Bhavya Ganesh; Anil Kumar; Aadil Anees Abbas; Abdul Vakil Khan; Anurag Kumar; Majid Anwer; Sanjay Kumar; Rekha Kumari
Volume 13, Issue 3 , July 2025, , Pages 177-181
Abstract
A 19-year-old male presented with a three-day history of worsening epigastric pain, persistent vomiting,abdominal distension, and obstipation. His medical history included high-fall trauma in 2022, resulting in aparietal bone fracture, scalp swelling, and an epidural hematoma. Physical examination revealed ...
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A 19-year-old male presented with a three-day history of worsening epigastric pain, persistent vomiting,abdominal distension, and obstipation. His medical history included high-fall trauma in 2022, resulting in aparietal bone fracture, scalp swelling, and an epidural hematoma. Physical examination revealed epigastrictenderness, abdominal distension, and diminished bowel sounds. Imaging revealed a 7 cm left diaphragmaticdefect with herniation of the stomach, colon, and mesentery into the thoracic cavity, confirming a diagnosis ofgastric volvulus with a diaphragmatic hernia. An exploratory laparotomy confirmed herniation of the stomach,transverse colon, spleen, and pancreas. The procedure involved derotation of the gastric volvulus, reductionof the herniated organs, and repair of the diaphragmatic tear; a fundoplication was also performed to preventrecurrence. The patient’s recovery was uneventful, and he was discharged on the fifth postoperative day. Heremained asymptomatic at the six-month follow-up. This case underscored the importance of consideringgastric volvulus and diaphragmatic hernia in trauma patients presenting with gastrointestinal symptoms,highlighting the necessity of early diagnosis and prompt surgical intervention.
Anurag Kumar; Khan Abdul Vakil; Anil KUMAR; Majid Anwer; Sanjay Kumar; Deepak Kumar; Rekha Kumari
Volume 13, Issue 2 , April 2025, , Pages 115-122
Abstract
Suicidal cut-throat injuries are rare in Indian society, as reported by the National Crime Records Bureau (NCRB). However, during the COVID-19 pandemic, a significant rise in unemployment among Indian youth led to increased psychological distress and depression, contributing to a surge in suicide cases, ...
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Suicidal cut-throat injuries are rare in Indian society, as reported by the National Crime Records Bureau (NCRB). However, during the COVID-19 pandemic, a significant rise in unemployment among Indian youth led to increased psychological distress and depression, contributing to a surge in suicide cases, including those presenting with cutthroat injuries in emergency departments. This study reported two distinct cases of suicidal cutthroat injuries, both involving young individuals who were unemployed during the pandemic and suffered from underlying psychiatric disorders. Both patients presented with severe neck injuries, requiring immediate and complex intervention. Their conditions were further complicated by the psychological trauma associated with their mental health disorders. The management of these cases required a multidisciplinary approach, involving emergency medical care, surgical intervention, and psychiatric support. Both patients received prompt attention and stabilization, followed by psychological counseling and long-term psychiatric care. Their recovery was closely monitored, with a focus on addressing the root causes of their distress. These cases highlighted the increasing incidence of suicidal cutthroat injuries during the COVID-19 pandemic and emphasized the need for a comprehensive, multidisciplinary approach to managing both the physical and psychological aspects of such critical situations. This report underscored greater attention to mental health, particularly among the unemployed youth during crises.
Md Majid Anwer; Abdul Hakeem; Deepak Kumar; Anurag Kumar; Abhishek Kumar
Volume 12, Issue 2 , April 2024, , Pages 95-98
Abstract
Airgun injuries are prevalent in the pediatric population. The present study described a case of air gun pelletinjury to the left carotid artery and its successful management. A 25-year-old man presented to the emergencydepartment complaining that his son had accidentally injured him with an air gun ...
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Airgun injuries are prevalent in the pediatric population. The present study described a case of air gun pelletinjury to the left carotid artery and its successful management. A 25-year-old man presented to the emergencydepartment complaining that his son had accidentally injured him with an air gun pellet while playing. TheX-ray cervical spine revealed a single foreign body (pellet) located directly anterior to the C5-C6 vertebra. ACT angiography of the neck showed a spherical hyperdense object just anterior to the C6 vertebral body onthe left side, 3 mm posteromedial to the left common carotid artery, which was most likely a pellet foreignbody. The patient was sent to operation theatre (OT) for exploration. There was a rent in the internal carotidartery with active bleeding. After exerting both proximal and distal control, the rent was closed. Close air guninjury could result in gunshot wounds, as in the present case. Plain X-rays in AP and lateral view are required.Nonoperative management could be employed in a restricted group of patients with satisfactory outcomes.Those who have vascular involvement will require surgical intervention.
