ABSTRACT
Blank cartridges may produce serious injury and the recognition of this hazard must be borne in mind when treating these wounds. This paper reports two cases of complicated abdominal injury inflicted by a blank cartridge.
Subject(s)
Abdominal Injuries/etiology , Wounds, Gunshot , Abdominal Injuries/surgery , Adolescent , Humans , MaleABSTRACT
The prevalance of traumatic intravascular hemolysis was estimated in 25 patients following aortofemoral bypass. Stigmata of mild red cell fragmentation were noted in approximately one third of the patients, but in only one of them was hemolysis of sufficient severity to be of clinical significance. The case history and laboratory findings in this patient are described in detail. This study indicates that traumatic hemolysis should be considered as a possible cause of anemia developing after aortofemoral bypass.
Subject(s)
Anemia, Hemolytic/etiology , Aorta/surgery , Blood Vessel Prosthesis/adverse effects , Femoral Artery/surgery , Hemolysis , Aged , Anemia, Hemolytic/diagnosis , Erythrocytes/pathology , Erythrocytes/ultrastructure , Female , Hemoglobins/analysis , Hemosiderin/urine , Humans , Intermittent Claudication/surgery , Male , Middle AgedABSTRACT
Two patients with splenic abscess were successfully treated. In one patient, Streptococcus viridans, possibly arising in a dental abscess, led to inflammatory left upper quadrant signs. An exploratory laparotomy was performed, and the spleen, being found enlarged, was removed. The other patient showed no peritoneal signs. Laparotomy was done for pyrexia of unknown origin, and the removal of a normal-sized spleen was elected on the suspicion of lymphosarcoma. The spleen was abscessed, apparently because of old infarcts. A high index of suspicion is important in diagnosis, and selective angiography, not used in these two patients, is recommended.
