IntroductionPenetrating thoracoabdominal injuries are potentially life threatening due to the associated hemorrhagic shock and visceral injury. Through and through penetrating injury with polytrauma is rarely encountered.Case PresentationHere we report on a 25-year-old male with penetrating thoracoabdominal injury caused by a metallic (iron) bar projecting from a pillar of a construction site after he fell down from a height.ConclusionsAnesthetic and surgical management was difficult due to the inability to position in supine and rapidly progressing hemorrhagic shock. Surgical management for extraction of this iron bar and intensive monitoring and resuscitation resulted in an uneventful successful outcome.
Unusual presentations of cutaneous leishmaniasis: pearls for correct diagnosis Dear Editor, Leishmaniasis is a protozoal infectious disease divided into three categories: cutaneous, mucosal, and visceral leishmaniasis. 1 Iran is one of the endemic countries for cutaneous leishmaniasis (CL). CL is characterized by ulcerative or nodular lesions usually found on uncovered areas of the body. 1 CL is usually easy to recognize; however, several atypical clinical
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.