Bilateral Traumatic Anterior Hip Dislocation - A Case Report.

Introduction: Traumatic anterior hip dislocation is less common than posterior dislocation and bilateral anterior hip dislocation is a very rare presentation. Early diagnosis and treatment are of paramount importance to prevent complications. Here, we report a case of traumatic bilateral anterior hip dislocation following a high-velocity motor vehicle accident. Case Report: A 26-year-old man was brought to the emergency department following high-energy trauma due to a motor vehicular accident. He was in considerable pain with both hips in flexion, abduction, and external rotation. There was a restriction to the range of movement at bilateral hip joints. Clinical and radiological examination revealed bilateral anterior hip dislocation. Conclusion: Isolated anterior, obturator type of dislocation involving both hip joints with no other associated bony injury is quite unusual. The diagnosis and treatment have to be prompt. The chances of complications are high.

Contemporary surgical management of pheochromocytoma.

BACKGROUND: The availability of laparoscopic adrenalectomy led us to review our experience and management of adrenal and extraadrenal pheochromocytoma. METHODS: Seventeen patients undergoing pheochromocytoma resection from January 1997 to August 2001 were categorized as open, laparoscopic, or laparoscopic assisted depending on the surgical approach. Hospital records were reviewed. RESULTS: There was no significant difference between the groups in patient age, weight or preoperative blockade. Operative times for open, laparoscopic, and laparoscopic assisted adrenalectomies were 202, 218, and 260 minutes, respectively. Estimated blood loss was 562 cc, 187 cc, and 925 cc. The average hospital length of stay was 6.2, 3.0, and 5.8 days. CONCLUSIONS: Laparoscopic removal resulted in longer operative times than open, but less operative blood loss and a shorter hospital stay. The laparoscopic assisted approach did not save time nor did it lead to earlier discharge. Laparoscopic adrenalectomy was comparable to the open approach, and is preferential in tumors less than 6 cm. An open approach remains our choice for larger or extraadrenal tumors.