Document Detail


'Missed stabbed hearts'--pitfalls in the diagnosis of penetrating cardiac injuries. Report of 4 cases.
MedLine Citation:
PMID:  1566198     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Classically, penetrating injuries of the heart present with clinical signs of an ongoing massive haemorrhage or cardiac tamponade. In a few patients, however, none of these signs are present and the diagnosis is overlooked. Diagnostic aids, such as ultrasonography or angiography, are occasionally misleading. Four cases of penetrating cardiac injuries that were not diagnosed on initial presentation, but which subsequently manifested with a secondary and sometimes fatal haemorrhage, are presented. Recommendations are made for preventing diagnostic delays.
Authors:
J A Mayor-Davies; A D'Egidio; M Schein
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie     Volume:  30     ISSN:  0038-2361     ISO Abbreviation:  S Afr J Surg     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-05-21     Completed Date:  1992-05-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984854R     Medline TA:  S Afr J Surg     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  18-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Hillbrow Hospital, Johannesburg.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Female
Heart Injuries / diagnosis*
Humans
Male
Wounds, Stab / diagnosis*

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