Abdominal wall disruption with evisceration after blunt trauma

Case presentation A 65-year-old man was lying under the cargo bed of a lorry, inspecting the undercarriage. Unaware of this, the lorry driver started his journey and the rear wheel rolled over the patient’s lower abdomen and pelvis. Bystanders who witnessed the accident transported him to the nearest hospital within 30 min of sustaining injury. Apart […]

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Ear REPLANTATION

A 19-year-old woman presented with amputation of her left ear by a pit bull (Panels A and B). The patient’s tetanus vaccination and the dog’s rabies vaccination were up to date. The ear was débrided and replanted by microvascular anastomosis of a 0.3-mm branch of the posterior auricular artery. Since no suitable veins were found, […]

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Small bowel obstruction complicating an Ascaris lumbricoides infestation in a 4-year-old male: a case report

Background Ascariasis is the leading helminthic infection worldwide, with its peak prevalence noted in children aged 2–10 years. Although mainly asymptomatic, chronic and heavy infestation could lead to severe complications such as malnutrition, poor physical and cognitive development, as well as intestinal obstruction. We report the case of a 4-year-old boy with intestinal obstruction due to Ascaris […]

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Shark attack: the emergency presentation and management

A previously healthy 32-year-old man, a body-boarder, was transported to hospital by primary retrieval helicopter, within 2 h of a shark attack injuring both legs. Tourniquets were applied bilaterally to decrease haemorrhage. En route to hospital he was intubated with an endotracheal tube due to severe agitation from acute blood loss (figures 1 and 2). On arrival, the […]

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Successful Hand Replantation in a Case of Total Avulsion without Vein Graft

CASE REPORT A 36-year-old, right-handed male presented to our emergency department after accidentally crushing and severing his hand at the level of the wrist with an industrial roller-type press. The patient applied a bandage to the proximal forearm. The amputated right hand remained in the machine for 2 hours. The patient was taken to the […]

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Acute Necrotic Arachnidism from spider bite

A woman of 65, obese (BMI = 44.06), with no history of diabetes and allergies but with a mild form of myasthenia gravis (treated only with pyridostigmine po 60 mg every 6 hours), was bitten the evening before hospitalization while cleaning the home cellar by a spider, which, from the description and place where the bite […]

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Fire in the Operating Room: A Case Report and Laboratory Study

Case Report A 73-yr-old Caucasian man was scheduled for bilateral parietal burr-holes to evacuate a subdural hematoma at the University Medical Center in Tucson, AZ—the primary teaching hospital of the University of Arizona College of Medicine. The patient had severe Parkinson’s disease treated with Sinemet® (combination of levodopa and carbidopa) (DuPont Pharma, Wilmington, DE), and […]

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Jaguar Attack on a Child: Case Report

Case Report A three-year-old Amerindian girl presented without warning to our emergency department (ED) in the country’s only tertiary care hospital, after being attacked by a jaguar in the remote Isseneru Village, Cuyuni-Mazaruni (Region 7), Guyana. This village is located near the large Mazaruni River, amid dense jungle about 40 air miles from the Venezuelan […]

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Successful treatment of a patient with an extraordinarily large deep burn

The patient is a 29-year-old male who was seriously burned by molten steel (about 1,500°C) from the top of the head throughout the body, in an accidental furnace explosion. Thirty hours after fluid resuscitation in a local hospital, he was referred to our hospital, when the patient was conscious and the vital signs were relatively […]

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Maxillofacial Injuries due to Bear Mauling

Case Report 1 A 40-year-old male patient was presented with severe maxillofacial injuries caused by bear attack. Patient had multiple skin lacerations resulting in exposure of underlying structures (parotid gland with duct, buccinators muscle, buccal pad of fat etc.) (Fig. 1) and was bleeding profusely from nose, and oral cavity. There were degloving injuries in upper […]

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Lateral knee discloation

A 76-year-old woman with obesity presented to the emergency department after being struck by a motor vehicle while walking to the store. She was awake and reported that her knee “bent the wrong way” as the vehicle hit her. Trauma evaluation revealed no intrathoracic or intraabdominal injuries. She had severe pain in the right knee […]

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Trauma from car accident

Case Report A twenty-three-year old male patient was brought to our emergency service by an ambulance. Trauma mechanism reported by the paramedic team indicated that the patient was seated in the driver seat without his seatbelt on, and he had crushed his face to the steering wheel during the accident After the initial examination, it […]

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