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- Thoraco-laparotomy approach to salvage a life-threatening cardiac box stab injury to the infecrior vena cava in Malaysia: a case report
- Ida Arinah Mahadi, Jih Huei Tan, Jin Zhe Teh, Yuzaidi Mohamad, Imran Alwi Rizal
- J Trauma Inj. 2023;36(3):286-289. Published online May 19, 2023
- DOI: https://doi.org/10.20408/jti.2022.0071
- 2,607 View
- 50 Download
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Abstract
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Supplementary Material - Torso stab injuries near the cardiac box may present unique challenges due to difficulties in hemorrhage control. For a stab injury to the heart, the repair is straightforwardly performed via median sternotomy. In contrast, injuries to the inferior vena cava are challenging to repair, especially when they are close to the diaphragm, and the bleeding can be torrential. Herein, we describe a case of a self-inflicted stab wound within the "cardiac box." The trajectory of the stab injuries went below the diaphragm and injured the infradiaphragmatic inferior vena cava. Successful emergent repair via the thoraco-laparotomy approach revived the young man. In this report, we revisit and discuss previous large series of patients with this rare vena cava injury.
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- The management of Pancreatic fistula Complicated by Gastric fistulation following Emergency Splenectomy
- Tan Jih Huei, Henry Tan Chor Lip, Chow Sing Thou, Yuzaidi Mohamad, Rizal Imran Alwi
- J Trauma Inj. 2020;33(1):43-47. Published online March 30, 2020
- DOI: https://doi.org/10.20408/jti.2019.036
- 7,046 View
- 170 Download
- 1 Citations
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Pancreatic and gastric fistulas are rare complications of emergency splenectomy, and it is extremely rare for a pancreatic fistula to be further complicated by a fistulation into the stomach. Here, we present a case of pancreatogastric fistula in a 60-year-old man who experienced polytrauma due to a blunt mechanism. He underwent emergency splenectomy for splenic injury and developed a pancreatic fistula as a complication. A percutaneous endoscopic procedure was performed to drain the fistula, after which he developed a pancreatogastric fistula as a further complication. A double-pigtail stent was inserted via gastroscopy into the fistula tract to allow internal drainage of the pancreatic collection into the stomach cavity. When a pancreatic fistula is complicated by gastric fistulation, endoscopic stenting of the pancreatogastric fistula tract for internal drainage is an effective treatment option.
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- Successful percutaneous transgastric diversion of a chronic post-operative combined pancreaticocutaneous and gastrocutaneous fistula using a snare-target technique: A case report
Katherine J. Li, Ken Leslie, Derek W. Cool
International Journal of Surgery Case Reports.2021; 80: 105685. CrossRef
- An Unusual Complication of Colonic Perforation Following Percutaneous Nephrostomy in a Grade IV Blunt Renal Injury Patient
- Joan Gan Cheau Yan, Tan Jih Huei, Henry Tan Chor Lip, Yuzaidi Mohamad, Rizal Imran Alwi
- J Trauma Inj. 2019;32(2):118-121. Published online June 30, 2019
- DOI: https://doi.org/10.20408/jti.2019.011
- 4,187 View
- 69 Download
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Abstract
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Percutaneous nephrostomy is relatively safe for temporary urinary diversion. However, colonic perforation due to percutaneous nephrostomy can happen with an incidence of 0.2% as reported in the English literatures. To our knowledge, this is the first case being reported as a complication following treatment for traumatic renal injury. This paper is to share our treatment approach which differs from the usual approach according to existing literatures. We report on a young man who sustained grade IV renal injury due to blunt trauma and was managed conservatively. The treatment of traumatic renal injury via urinary diversion was complicated with an iatrogenic colonic perforation. The management and subsequent treatment of this patient is discussed in this case report.
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