbstract PDF

Bilateral chylothorax due to blunt trauma is extremely rare. We report a 74-year-old patient that developed delayed bilateral chylothorax after falling off a ladder. The patient had a simple 12th rib fracture and T12 lamina fracture. All other findings seemed normal. He was sent home and on the 5th day visited our emergency center at Halla Hospital with symptoms of dyspnea and lower back pain. Computer tomography of his chest presented massive fluid collection in his right pleural cavity and moderate amounts in his left pleural cavity with 12th rib fracture and T11-12 intervertebral space widening with bilateral facet fractures. Chest tubes were placed bilaterally and chylothorax through both chest tubes was discovered. Conservative treatment for 2 weeks failed, and thus, thoracic duct ligation was done by video assisted thoracoscopic surgery. Thoracic duct embolization was not an option. Postoperatively, the patient is now doing well and happy with the results. Early surgical treatment must be considered in the old patient, whom large amounts of chylothorax are present.



Citations to this article as recorded by  
  • Thoracic duct injury: An up to date
    JoséLuis Ruiz Pier, MohebA Rashid
    The Journal of Cardiothoracic Trauma.2021; 6(1): 15.     CrossRef
Esophageal Rupture Due to Diving in Shallow Waters
Sung Ho Han, Soon-Ho Chon, Jong Hyun Lee, Min Koo Lee, Oh Sang Kwon, Kyoung Hwan Kim, Jung Suk Kim, Ho hyoung Lee, June Raphael Chon
J Trauma Inj. 2018;31(1):16-18.   Published online April 30, 2018
  • 3,876 View
  • 55 Download
AbstractAbstract PDF

Delayed esophageal rupture due to blunt injury is not new. However, rupture due to suspected barotrauma is very rare. We describe a case of esophageal rupture in a male 24-year-old patient after diving in shallow waters. The patient was quadriplegic and could not experience the typical chest pain related to rupture and resulting mediastinitis. The rupture was discovered 4 days after emergency decompressive laminectomy and fusion for his cervical spine. The rupture was evidently caused by barotrauma and was discovered four days after admission. He underwent primary closure and pericardial flap as a life-saving procedure.

Rib Fixation for a Patient with Severely Displaced and Overlapped Costal Cartilage Fractures
Sung Ho Han, Soon-Ho Chon, Jong Hyun Lee, Min Koo Lee, Oh Sang Kwon, Kyoung Hwan Kim, Jung Suk Kim, Ho hyoung Lee
J Trauma Inj. 2018;31(1):12-15.   Published online April 30, 2018
  • 8,334 View
  • 63 Download
AbstractAbstract PDF

Rib fixations for flail chest or displaced rib fractures are not a new technique. However, reports on rib fixations involving costal cartilage fractures are very few and surprisingly there are no reports of internal fixations involving only the costal cartilage in the English literature. The diagnosis is difficult and the necessity of the procedure may be quite controversial. Placing plates in screws into the costal cartilage alone may seem unstable and easily dislodged or stripped through the cartilage. We report a 31-year-old male scuba diver instructor who underwent rib fixations over his 7th and 8th costal cartilage ribs for severe pain. The procedure was done with conventional plates and screws. He had the plates and screws removed 2 months later due to lingering pain, but with them removed he is now quite happy with the results without pain. The procedure for fixation of painful overlapped costal cartilage is quite simple and can be done with the usual conventional methods, fixating plate and screws directly over the cartilage alone without fixation over the bony rib.

Renal Artery Pseudoaneurysm after Blunt Renal Trauma
Eun Hong Jung, Eun Suk Kim, Hyoung Chul Park, Geun Bae Mun, Seok Heun Jang, Jae Il Kim, Jung Hwan Son, Yeong Rok Ha
J Korean Soc Traumatol. 2009;22(2):260-263.
  • 1,126 View
  • 4 Download
AbstractAbstract PDF
Renal artery pseudoaneurysm after blunt renal trauma is an uncommon complication of delayed hemorrhage, and diagnostic difficulties are experienced due to its rarity. Delayed hemorrhage after renal trauma is a lifethreatening complication. Angiography is considered the gold standard to diagnose a traumatic renal artery pseudoaneurysm. We report here a case of delayed bleeding from a renal artery pseudoaneurysm that was diagnosed at 17 days after the injury and that was managed successfully with selective renal artery embolization without medical complication.
Original Article
Clinical Effect of Immediate Cooling on Superficial Second Degree Thermal Burns
Hii Sun Jeong, Hye Kyung Lee, Hyung Suk Kim, Keuk Shun Shin
J Korean Soc Traumatol. 2009;22(2):227-232.
  • 1,004 View
  • 1 Download
AbstractAbstract PDF
Numerous experimental studies have shown the benefits of treating thermal burns by cooling. Nevertheless, few studies have shown the clinical effect of cooling therapy on thermal burns. This study aimed to identify the clinical effect of immediate cooling therapy.
The research was conducted as a retrospective, case-control study. All patients had thermal injuries characterized as a superficial second-degree burn. In the cooling group, 14 patients had first-aid cooling therapy delivered by either parents, caregivers, general practitioners, local hospitals, and/or Myongji hospital. Included in the study were 22 control patients who were not treated with any cooling therapies. Other clinical factors, such as age, sex, cause of burn injury, and burn area (Total Body Surface Area %), were taken into consideration. The duration of treatment was defined as the time from the occurrence of the injury to the presence of complete re-epithelialization, as confirmed by two surgeons.
The duration of treatment in the cooling group was significantly less than that the control group (p < 0.05).
Cooling therapy as an initial emergent treatment is clinically effective for superficial seconddegree burn injuries.

J Trauma Inj : Journal of Trauma and Injury