A 76-year-old man presented with a mass on his right leg. He had sustained an open fracture of the right tibia 58 years ago. Imaging showed a well-circumscribed fusiform calcified mass and atrophy of the right calf muscles. The findings and the history led to the diagnosis of calcific myonecrosis.
(Vol 12 p 10-13, Pathology; Radiology; Trauma: 5 March 2012)
We report an unusual case of traumatic aortic rupture and lesion of the left main bronchus after blunt chest trauma in an 8-year-old otherwise healthy boy. The trauma mechanism was severe compression of the thoracic cavity underneath a heavy object without a deceleration component. The visceral lesions were disproportionally severe compared with the surface injury. This...
(Vol 11 p 1-4, Paediatric surgery; Trauma; Vascular Surgery: 25 February 2011)
Static winging of the scapula is a rare diagnosis. It may be caused by pathology of the scapula or the chest wall. Solitary osteochondroma of the scapula is one of the rare causes and may present an initial diagnostic difficulty. We present a case of an 18-year-old man who presented with non-specific pain in his right shoulder following a fall. Initial examinations and...
(Vol 10 p 86-88, Emergency Medicine; Trauma; Orthopaedics: 22 October 2010)
Femoral neck fractures are common in the elderly and are broadly grouped into either intracapsular or extracapsular fractures. We report an unusual femoral neck fracture that had features of both and discuss the management of such a case.
(Vol 10 p 74-77, Orthopaedic surgery; Trauma surgery: 22 October 2010)
Penetrating chest wounds can hide a range of life threatening injuries and often require emergency surgical management. It is important that the patient be assessed and managed according to clinical need and response to medical intervention. This is a case of a patient with a large intrapulmonary haematoma who was managed conservatively and made a good recovery without...
(Vol 7 p 54-57, Thoracic Surgery, Trauma: 13 June 2007)
Hereditary angioedema (HAE) is an infrequent disorder characterised by abnormalities in the levels and/or function of complement C1 esterase inhibitor (C1 INH). Clinical manifestations of HAE are due to recurrent episodic swelling of the subcutaneous or submucosal tissue. When swelling involves the gastrointestinal mucosa, patients may present with nausea, vomiting,...
(Vol 7 p 29-35, Accident and Emergency Medicine, Surgery (including Trauma): 28 March 2007)
Lymphangioma resulting from trauma has rarely been described in the upper limb. Following direct blunt trauma it has previously been reported in the head and neck region as well as the abdomen. We report a rare case of post-traumatic soft tissue cystic swelling within the flexor aspect of the forearm, which was shown to be a lymphangioma. We describe the clinical features...
(Vol 6 p 22-24, Trauma: 21 September 2006)
Since the first description by Bartholin in 1740, 386 cases of aneurysms of the facial vasculature have been reported in the world literature. Of these, less than 200 were of the superficial temporal artery (STA) [1]. Such STA lesions are commonly pseudoaneurysms presenting within weeks of direct trauma. We present a case of STA pseudoaneurysm following a closed head...
(Vol 6 p 15-17, Vascular Surgery, Trauma: 25 May 2006)
Penetrating traumatic laryngeal–pharyngeal injuries are relatively rare and traumatic injuries to the epiglottis are extremely rare. The incidence varies between countries. Most of these cases are dealt with by ear, nose and throat specialists, and trauma surgeons deal with such trauma when concomitant injury is present. In our institution laryngeal–pharyngeal trauma...
(Vol 6 p 8-10, Emergency medicine, Trauma: 25 May 2006)
The authors present an unusual case of penetrating chest trauma. This serves to remind clinicians that all possibilities should be considered when managing trauma victims and that seemingly serious injuries are increasingly treated in a conservative manner with a successful outcome.
(Vol 3 p 23-26, Trauma: January 2004)
A patient presenting with a left thoracic stab wound causing pneumothorax and treated with a chest tube is presented. A chest X-ray barely revealed the base of an unsuspected, completely retained intra-abdominal knife. Although the elimination of routine abdominal X-ray in the evaluation of patients with abdominal and lower thoracic stab wounds has been recommended,...
(Vol 1 p 1-2, Trauma: February 2001)


Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK


Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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