Traumatic Rupture Research Articles

Blunt Trauma and Diaphragm Injury in Children: An Analysis of the National Trauma Data Bank

Background/Objectives: Trauma is the leading cause of mortality and morbidity in children. Traumatic diaphragm rupture (TDR) is a rare but serious injury that can be difficult to identify. The current literature includes individual case reports and single-center case series only, which limits our ability to generalize those findings. The purpose of this study is to use the National Trauma Data Bank (NTDB) in order to examine the clinical outcomes of blunt TDR in the pediatric population. Methods: We included patients from 0 to 18 years of age with blunt TDR using the NTDB from 2007 to 2017. Patient characteristics and demographics, mechanisms of injury, concomitant diagnoses, procedures, and clinical outcomes were extracted from the NTDB. Results: In this study, we identified a total of 88 pediatric patients with blunt TDR. The most common mechanism of injury was motor vehicle accidents (65%). The majority of these blunt TDR injuries were observed in males (73%) with a mean age of 12. Fractures of the spine and ribs (49%) and lacerations of the lungs (42%) were some of the most prevailing associated injuries. Seventy percent of patients were admitted to the ICU. In-hospital mortality was 6%. Conclusions: Overall, TDR is relatively unusual among the pediatric population, but is associated with significant morbidity and mortality. Any significant trauma to neighboring organs—the spine, ribs, and lungs—should heighten awareness of potential diaphragm injury.

Post-Traumatic Left Diaphragmatic Rupture with Intrathoracic Migration of Abdominal Organs: A Case Report

Traumatic diaphragmatic rupture (TDR) is a rare but critical injury commonly resulting from high-velocity blunt or penetrating trauma. It often leads to abdominal organ herniation into the chest cavity, making timely diagnosis crucial for optimal management. Despite its potential severity, TDR remains frequently underdiagnosed, often due to the lack of specific early symptoms or delayed detection. This article presents a case of left diaphragmatic rupture in a 39-year-old male following blunt trauma from a motor vehicle accident, with associated abdominal organ herniation. We discuss the pathophysiology, diagnostic challenges, and treatment modalities for TDR, including surgical intervention, postoperative management, and potential complications. Early identification and surgical repair are essential to reducing morbidity and mortality associated with diaphragmatic ruptures, especially in polytrauma patients. The need for high clinical suspicion and prompt radiological investigations, including chest X-ray and CT scans, is emphasized. Despite successful initial repair and management, the patient ultimately succumbed to complications, highlighting the complex nature of multi-trauma cases.

Rate and Timing of Progression to Total Knee Arthroplasty After Anterior Cruciate Ligament Reconstruction in Patients With Systemic Inflammatory Disease: A Long-term Propensity-Matched Cohort Study.

