scholarly journals Positive Seatbelt Sign with Avulsed Leiomyoma following Motor Vehicle Accident Leading to Hemoperitoneum

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Martin A. C. Manoukian ◽  
Amode R. Tembhekar ◽  
Sarah E. Medeiros
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Incidental Finding ◽  
Major Complication ◽  
Exploratory Laparotomy ◽  
Fresh Frozen Plasma ◽  
Reproductive Age ◽  
Packed Red Blood Cells ◽  
Vehicle Accident ◽  
Increased Risk

A positive seatbelt sign following a motor vehicle accident is associated with an increased risk of intra-abdominal injury and hemoperitoneum. Injury to the uterus in reproductive-age women can also occur. In this report, we describe a 29-year-old nulligravida female who presented to the emergency room following a motor vehicle accident at freeway speeds. A positive seatbelt sign was noted, and a focused assessment with sonography for trauma revealed hemoperitoneum with an incidental finding of uterine leiomyomata. Upon exploratory laparotomy, a free-floating intraperitoneal mass was identified as an avulsed uterine leiomyoma. A uterine laceration containing a subserosal leiomyoma was also identified. The gynecological team was consulted, and a myomectomy of the subserosal leiomyoma followed by a closure of the uterine laceration was performed. The patient was transfused with a total of three units of packed red blood cells and two units of fresh frozen plasma. The postoperative course was without major complication. A positive seatbelt sign and hemoperitoneum in a reproductive-age woman with leiomyomata should increase the clinical suspicion for uterine injury and decrease the threshold for obtaining a gynecological consultation.

scholarly journals Relationships between Problematic Cannabis Use and Risky Behaviors in Spanish Adolescents

2019 ◽  
Vol 16 (17) ◽  
pp. 3029
Author(s):  
Raquel Alarcó-Rosales ◽  
Miriam Sánchez-SanSegundo ◽  
Rosario Ferrer-Cascales ◽  
Natalia Albaladejo-Blázquez ◽  
Nicolás Ruiz-Robledillo ◽  
...  
Keyword(s):  
High Risk ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Risky Behaviors ◽  
Cannabis Use ◽  
Physical Assault ◽  
Cannabis Abuse ◽  
The Past ◽  
Vehicle Accident ◽  
Increased Risk

This study examined the relations between problematic cannabis use, physical assault, and getting involved in a motor vehicle accident under the influence of cannabis in a sample of adolescents randomly selected from 25 public and semiprivate high schools in Alicante (Spain). Participants (n = 648) completed The Spanish National Standardized Survey about drug use in high school adolescents (ESTUDES, 2017), which includes the cannabis abuse screening test (CAST). Prevalence of cannabis use across the life-span and within the past 30 days was 37.5% and 17.4%, respectively. CAST scores were associated with an increased risk of driving under the effects of cannabis, riding shotgun, and physical assault, but not with an increased risk of having a motor vehicle accident. There were no differences between boys and girls in the association of problematic cannabis use with risky behaviors. This result highlights the importance of comprehensive prevention and education strategies for adolescents at high risk of cannabis use.

scholarly journals Hemoperitoneum following a Motor Vehicle Accident in a Patient with 20 Uterine Leiomyomas

2020 ◽  
Vol 3 (2) ◽  
pp. 29-34
Author(s):  
Gregory Wu ◽  
Olivier Urayeneza ◽  
Gudata Hinika
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Rare Complication ◽  
Uterine Leiomyomas ◽  
Reproductive Age ◽  
Severe Bleeding ◽  
Emergency Setting ◽  
Vehicle Accident ◽  
Emergency Hysterectomy ◽  
Pelvic Pressure

Uterine leiomyomas are neoplasms of the smooth muscle that can cause complications such as severe bleeding and infertility in women of reproductive age. While many individuals may be asymptomatic, others may present with anemia secondary to heavy bleeding, cyclical abdominal pain, pelvic pressure, and urinary or bowel symptoms. A rare complication of uterine leiomyomas is avulsion due to blunt abdominal trauma resulting in hemoperitoneum. We present a 49-year-old female with no pertinent medical history who presented to the emergency room following a motor vehicle accident. Computed tomography scan revealed extensive hemoperitoneum and the patient was taken to the operating room where the source of bleeding was identified as multiple avulsed leiomyomas. The patient underwent an emergency hysterectomy and bilateral salpingectomy. Pathology reported a uterus weighing 6,000 g and the presence of 20 leiomyomas, with the largest measuring 29 cm. Knowledge of leiomyoma symptoms, presentation, and complications by both the patient and clinicians may help identify diagnoses and expedite intervention in the emergency setting.

scholarly journals The Heart as a Site of Metastasis of Benign Metastasizing Leiomyoma: Case Report and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Mariam Meddeb ◽  
Robert D. Chow ◽  
Randolph Whipps ◽  
Reyaz Haque
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Incidental Finding ◽  
Progesterone Receptors ◽  
Pulmonary Nodules ◽  
Premenopausal Women ◽  
Filling Defect ◽  
Vehicle Accident ◽  
The Right ◽  
A Site

