Case Reports

Intraabdominal hypertension in a patient with neutropenic enterocolitis – an absolute contraindication for surgery?

Written by Joël Lavanchy

Category

Published 20 December 2017

Figure 1: Evolution of white blood cell (WBC) count from admission to discharge

Intraabdominal hypertension in a patient with neutropenic enterocolitis – an absolute contraindication for surgery?

 

Joël Lavanchy MD, Tobias Haltmeier MD, Beat Schnüriger MD

 

Department of Visceral Surgery and Medicine, Division of Acute Care Surgery, Inselspital, Bern University Hospital, Bern, Switzerland

 

Case

A 63-years old male patient has been referred to our hospital with fatigue since 3 months, shivering without fever for 6 days and dry cough that started 3 days ago. Suspecting...

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Small bowel perforation due to a blunt abdominal trauma with inguinal herniation accompanied by an acute sigma diverticulitis: a case report

Written by Lukas W. Widmer

Category

Published 15 December 2017

Figure 1: Free intraabdominal air on the erect chest x-ray (white arrows) two days after blunt abdominal trauma with left-sided inguinal herniation.

Small bowel perforation due to a blunt abdominal trauma with inguinal herniation accompanied by an acute sigma diverticulitis: a case report

Lukas W. Widmer MD, Michael Müller MD

Department of General Surgery and Orthopedics, Hospital Davos, Switzerland

Introduction

Although small bowel injuries are the most frequent hollow viscus injuries in blunt abdominal trauma they occur with a low incidence of 1.2% [1,2]. Inguinal hernias are frequent and a watchful waiting approach in asymptomatic male...

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Traumatic Aortic Rupture after a Paragliding Accident

Written by Andreas Kohler

Category

Published 13 April 2014

Andreas Kohler MD, Vladimir Makaloski MD, Beat Schnüriger MD
Department of Visceral and Transplant Surgery, Bern University Hospital, Switzerland
Department of Vascular Surgery, Bern University Hospital, Switzerland

Introduction

We report a case of a covered aortic rupture at the classic location distal to the left subclavian artery. Since this injury is rare and the clinical picture very variable, a high index of suspicion is required. On the basis of this case, we discuss clinical aspects of a...

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Through-and-through abdominal gunshot wound in a patient with acute alcoholic hepatitis

Written by Tobias Haltmeier

Category

Published 29 October 2013

Tobias Haltmeier, MD, Guido Beldi, MD, Beat Schnüriger, MD
All at the Department of Visceral and Transplant Surgery, Bern University Hospital, Bern, Switzerlan

Background

Abdominal gunshot wounds (GSW) may lead to massive intra-abdominal bleeding and require prompt diagnostic workup and surgical treatment. However, the initial clinical evaluation of abdominal GSW can be challenging.[1-4]
Trauma in patients with impaired liver function, such as liver cirrhosis or hepatitis, is associated with...

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Complete transection of the left thyroid gland after blunt trauma to the neck

Written by Florian Oberndoerfer

Category

Published 10 September 2012

Florian Oberndoerfer, MS, Ann-Kathrin Schmidt, MS, Christian A. Seiler, MD, Beat Schnüriger, MD
Department of Visceral Surgery and Medicine. Bern University Hospital, CH-3010

Introduction

Here we present a patient who suffered laceration of the thyroid gland after accidental, work-related strangulation. The available literature on blunt injuries to the thyroid gland is limited. Most of the articles describe contusions or partial lacerations. Here, we present a patient with complete transection...

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Blunt extraperitoneal rectal injury in combination with a pelvic fracture

Written by Jessica Laue

Category

Published 19 April 2012

Laue J, MD; Kernig K, MS; Banz V, MD; Keel M, MD; Schnüriger B, MD
All Bern University Hospital

Introduction

Blunt rectal injury is a rare entity. The vast majority of published cases involve patients suffering from penetrating mechanisms of trauma, making any conclusions or recommendations for the treatment of such blunt injuries difficult. Here, we present a patient, who sustained a blunt extraperitoneal rectal injury in combination with a pelvic fracture arising from a fall off a horse.

Case...

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