Anterior cruciate ligament reconstruction (ACLR) is one of the most common orthopaedic procedures and one of the most well studied. Despite extensive research dedicated to ACLR, there is limited understanding of how chronic inflammatory systemic diseases (CIDs) such as rheumatoid arthritis and systemic lupus erythematosus affect outcomes. To compare the outcomes of ACLR in cohorts of patients with and without CID. Cohort study; Level of evidence, 3. A retrospective query of a regional data set was conducted for all patients who underwent ACLR from 1990 to 2021 for traumatic ACL rupture. All patients with CID were identified and propensity matched to non-CID controls. Baseline characteristics and clinical outcomes were identified through retrospective chart review, and patients were contacted for subjective outcomes. A total of 30 patients with ACLR and a diagnosis of CID were identified. These patients were propensity matched to 120 non-CID controls. Baseline demographic and surgical characteristics demonstrated no statistical differences. Follow-up duration was similar between the CID and non-CID groups (mean, 14.6 vs 14.2 years; P = .868). The CID cohort had a higher arthrofibrosis rate (16.7% vs 4.3%; P = .031), higher osteoarthritis rate (33.3% vs 16.7%; P = .041), higher total knee arthroplasty (TKA) rate (16.7% vs 3.3%; P = .016), and earlier time to TKA (14.7 vs 23.5 years; P = .032). Knee range of motion, infection rate, retear rate, time to retear, and time to osteoarthritis were not statistically different between the cohorts. The CID cohort had higher visual analog scale pain scores (mean, 2.00 vs 1.20; P = .043) but slightly higher satisfaction (mean, 3.92 vs 3.39; P = .043). There were no differences in preinjury Tegner, postoperative Tegner, change in Tegner, or IKDC score. In a univariate Cox regression model, the CID cohort had a retear hazard ratio of 1.43 (95% CI, 0.46-4.51; P = .537). Kaplan-Meier survival revealed no significant differences in retear-free survival between the CID and non-CID cohorts at 25 years (85.7% vs 87.3%; P = .53). The CID cohort had a TKA hazard ratio of 3.94 (95% CI, 1.05-14.8; P = .042). Kaplan-Meier survival demonstrated significantly decreased TKA-free survival at 25 years in the CID cohort (64.9% vs 91.2%; P = .029). CID increases the incidence of arthrofibrosis, osteoarthritis, and TKA in those undergoing ACLR. Patients with CID also undergo TKA significantly sooner than non-CID counterparts. Notably, the majority of patient-reported outcome measures are no worse in patients who have a CID diagnosis. Thus, ACLR constructs themselves may not necessarily fare worse in patients with CID. Nonetheless, these patients need to be cautiously counseled on the clinical outlook after their ACLR.

Conservative treatment of children with traumatic ruptures of the spleen: results of 22 years of experience

Conservative treatment of children with traumatic ruptures of the spleen: results of 22 years of experience

INTRAVESICAL FOREIGN BODIES MIMICKING BLADDER CALCULI: A CASE REPORT

Objective: In this case report, we will present a patient with an intravesical foreign body mimics bladder calculi. Case(s) presentation: A 37-year-old man presented with pain in the suprapubic area. The patient had a history of several urological procedures. First, at the age of 11 years, He had an augmentation cystoplasty due to a congenital neurogenic bladder. Later, at the age of 15 and 20, He experienced two traumatic bladder ruptures requiring open repair, and the Mitrofanoff appendicovesicostomy for intermittent self-catheterization was performed. Discussion: The patient underwent an emergency cystoscopy that revealed calcified cut ends of four urethral catheter tips. Cystolitholapaxy was performed to crush these calcified foreign bodies facilitating cystoscopic removal. Conclusion: A 37-year-old man presented with intermittent suprapubic pain caused by intravesical foreign bodies. Hence, Cystolitholapaxy was performed to remove these calcified foreign bodies. The patient was observed and discharged from the hospital after seven days of treatment. Keywords: Bladder, foreign bodies, suprapubic pain, vesica urinaria.

Traumatic Diaphragmatic Hernia in Cats and Factors Affecting Survival (A Clinical Study with 24 Cats)

Diaphragm hernia is still a severe problem in cats exposed to trauma. This study aimed to contribute to clinical practice and colleagues by notifying clinical observations on traumatic diaphragm rupture in cats and factors effective on survival. In this study, 24 cats with traumatic diaphragm hernia were presented. Contrast radiography has provided great convenience in diagnosing suspicious cases. 20 out of 24 cats (83%) remained alive, but four died. The localization of the diaphragm of these cats in 3 cats was in the left half, which was relatively high (50%) in the left tears. In the defects on the right, the herniated organs were the liver, small intestine, and omentum, while the stomach, small intestine, and spleen in the defects on the left. As a result, survival in 83% is important, and this is a good prognosis for aperture hernia. Despite many negative stress factors, good operation management and postoperative maintenance can increase survival.

