Lens-induced uveitis or phacoanaphylactic endophthalmitis (PE) is a chronic endophthalmitis with a zonal granulomatous inflammation surrounding a ruptured lens. One hundred forty four cases of PE were retrospectively evaluated clinically and histopathologically. The disease was not well recognized clinically as only six of the cases were given the clinical diagnosis ...

Melanosis Coli (MC) is a benign pigmentation disorder of the colon occasionally diagnosed at endoscopy. The authors report a case of M. coli in a patient with a gunshot to the abdomen, in whom the entity produced an interesting clinical picture, and a review of the literature on this condition.

Twenty-three cases of traumatic diaphragmatic rupture due to blunt and penetrating trauma are reviewed. The need for early diagnosis is stressed. Chest radiography was the most sensitive diagnostic method (66% for blunt trauma), although other techniques are discussed. The high incidence of associated intra-abdominal injury (83%) mandates primary abdominal approach ...

Ocular trauma is common and frequently impairs vision. Injuries to the cornea account for approximately two thirds of ocular trauma. Appropriate detection, diagnosis, triage, and treatment decisions are needed in cases of corneal trauma to achieve maximum benefit for the traumatized patient. In this article, the prominent features of corneal ...

Trauma-induced rhabdomyolysis and myoglobinuric renal failure are well recognized. The mechanism of trauma in reported cases has been burns, crush injuries, or compression syndromes. We report a case of myoglobinuric renal failure in a 5-year-old boy who suffered primarily lacerations and penetrating wounds from a wolf attack. We are unaware ...

The case of an elderly Chinese male opium addict with cauliflower ears is discussed. He had no history of contact sports that could have led to auricular trauma resulting in deformed ears. Besides cauliflower ears, he had features of chronic bronchitis. The association between opium addiction and cauliflower ears was ...

A case report of arterial hypertension which occurred 5 years after a blunt renal trauma is presented. The physiopathology of this type of hypertension along with the diagnostic features and the therapeutic aspects are extensively discussed. The sudden appearance of hypertension in a young patient following trauma must suggest a ...

The diagnosis of extensive intramural hematoma of the esophagus due to a bicycle trauma was considerably delayed because symptoms did not develop until 6 h after the accident. This report underscores the importance of a barium meal and computed tomographic (CT) scan in cases of unexplained chest pain, even after ...

Tragal perichondrium is a widely used tissue seal in the oval window following stapes surgery. Autogenous and easily accessible, it is a suitable substance to cover the vestibule in total stapedectomy, and to seal around the prosthesis in small-fenestra stapedotomy. The incidence of complications from the use of perichondrium in ...

This paper reviews the legal principles involved in tort litigation and covers the evolution of case law regarding recovery of damages for psychic trauma. Concepts of zone of danger, foreseeability, and proximate cause are discussed. Issues for both plaintiff and expert witness are discussed. Case examples are provided, and recommendations ...

A case of semicircular lipoatrophy, a rare form of localized lipoatrophy, is described in a 33-year-old woman. No precipitating factors such as trauma could be elicited by questioning. However, the patient subsequently realized that she had unwittingly been subjected to repeated daily trauma as she pressed the affected thigh against ...

Extrahepatic porta hepatis injuries from blunt abdominal trauma are exceedingly rare; all recently reported cases involve disruption of the common bile duct at its intrapancreatic portion. We herein report a patient with lacerations of the proper hepatic artery and bile duct occurring from deceleration/torsion of the porta hepatis after high ...

Cerebral infarction after minor trauma to the neck has rarely been reported. A case is presented of a child with trauma to the vertebrobasilar artery resulting in stroke. Computerized tomography scan and angiography results are presented. Despite two subsequent, separate transient episodes of vertigo, the child had good functional recovery ...

A case report is presented of a healthy 25-year-old man who developed a periorbital necrotising fasciitis after a trivial trauma with a wooden splinter. Necrotising fasciitis of the eyelids occurs rarely. Cryptococcus neoformans is not described as a causative factor of necrotizing fasciitis. Cryptococcus neoformans usually infects patients with immunodeficiencies, ...

Blunt trauma causing aortic injury is infrequent and primarily involves the thoracic aorta. Abdominal aortic injury after blunt trauma is much less frequent and has a varied presentation. Within a 3-month period, our trauma unit diagnosed and treated two cases of abdominal aortic injury secondary to blunt trauma. One was ...

We reviewed complete ocular and systemic necropsy findings of 10 consecutive children who died of suspected child abuse. All 10 children had evidence at necropsy of blunt head trauma, although external signs of blunt trauma occasionally were covert. Ocular injuries were observed in 7 of the 10 cases and when ...