Uterine leiomyomas are the most common gynecological tumors in premenopausal women. While the lung is the most common extrauterine organ afflicted, benign metastasizing leiomyomas (BML) of the heart are rarities. We report an incidental finding of a cardiac mass in a 36-year-old woman who presented to the Emergency Department after a motor vehicle accident. CT scan of the chest revealed 2 well-circumscribed pulmonary nodules and a filling defect in the right ventricle. Echocardiogram showed a 4 cm mass attached to the right ventricular (RV) septum. The cardiac tumor was resected and showed benign histologic features. Immunohistochemical staining was positive for smooth muscle α-actin and desmin, as well as estrogen and progesterone receptors, consistent with the diagnosis of uterine leiomyoma.

scholarly journals Malignant triton tumour of the anterior mediastinum as incidental finding

2016 ◽  
Vol 65 (4) ◽  
Author(s):  
C. Zisis ◽  
S. Fragoulis ◽  
D. Rontogianni ◽  
G. Stratakos ◽  
I. Bellenis
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Incidental Finding ◽  
Median Sternotomy ◽  
Local Relapse ◽  
Anterior Mediastinum ◽  
Tumour Resection ◽  
Vehicle Accident ◽  
Diagnostic Work ◽  
Malignant Triton Tumour

A rare case of malignant peripheral nerve sheath tumour with rhabdomyoblastic differentiation (malignant triton tumour) of the anterior mediastinum in a 30-yearold male is reported. The tumour was an incidental finding during the diagnostic work-up following a motor vehicle accident. The patient underwent median sternotomy with a tumour resection performed. Local relapse was suspected one month later, as per the chest CT-scan, and post-operative chemoradiation was applied, which produced a response. Twelve months later the patient is doing well while radiological findings remain invariable. Localization of a triton tumour in the anterior mediastinum is extremely rare, adjuvant treatment is necessary, recurrence frequently occurs and the prognosis is dismal.

scholarly journals Trauma in Pregnancy : Diversifying Obstetric Retrieval Service in Sabah

2021 ◽  
Author(s):  
C. Arrchana Chandrasegaran ◽  
Phee Kheng Cheah ◽  
Arif Johari ◽  
Muhamad Yaakub Ariffin ◽  
Fatin Salwani Zaharuddin
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
District Hospital ◽  
Exploratory Laparotomy ◽  
Well Being ◽  
Vehicle Accident ◽  
Retrieval Team ◽  
Mode Of Transportation ◽  
Trauma In Pregnancy ◽  
Case Basis

The Obstetric and Gynaecological Retrieval Service in West Coast Sabah has been well-established since year 2015, parallel to the global advancement of Emergency Retrieval Service. The decision to transfer a patient or to deploy team to the patient lies in the hands of Retrieval Unit. Additionally the mode of transportation, surgeon availability, weather and travel time have to be taken into account. Even though the structure of the program is steadfast in diversifying retrieval services, there are still insufficient studies available to decide its worth. We report a case of a 19-year old primigravida at 27 weeks; involved in a high-impact motor vehicle accident and sustained class 4 hemorrhagic shock. Evaluated in a district hospital, uterine rupture was diagnosed. Hence, the dilemma was either to deploy a team to perform the surgery in district hospital, or to put the patient through a perilous journey back. We would discuss on how we had organised and coordinated a team of obstetrician and anaesthesiologist, along with the Retrieval Team, to perform an Emergency Exploratory Laparotomy in district hospital. Nevertheless, the best method of care is still debatable as astute judgement is crucial and this approach has to be taken on a case to case basis. Ultimately, the patients well-being is the utmost priority.

scholarly journals Traumatic J-Pouch Perforation following a Blunt Abdominal Injury

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Leonid Drober ◽  
David Hochstein ◽  
Hany Bahouth
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Loop Ileostomy ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Total Proctocolectomy ◽  
Blunt Abdominal Injury ◽  
Vehicle Accident ◽  
J Pouch ◽  
Surgical History

A 46-year-old male was admitted to the trauma department after a motor vehicle accident. He presented with severe abdominal pain and a distended abdomen with peritonitis. His past surgical history included total proctocolectomy with ileal J-pouch anal anastomosis for ulcerative colitis 20 years previously. Computed tomography showed free peritoneal air and fluid in the abdomen mandating an exploratory laparotomy. A perforation at the ileal J-pouch blind end was found. Primary closure with diverting loop ileostomy was performed. The patient had an uneventful recovery and underwent closure of the ileostomy two months later. The case and management are discussed after reviewing the literature.

Virtual reality and computer games in the treatment of driving phobia induced by a motor vehicle accident

2003 ◽  
Author(s):  
David Walshe ◽  
Elizabeth Lewis ◽  
Kathleen O'Sullivan ◽  
Brenda K. Wiederhold ◽  
Sun I. Kim
Keyword(s):  
Virtual Reality ◽  
Computer Games ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Vehicle Accident
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