UTERINE RUPTURE LEAD FOLLOWING FALL FROM HEIGHT: CASE REPORT

Background: Trauma during pregnancy poses significant risks to both maternal and fetal health, with motor vehicle accidents being the most common cause. Uterine rupture, although rare, is a potentially catastrophic complication that can occur even in unscarred uteri, particularly when associated with high-impact trauma. Case Details: We report the case of a 39-year-old woman, G10 P9 at 40 weeks of gestation, who suffered a fall from a considerable height due to a motor vehicle accident. Initially presented with multiple traumas, the patient was hypotensive, tachycardic, and semi-conscious with severe abdominal pain and vaginal bleeding. Diagnostic evaluation using FAST ultrasound revealed free intraperitoneal fluid, indicative of internal bleeding. Emergency exploratory laparotomy confirmed a traumatic rupture of the uterus, with subsequent intrauterine fetal demise. The patient underwent successful surgical repair and stabilization but required extensive postoperative care, including blood transfusion and nephrectomy. Conclusion: This case underscores the critical need for rapid assessment and intervention in pregnant trauma patients, highlighting the importance of considering uterine rupture in the differential diagnosis following significant trauma. The management of such cases requires a coordinated multidisciplinary approach to improve survival and outcomes for both the mother and fetus.

Traumatic Uterine Rupture Sealed by a Hematoma:Rare Case of Maternal and Neonatal Survival

Traumatic Uterine Rupture Sealed by a Hematoma:Rare Case of Maternal and Neonatal Survival

Traumatic rupture of duodenal diverticulum-clinical case in catastrophe setting

Duodenal diverticula are anatomical outpouchings of the gastrointestinal tract, with a prevalence of up to 27% in individuals over 50 years old. While often asymptomatic, complications such as diverticulitis, obstruction, and perforation can occur. Traumatic rupture of a duodenal diverticulum is extremely rare, with only a few cases documented in the literature. We report the case of a 64-year-old female involved in a major traffic accident with multiple injuries. Initially stable, she later developed abdominal tenderness and hypotension, prompting a CT scan that revealed pneumoperitoneum without significant hemoperitoneum. Surgical exploration revealed a ruptured duodenal diverticulum, which was treated with diverticulectomy and omentoplasty. Blunt abdominal trauma typically affects the liver, spleen, and retroperitoneal organs, while isolated duodenal injuries remain rare. Mechanisms for duodenal rupture, particularly in the context of seatbelt use, include sudden intra-abdominal pressure increases during deceleration. Imaging, particularly CT, plays a crucial role in the early detection of such injuries, although resource limitations during mass casualty events may delay its use. Surgical management remains the definitive treatment, and early intervention is essential in unstable patients. Traumatic rupture of a duodenal diverticulum is an uncommon yet life-threatening event. Early suspicion, timely imaging, and surgical intervention are key to successful outcomes. Continuous reassessment is crucial, as trauma-related injuries may present later in the clinical course.

Penile fracture in a child presenting at teaching hospital in South-Western Uganda: a case report

Introduction and importancePenile fracture refers to the traumatic rupture of tunica albuginea in an erect penis. It is relatively uncommon and represents a urological emergency once it happens, necessitating immediate surgical intervention to prevent long-term complications. This condition presents a surgical challenge in both diagnosis and treatment due to the few urology specialists in our setting. We present a case of penile fracture surgically managed in a resource-limited setting with an excellent outcome.Case presentationWe present a 15-year-old male admitted to our teaching hospital with a 12-h history of onset of pain, progressive swelling, and an audible pop sound that preceded turning in bed on an erect penis. He, however, denied a history of masturbation. A penile ultrasound scan was done, which confirmed a tear of Tunica albuginea. Penile exploration was done, which revealed a tear in tunica albuginea that was repaired successfully. The patient recovered well with no complications.Clinical discussionA penile fracture is a rare surgical emergency. Successful outcomes hinge on timely diagnosis, proficient surgical repair, and comprehensive postoperative care. A penile fracture is a clinical diagnosis in the hands of an experienced surgeon.ConclusionsFindings of this case report highlight the importance of raising awareness among health workers and the general public about this rare condition, and the treatment options available in our less resourced setting.

