Myocardial infarction after blunt chest trauma in two young men

Traumatic myocardial injury occurs in up to 55% of patients sustaining blunt chest trauma. We report two cases of myocardial infarction following blunt chest trauma in two young men due to a car accident. They were both suffering multiple trauma and were hospitalized in ICU. Diagnostic and therapeutic procedures performed for these patients are presented in this article

[Role of surgery for diagnosis and treatment of tuberculosis]

There are few recent prospective studies regarding role of surgery for the treatment and diagnosis of tuberculosis [TB]. We conducted this study in our department and the results are presented. From 20 February 2003 to 21 September 2003, patients who underwent surgery for diagnosis or treatment of TB at the Department of Surgery, Masih Daneshvary Hospital were enrolled in the study. We designed a data form and details of history, radiology, laboratory, bacteriology, operation, complications, histologic studies, as well as results of surgery were recorded. Clinical follow up was scheduled prospectively. Statistical analysis of the data forms were done at the end of the study. During the study period, [7 month] 18 patients enrolled in the study. There were 7 females and 11 males with mean age of 34.16 [range: 12-76 years]. Twenty six operations were performed on 18 patients which are listed below: Thoracotomy 6, surgical bronchoscopy 6, lymph node biopsy 4, laparatomy 2, video assisted thoracoscopy [VATS] 2, chest tube insertion 2, chest wall resection 1, insertion of stent in the right main bronchus 1. Goals of surgery were: diagnosis in 8, diagnosis and treatment in 6, and treatment alone in 4. In all patients goals of surgery were successfully achieved. There was no mortality, but 3 major complications occurred [persistent air leakage in one patient, severe bleeding after right pneumectomy in one patient and occlusion of the stent by granulation tissue in one. All complications resolved with appropriate treatment. Diagnosis of TB was based on histological findings of surgical specimens or isolation of Mycobacterium TB or both. Whenever indicated, surgery has a definite role in the treatment and diagnosis of TB. Results of surgery are good with few complications