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Comparison of Penetrating and Blunt Traumatic Diaphragmatic Injuries

Lee SS, Hyun SY, Yang HJ, Lim YS, Cho JS, Woo JH

PURPOSE: Traumatic diaphragmatic injury (TDI) is no longer considered to be a rare condition in Korea. This study investigated differences in the prevalence of accompanying injuries and the prognosis in...
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Unilateral loss of thoracic motion after blunt trauma: a sign of acute Brown-Séquard syndrome

Sato M, Kuriyama A, Ohtomo R

Late-onset Brown-Séquard syndrome (BSS) is a rare condition resulting from a spinal cord injury that develops weeks to years after a blunt trauma. Acute-onset BSS after a blunt injury has...
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An Unusual Complication of Colonic Perforation Following Percutaneous Nephrostomy in a Grade IV Blunt Renal Injury Patient

Yan JG, Huei TJ, Lip HT, Mohamad Y, Alwi RI

Percutaneous nephrostomy is relatively safe for temporary urinary diversion. However, colonic perforation due to percutaneous nephrostomy can happen with an incidence of 0.2% as reported in the English literatures. To...
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Large Focal Extrapleural Hematoma of Chest Wall: A Case Report

Lee H, Han SH, Lee MK, Kwon OS, Kim KH, Kim JS, Chon SH, Shinn SH

Although hemothorax and pneumothorax are common complications seen in rib fractures, focal extrapleural hematoma is quite rare. We report a 63-year-old female patient that developed large focal extrapleural hematoma after...
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Bilateral Chylothorax Due to Blunt Spine Hyperextension Injury: A Case Report

Lee H, Han SH, Lee MK, Kwon OS, Kim KH, Kim JS, Chon SH, Shinn SH

Bilateral chylothorax due to blunt trauma is extremely rare. We report a 74-year-old patient that developed delayed bilateral chylothorax after falling off a ladder. The patient had a simple 12th...
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Multidetector CT in Blunt Abdominal Trauma: Imaging Findings and Pitfalls

Lee J, Ahn JH

Owing to the developments in imaging modalities, imaging has become an essential element in the early evaluation of and decision-making algorithm for patients with trauma. In particular, CT technology has...
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Central Venous Catheterization before Versus after Computed Tomography in Hemodynamically Unstable Patients with Major Blunt Trauma: Clinical Characteristics and Factors for Decision Making

Kim JH, Ha SO, Park YS, Yi JH, Hur SB, Lee KH

PURPOSE: When hemodynamically unstable patients with blunt major trauma arrive at the emergency department (ED), the safety of performing early whole-body computed tomography (WBCT) is concerning. Some clinicians perform central...
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Initial D-dimer level as early prognostic tool in blunt trauma patients without significant brain injury

Sohn SW, Lee JB, Jin YH, Jeong TO, Jo SO, Lee JM, Yoon JC, Kim SE

OBJECTIVE: The purpose of this study was to evaluate whether or not the d-dimer level indicating hyperfibrinolysis could be a predictor of early poor outcome (massive transfusion, death within 24...
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Bile Duct Stricture and Intrahepatic Cystic Formation after Abdominal Injury due to Child Abuse: A Case Report

Ihn K, Koo EJ, Ho IG, Lee D, Han SJ

A 6-year-old male who lived with a mother in a single-parent family was referred to the emergency room with multiple traumas. There was no specific finding on CT scan of...
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Pancreatic Compression during Lymph Node Dissection in Laparoscopic Gastrectomy: Possible Cause of Pancreatic Leakage

Ida S, Hiki N, Ishizawa T, Kuriki Y, Kamiya M, Urano Y, Nakamura T, Tsuda Y, Kano Y, Kumagai K, Nunobe S, Ohashi M, Sano T

PURPOSE: Postoperative pancreatic fistula is a serious and fatal complication of gastrectomy for gastric cancer. Blunt trauma to the parenchyma of the pancreas can result from an assistant's forceps compressing...
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Traumatic Bilateral Diaphragmatic Ruptures in a 6-Year-Old Boy

Kim SJ, Kim H, Lee JH

Traumatic diaphragmatic rupture is an unusual finding that may occur after blunt trauma. In addition, diaphragmatic rupture occurring bilaterally is extremely rare. We experienced a 6-year-old boy with bilateral diaphragmatic...
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Esophageal Rupture Due to Diving in Shallow Waters

Han SH, Chon SH, Lee JH, Lee MK, Kwon OS, Kim KH, Kim JS, Lee HH, Chon JR

Delayed esophageal rupture due to blunt injury is not new. However, rupture due to suspected barotrauma is very rare. We describe a case of esophageal rupture in a male 24-year-old...
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Management of High-grade Blunt Renal Trauma

Lee MA, Jang MJ, Lee GJ

PURPOSE: Blunt injury accounts for 80–95% of renal injury trauma in the United States. The majority of blunt renal injuries are low grade and 80–85% of these injuries can be...
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Malar Relocation with Reverse-L Osteotomy and Autogenous Bone Graft

Yoon SH, Jeong E, Chung JH

The zygomaticomaxillary complex (ZMC) functions as a buttress for the face and is the cornerstone to a person's aesthetic appearance, by both setting the midfacial width and providing prominence to...
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Characteristics of Pediatric and Adolescent Trauma-Database Review of Single Level Trauma Center in Gangwon Province

Lee TH, Jung PY, Kwon HY, Shim H, Jang JY, Bae KS, Kim S

PURPOSE: Although trauma is the most common cause of death under age 18, Korean national pediatric trauma data has lack of clinical data. This study is to prepare manpower resources,...
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Isolated Dorsal Ulnar Cutaneous Nerve Injury Occurring During Activities of Daily Living

Seo JY, Lee SY, Yang TH

The dorsal ulnar cutaneous nerve (DUCN) is the sensory branch of ulnar nerve supplying sensation to the dorsal ulnar aspect of the hand. Isolated DUCN injury is known rare. We...
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Emergency Department Thoracotomy with Clamshell Incision for Traumatic Cardiac Tamponade

Kim DH, Chang SW, Yun JH

The emergency department thoracotomy (EDT) is a bold and challenging procedure, which may be the only chance of survival for some moribund trauma patients. EDT provides ample exposure to the...
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Endovascular Repair of Blunt Popliteal Arterial Injuries

Zhong S, Zhang X, Chen Z, Dong P, Sun Y, Zhu W, Pan X, Qi D

OBJECTIVE: To evaluate the feasibility and effectiveness of endovascular repair for blunt popliteal arterial injuries. MATERIALS AND METHODS: A retrospective analysis of seven patients with clinical suspicion of popliteal arterial injuries...
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Successful Endoscopic Treatment of Hepatic Duct Confluence Injury after Blunt Abdominal Trauma: Case Report

Park CI, Park SJ, Lee SB, Yeo KH, Choi SU, Kim SH, Kim JH, Baek DH

Hepatic duct confluence injury, which is developed by blunt abdominal trauma, is rare. Conventionally, bile duct injury was treated by surgical intervention. In recent decades, however, there had been an...
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The Applicability of Trauma and Injury Severity Score for a Blunt Trauma Population in Korea and a Proposal of New Models Using Score Predictors

Jung K, Huh Y, Lee JC, Kim Y, Moon J, Youn SH, Kim J, Kim J, Kim H

PURPOSE: The purpose of this study was to verify the utility of existing Trauma and Injury Severity Score (TRISS) coefficients and to propose a new prediction model with a new...
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