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Keywords = penetrating chest trauma

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12 pages, 223 KB  
Article
Renal Trauma: A 4-Year Retrospective Review of Injury Severity, Treatment Approaches, and Outcomes from a Polish Trauma Center
by Michał Kasperczak, Anita Zaręba, Karolina Pawłowska-Kasperczak, Filip Kasperczak, Monika Zaręba and Andrzej Antczak
Clin. Pract. 2025, 15(4), 67; https://doi.org/10.3390/clinpract15040067 - 21 Mar 2025
Viewed by 3429
Abstract
Background: The management of renal injuries in hemodynamically stable adult patients is moving toward more conservative methods, even in cases of severe grade and/or penetrating trauma. The objective of this study was to analyze the patterns of injury, management, and complications in renal [...] Read more.
Background: The management of renal injuries in hemodynamically stable adult patients is moving toward more conservative methods, even in cases of severe grade and/or penetrating trauma. The objective of this study was to analyze the patterns of injury, management, and complications in renal trauma patients at a Polish trauma center. Methods: Patients diagnosed with renal trauma at the trauma center between January 2019 and December 2023 were identified based on the ICD-10 codes. The information was gathered from digitalized medical records, while imaging data were classified by Radiologists. Results: During a period of 4 years, a total of 81 patients with renal trauma were admitted to the trauma center. 76% of these patients were males, with a mean age of 44.61 ± 16.8 years. The most common concomitant conditions, both among men and women, included retroperitoneal hematoma, rib fractures, as well as chest and lung injuries. Surgical intervention within 8 h of admission was mainly performed on patients with grade IV and V kidney damage, which included a total of 22 people. In deferred treatment, 31 patients underwent surgical intervention. Conclusions: Hemodynamically stable patients, even with penetrating and/or high-grade blunt trauma, were mostly managed non-operatively, with a low rate of complications. Full article
6 pages, 2340 KB  
Case Report
Multimodal Management of a Descending Aorta Injury with Penetrating Chest Trauma: A Case Report
by Giuseppe Sena, Paolo Perri, Paolo Piro, Francesco Zinno, Daniela Mazzuca, Davide Costa and Raffaele Serra
Reports 2024, 7(3), 63; https://doi.org/10.3390/reports7030063 - 1 Aug 2024
Viewed by 1907
Abstract
A penetrating thoracic aorta injury (PTAI) is a life-threatening condition with significant morbidity and mortality, often resulting from several traumatic mechanisms. Among these, gunshot wounds leading to aortic injury are exceedingly rare and pose unique challenges in terms of diagnosis, management, and surgical [...] Read more.
A penetrating thoracic aorta injury (PTAI) is a life-threatening condition with significant morbidity and mortality, often resulting from several traumatic mechanisms. Among these, gunshot wounds leading to aortic injury are exceedingly rare and pose unique challenges in terms of diagnosis, management, and surgical intervention. We present a case of a 47-year-old male victim of a gunshot wound resulting in penetrating chest trauma and a descending thoracic aorta injury. This report outlines the sequential management involving thoracic endovascular aortic repair (TEVAR), followed by surgical intervention for hematoma drainage and foreign body removal, highlighting the interdisciplinary approach required in managing complex cardiothoracic injuries. Full article
(This article belongs to the Section Critical Care/Emergency Medicine/Pulmonary)
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8 pages, 5140 KB  
Case Report
A Soccer Shot with Lengthy Consequences—Case Report & Current Literature Review of Commotio Cordis
by Philipp Spitaler, Markus Stühlinger, Agne Adukauskaite, Axel Bauer and Wolfgang Dichtl
J. Clin. Med. 2023, 12(6), 2323; https://doi.org/10.3390/jcm12062323 - 16 Mar 2023
Cited by 1 | Viewed by 2396
Abstract
(1) Background: Commotio cordis, caused by objects being directly delivered to the chest, may cause cardiac arrest in young athletes, even without identifiable structural damage to the sternum, ribs or heart itself. Its prevention and management often remain suboptimal, resulting in dismal outcomes. [...] Read more.
(1) Background: Commotio cordis, caused by objects being directly delivered to the chest, may cause cardiac arrest in young athletes, even without identifiable structural damage to the sternum, ribs or heart itself. Its prevention and management often remain suboptimal, resulting in dismal outcomes. (2) Case summary: A 32-year semi-professional goalkeeper suffered from a non-penetrating blunt thoracic trauma after being struck by a high-velocity shot during a regional league soccer game. He immediately lost consciousness, collapsed, and was successfully resuscitated through early defibrillation of ventricular fibrillation. After an uneventful follow-up for approximately 6 years, recurrent episodes of ventricular tachycardia occurred, which could ultimately only be prevented by epicardial ablation. (3) Conclusion: Very late recurrences of ventricular tachyarrhythmias may occur after ventricular fibrillation due to blunt chest trauma, even in the primary absence of evident structural myocardial damage. Full article
(This article belongs to the Special Issue Sudden Cardiac Death (SCD) in Young Adults)
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