Acute compartment syndrome of the thigh has been reported infrequently. To date, only eight cases from isolated blunt trauma without fracture have been reported. Two additional cases caused by intramuscular hematomas following blunt, low-energy trauma, which were treated successfully with emergency fasciotomies, are presented. The morbidity from this syndrome varies ...

We report a case of bowel injury as a result of an isolated gunshot wound to the scrotum. Our experience with penetrating scrotal trauma reveals a high rate of associated injuries, the most common being trauma to the soft tissue of the thigh. Our case emphasizes the importance of a ...

Penetrating neck trauma remains controversial: some trauma centers continue to pursue a policy of mandatory exploration while others advocate selective exploration. The literature regarding penetrating neck trauma published during the past 5 years is reviewed in this report. The majority of reports support selective exploration, and most civilian centers report ...

Trauma centre standards of the American College of Surgeons set a minimum annual volume of cases for trauma surgeons. The volume requirement, however, lacks an objective basis. The author reviews a personal series of cases revealing considerably lower volume than recommended, while injury severity and mortality were comparable to published ...

Necrotizing fasciitis is a rapidly progressive invasive soft tissue infection that is rarely seen in the pediatric population. In the majority of cases described in the medical literature, there has been an identifiable initiating event such as instrumentation or other trauma to the skin. Because of the rapid progression of ...

Vascular problems of the proximal upper extremity present with symptoms and signs of venous and arterial occlusion. They are rare, and sports medicine literature contains only case reports. Blunt trauma and activity requiring repetitive, overhead use of the arm are the usual mechanisms of injury. In athlete who perform repetitive ...

The case of a patient with left ventricular rupture as a result of blunt chest trauma from a motor vehicle accident is presented. This is the first reported case of a pediatric survivor of this rare and usually lethal injury and only the fourth report of a survivor. This condition ...

We reviewed our initial 2-year experience utilizing CT of the abdomen (CTA) in the management of blunt abdominal trauma. Thirty-four of 176 patients (19%) admitted with this diagnosis during 1987-88 underwent CTA as part of their initial evaluation. All patients were hemodynamically stable. Of the 34 CTA's, 15 were negative ...

Blunt injury to the abdominal aorta has been previously reported. Due to the severity of the lesion, radiologic studies other than aortography are rarely undertaken prior to emergency surgery. We report a case in which CT initially demonstrated an angiographically and surgically proven rupture of the infrarenal abdominal aorta due ...

Rupture of the distal thoracic esophagus is an unusual injury following blunt abdominal trauma. We recently encountered this injury in a patient following a relatively minor motor vehicle accident. An improperly positioned seatbelt was presumed contributory in this case. Prevention of further contamination and drainage of infection are primary objectives. ...

Thoracic splenosis is the autotransplantation of splenic tissue into the thoracic cavity after thoracoabdominal trauma. We report a case of thoracic splenosis in a 35-year-old woman who had had a thoracoabdominal gunshot wound 12 years earlier. A review of the literature revealed 15 cases already reported. All patients had an ...

Two forms of priapism are known to occur. The more common type, veno-occlusive priapism, presents with a prolonged painful erection, and it is characterized by ischemia and pooling of blood within the corpora cavernosa. The less common form, high flow priapism, is characterized by lack of pain and ischemia. The ...

We reviewed the charts of 10 patients who were admitted to the Massachusetts Eye and Ear Infirmary over a 10-year period with the diagnosis of Bacillus species endophthalmitis. To our knowledge this is the largest single series in the literature and includes the first two reported cases of Bacillus endophthalmitis ...

Major cerebral arterial injury may result from penetrating or blunt trauma. In blunt trauma, clinical suspicion of such injury may not be raised, especially if the cranial CT scan is negative. We report a case of a seatbelt shoulder strap to the neck resulting in injury to three major cerebral ...

Avulsion of the common canaliculus from its attachment to the lacrimal sac should be suspected in cases involving either deep lacerations on the lateral side of the nose or traumatic telecanthus in midfacial trauma. Blunting of the canalicular angle and rounding of the inner canthus are confirming signs. A canaliculodacryocystorhinostomy ...

A case of isolated complete transection of the common bile duct due to blunt abdominal trauma in a 3-year-old child is presented. The rarity of this injury and its initial presentation as a pancreatic pseudocyst warrant its description. This patient, the fifteenth child to be reported in the literature, was ...

Ureteric injury is uncommon and mostly follows penetrating trauma or surgical injury. Ureteric rupture following blunt abdominal trauma is rare, there being only a few reported cases. The case described here, in which blunt abdominal trauma resulted in delayed intraperitoneal rupture, appears to be the first report of this type ...

