RESUMO
Eighteen patients with intrapericardial penetrating injuries of the heart or great vessels are reviewed, and the results compared with other published material. The majority presented with injuries of the left anterior chest wall and with clinical evidence of cardiac tamponade. Most of the injuries resulted from stab wounds, and there were two deaths which occurred in the immediate peri-operative period. The importance and clinical recognition of cardiac tamponade is stressed. Immediate thoracotomy and repair of the cardiac wound is advocated, and pericardiocentesis is recommended only as a temporary measure to allow transportation of the patient to definitive care. (AU)
Assuntos
Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Aorta/lesões , Traumatismos Cardíacos/cirurgia , Artéria Pulmonar/lesões , Ferimentos Penetrantes , Traumatismos Cardíacos/complicações , JamaicaAssuntos
Doenças das Tubas Uterinas/patologia , Adolescente , Feminino , Humanos , Anormalidade TorcionalRESUMO
Isolated torsion of the fallopian tube is an uncommon and ill-understood condition which presents as an acute abdominal emergency. It has not been previously reported from this region. The diagnostic difficulties, pathophysiology and management are discussed. It is suggested that better awareness of the condition may result in earlier diagnosis and treatment, with possible salvage of the affected tube (AU)
Assuntos
Adolescente , Feminino , Humanos , Doenças das Tubas Uterinas/patologia , Anormalidade Torcional , JamaicaAssuntos
Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Humanos , Masculino , Feminino , Pericárdio , Ferimentos Perfurantes , Traumatismos Cardíacos , Tamponamento CardíacoRESUMO
True spontaneous rupture of the diaphragm, as a consequence of pregnancy or delivery, is exceptionally rare; one only case has been recorded. We report a further case where diaphragmatic rupture was followed by herniation and subsequent infarction of the caecum, ascending colon and most of the transverse colon. The diagnostic difficulties, pathophysiology and management are discussed (AU)