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5 "Sung Yub Jeong"
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Case Reports
A method of bedside urethrography before catheterization in pelvic trauma in Korea: a case report
Hojun Lee, Sung Yub Jeong, Kun Hwang
J Trauma Inj. 2023;36(4):451-453.   Published online December 20, 2023
DOI: https://doi.org/10.20408/jti.2023.0047
  • 246 View
  • 7 Download
AbstractAbstract PDF
We introduce a convenient method of urethrography before catheterization for patients with pelvic trauma that can be used in a resuscitation area. A 10-mL syringe without a needle was used. X-ray contrast medium (Iohexol, 300 mg I/mL) was administered through the urethral orifice using a 10-mL syringe without needle and a simple pelvic anteroposterior film was taken (70 kilovolt [peak], 50 mAs). A 36-year-old soldier with a saddle injury from a gun barrel was taken to a trauma center. He had a pelvic fracture and complained of hematuria. Bedside urethrography above described was performed. The anterior urethra showed nonspecific findings, but dye leaked from the posterior urethra. Bedside Foley catheter insertion was attempted, but the catheter could not be advanced past the membranous urethra. Thereafter, suprapubic catheterization was performed. On the day of the injury, iliac artery embolization was carried out. The dislocated sacroiliac joint was also treated using open reduction and internal fixation. On hospital day 7, guidewire Foley insertion was performed. This bedside urethrography technique is simple and useful for pelvic fractures in which urethral injury is suspected.
Summary
Pancreaticoduodenectomy as an option for treating a hemodynamically unstable traumatic pancreatic head injury with a pelvic bone fracture in Korea: a case report
Sung Yub Jeong, Yoonhyun Lee, Hojun Lee
J Trauma Inj. 2023;36(3):261-264.   Published online December 7, 2022
DOI: https://doi.org/10.20408/jti.2022.0059
  • 1,277 View
  • 28 Download
AbstractAbstract PDF
Pancreatic trauma occurs in 0.2% of patients with blunt trauma and 5% of severe abdominal injuries, which are associated with high mortality rates (up to 60%). Traumatic pancreatoduodenectomy (PD) has significant morbidity and appreciable mortality owing to complicating factors, associated injuries, and shock. The initial reconstruction in patients with severe pancreatic injuries aggravates their status by causing hypothermia, coagulopathy, and acidosis, which increase the risk for early mortality. A staging operation in which PD follows damage control surgery is a good option for hemodynamically unstable patients. We report the case of a patient who was treated by staging PD for an injured pancreatic head.
Summary
Spontaneous recanalization of complete urethral injury treated by suprapubic cystostomy alone after severe pelvic bone fracture in a young male in Korea: a case report
Han Kyul Shin, Gi Ho Moon, Sung Yub Jeong, Ho Jun Lee
J Trauma Inj. 2023;36(2):161-164.   Published online December 2, 2022
DOI: https://doi.org/10.20408/jti.2022.0056
  • 1,379 View
  • 35 Download
AbstractAbstract PDF
Injury to the genitourinary tract is rare, with an incidence of less than 1%. Younger men (mean age, approximately 30 years) are predominantly affected. We introduce an unusual case of a 25-year-old male patient with complete urethral injury combined with a severe open pelvic bone fracture. During the emergency surgery, the primary realignment of the posterior urethra could not be performed due to a large defect. With suprapubic cystostomy alone, follow-up voiding cystourethrography showed spontaneous recanalization of the transected urethra after four months. Suprapubic cystostomy is an efficient treatment option when primary realignment is not possible.
Summary
Inhalation injury after a landmine explosion: a case report
Woojung Kim, Donghoon Kim, Sung Yub Jeong, Yoonhyun Lee, Hojun Lee
J Trauma Inj. 2022;35(Suppl 1):S35-S39.   Published online June 23, 2022
DOI: https://doi.org/10.20408/jti.2022.0005
  • 2,289 View
  • 45 Download
AbstractAbstract PDF
Blast injuries are divided into four classes, and inhalation injuries are a quaternary class of blast injuries. An inhalation injury can be critical to the patient due to the possibility of related complications, such as airway obstruction resulting from upper airway edema and pneumonia. Once diagnosed, an inhalation injury should be treated with early intubation, aerosol therapy, and antibiotics as soon as possible. We should suspect this injury in circumstances involving fire and especially bomb attacks in a military setting. Antipersonnel landmines designed to damage the soldier by amputating the leg can cause blast injuries, but their power is limited to the lower extremity. However, we found an inhalation injury in a victim whose leg had been amputated by an antipersonnel landmine. As soon as we suspected an inhalation injury, we intubated the patient to preserve his airway and started acetylcysteine/heparin aerosol therapy. The patient also was treated with proper antibiotics for right lower lung pneumonia that developed as a sequela of inhalation injury. We could extubate the patient without any complications such as airway obstruction on the third day of intensive care, after which the patient was transferred to the general ward for active rehabilitation. This report presents the first known case of inhalation injury due to a landmine explosion.
Summary
Acute methemoglobinemia after a blast injury: a case report
Donghoon Kim, Yoonhyun Lee, Sung Yub Jeong, Hojun Lee
J Trauma Inj. 2022;35(Suppl 1):S15-S17.   Published online December 10, 2021
DOI: https://doi.org/10.20408/jti.2021.0089
  • 8,844 View
  • 73 Download
  • 1 Citations
AbstractAbstract PDF
Methemoglobin is a structurally modified form of hemoglobin incapable of binding oxygen, and elevated levels of methemoglobin cause tissue hypoxia. Occupational exposure to 2,4,6-trinitrotoluene, commonly called trinitrotoluene, causes methemoglobinemia. This case report describes a 27-year-old male sergeant who developed methemoglobinemia upon exposure to trinitrotoluene after a blast injury while welding the walls of tank shells. This is the first case of its kind in Korea. The patient had multiple burns in his abdomen and open fractures in his right leg. While his body temperature, heart rate, respiratory rate, arterial blood pressure, and chest X-ray were normal, arterial gas analysis revealed acute (methemoglobinemia concentration, 13.5%; oxygen saturation, 92.0%), probably caused by nitroglycerin exposure. Aspiration and adsorption through the skin and respiratory system were suspected to be the routes of entry. His methemoglobinemia normalized after 4 days after treating the wounds surgically, administering oxygen therapy, and performing blood transfusion.
Summary

Citations

Citations to this article as recorded by  
  • Methemoglobinemia screening and treatment in tank warfare survivors: A case series
    Shahar Negev, Shaun Gruenbaum, Amit Frenkel, Alexander Zlotnik, Ohad Gabay
    The American Journal of Emergency Medicine.2024;[Epub]     CrossRef

J Trauma Inj : Journal of Trauma and Injury