A case in which a malar fracture was associated with Purtscher's retinopathy with its accompanying impairment of vision is described. The literature concerning this uncommon condition is reviewed and its aetiology discussed. This case reinforces the importance of visual acuity testing and funduscopy following maxillofacial trauma, not only at presentation ...

A review of the world literature revealed only five reported cases of azygos vein disruption from blunt chest trauma. Four of these were isolated injuries. We report a case of isolated complete azygos vein transection as a result of blunt motor vehicular trauma. Emergency thoracotomy and venous ligation resulted in ...

A unique disorder characterized by ichthyosis and defects of the appendages and teeth is reported. Scaly skin and absence of sweating were observed shortly after birth. During childhood there was progressive loss of hair, severe abnormalities of dentition and dystrophic changes of the nails following minor trauma. The patient experienced ...

Twenty-eight cases of diaphragmatic rupture due to blunt trauma are reviewed. The need for accurate and rapid diagnosis and results of treatment are discussed. Chest roentgenogram was found to be the best diagnostic aid. Surgical repair through an abdominal approach is advised in all acute cases. The high mortality rate ...

The onset of most cases of herpes zoster is usually sudden and unexpected. A precipitating factor is seldom obvious. Depressed cellular immunity or an underlying neoplasm are found in only a small number of patients. The relationship between trauma and reactivation of the varicella-zoster virus is uncertain and most of ...

A 10-year retrospective study of maxillofacial trauma cases in Southeast Missouri reveals the causes of the trauma and profiles the age and gender of the victims. In contrast with the findings of urban institutional studies, which are more commonly reported, motor vehicle accidents accounted for the majority of these cases.

Forty two cases of stiff elbow were treated by operation. Thirty three were subsequent to trauma, seven were due to ectopic ossification after quadriplegia, and two were associated with massive ectopic ossification after long term coma following head injury. Two separate skin incisions, postero-medial or medial and anterior, were used ...

A rare case of osteochondrosis of the fourth metacarpal head after blunt trauma to the hand is presented. Follow-up at 2 years showed mild residual deformity both clinically and radiographically, but the child was asymptomatic. The cause of this condition is unknown, but it appears to be one of the ...

The case of a patient with spontaneous cerebrospinal fluid (CSF) rhinorrhea from an intranasal encephalomeningocele is presented. The case is unusual in that the patient was entirely asymptomatic until the age of 65, when copious CSF rhinorrhea developed without trauma or operation as an inciting event. The pertinent literature is ...

Splenorrhaphy was successfully performed following blunt abdominal trauma in a 42-year-old man with a functioning distal splenorenal shunt. The shunt had been created 16 months earlier for bleeding gastroesophageal varices (BGEV) secondary to alcoholic cirrhosis. Uniquely, this case brings into simultaneous focus the principles of selective shunting for BGEV and ...

Chylothorax following blunt chest trauma is rare; we found only 19 cases reported. We describe an unusual patient with chylothorax from closed chest injury. The diagnosis is made from thoracentesis or tube thoracostomy fluid. Thoracostomy in the definitive therapeutic modality. Nonoperative or, when necessary, operative treatment of chylothorax after blunt ...

Placental laceration as a result of blunt maternal trauma has rarely been reported. Herein, we report a case of a 17-year-old, 37-week-pregnant woman who presented after a motor vehicle accident. Initial examination showed no fetal heart sounds or movements. Evaluation included enhanced CT scan of the abdomen. Laparotomy and Caesarian ...

Freiberg's infraction is an avascular necrosis of the metatarsal head characterized by the development of disorderliness of chondrogenesis and osteogenesis in previously normal bone. Radiographic findings follow the pathological progression of bony changes. The presented cases document the development of avascular necrosis in a previously normal metatarsal that occurred after ...

All-terrain vehicles (ATV) are designed for off-road vocational or recreational use. Their popularity has increased steadily, but only recently has information accumulated concerning morbidity and mortality associated with the use of these vehicles. The 221 ATV accidents reported in Maine during 1985 are reviewed to more fully characterize the trauma ...

Epistaxis following maxillofacial trauma or maxillofacial surgery is uncommon. It usually occurs within 24 hours of the injury and can usually be controlled by packing. Rarely internal maxillary artery ligation is necessary and embolization has been used in some cases of severe trauma. We present a case of severe late-onset ...

Avascular necrosis of the talus has frequently been reported following trauma. The incidence of avascular necrosis has been reported to be as high as 50% for Hawkins Type II talar fractures and to range from 75-100% for Type III fracture-dislocations. The resultant avascular necrosis has been reported to occur primarily ...

The introduction of air into the soft tissues surrounding the maxillofacial region is the subject of this report. We present seven cases varying from emphysema following dental manipulation, severe facial trauma, with and without clinical or radiographic evidence of fracture, to a case that resulted in blindness and another case ...