Management of traumatic duodenal rupture in children-case series

BackgroundTraumatic duodenal rupture is rare which accounts for only 2–10% of all Blunt abdominal trauma. The purpose of this study was to investigate the experience of diagnosis and treatment of traumatic duodenal rupture in children.MethodsThis was a retrospective case series study. Clinical data were collected from three children suffering from a traumatic duodenal rupture who received surgical treatment in our hospital from January 2013 to January 2023. Demographic characteristics, trauma mechanism, physical examination, auxiliary examination, operation timing and plan, postoperative management and follow-up of included patients were described. Summarize the importance of early diagnosis and treatment of this type of injury.ResultsThree children (1 male and 2 females) with duodenal rupture due to traumatic abdominal injury were included in the study, with average age of 8.2 years (range 2.75–13.25 years). Among them, One child was injured by heavy objects. The other two children had lumbar fracture and seat belt sign. All three patients underwent emergency operation within 24 h, and recovered well after surgery. No related complications seen during follow-up.ConclusionsDuodenal rupture is a rare but fatal disease. Early identification and active abdominal exploration can reduce the incidence of related complications and mortality in children with blunt abdominal injury, especially those with seat belt sign. Simultaneously, the standardized postoperative management is significant for the cure of children.

Sexual outcomes following the surgical treatment of traumatic rupture of the corpora cavernosa.

Penile fracture is a post-traumatic condition affecting the tunica albuginea of the corpora cavernosa when erect. Clinical diagnosis and urgent surgical intervention are crucial to avoid severe functional complications, particularly erectile dysfunction. We aimed to evaluate male sexual function after surgical treatment in patients with penile fracture and to identify predictive factors of postoperative erectile dysfunction. We underwent a hospital-based retrospective study on patients who underwent surgical repair for fractures of the corpora cavernosa between 2012 and 2023. Included in this study were all patients who have a postoperative follow-up of at least 12 months. Patients were clinically evaluated for the presence of erectile dysfunction and the presence of postoperative penile curvature. The patients were asked to answer the structured questionnaire of the International Index of Erectile Function (IIEF-15). We included 87 patients. The mean age was 38 ± 12years. Fourteen patients (16%) developed a fibrous plaque, with a median onset time of 30days postoperatively. Erectile dysfunction was noted in forty-four patients (51%). Active smoking (p < 0.002), the surgical approach (p = 0.02), a consultation time > 7.5h (p = 0.01), a length of the discontinuity of the corpora cavernosa > 2.5cm (p = 0.01) and the use of an erection inhibitor postoperatively (p = 0.021) were independent predictive factors of erectile dysfunction at 1 year postoperatively. Considering the results of our study, we propose rapid and urgent surgical management for penile fractures, and an elective surgical approach may be considered. We emphasize the fundamental role of sexual education, especially for young people, in preventing this sexual accident that could negatively impact their sexual life.

Traumatic Diaphragmatic Rupture Leading to Tension Gastrothorax: A Critical Case Report and Surgical Insight

Traumatic diaphragmatic rupture (TDR) is a serious but relatively uncommon injury, often resulting from blunt trauma, particularly motor vehicle accidents. Among these, blunt TDR presents with more severe outcomes than penetrating injuries, including higher mortality rates. A life-threatening complication of TDR is gastrothorax, which occurs when the stomach herniates into the thoracic cavity, leading to elevated intrathoracic pressure and potentially fatal consequences such as respiratory failure or cardiac arrest. This case reported a 23-year-old male who sustained a motor vehicle collision, presenting with progressive shortness of breath, nausea, and vomiting 15 hours post-injury. Imaging confirmed a diaphragmatic rupture with associated tension gastrothorax. Immediate intervention with nasogastric tube placement provided symptom relief, followed by exploratory laparotomy to repair the diaphragmatic defect. The patient's recovery was uneventful, demonstrating the critical importance of early diagnosis and timely surgical management in cases of TDR with gastrothorax. Traumatic diaphragmatic rupture occurs in approximately 0.8–1.6% of trauma cases, with motor vehicle accidents being the leading cause. Due to its potential for delayed diagnosis, the rupture is often missed initially, leading to higher rates of morbidity and mortality. Early detection is critical, as it can prevent serious complications such as bowel herniation into the thoracic cavity, respiratory distress, or even death.

Positioning for Emergency Laparoscopic Splenectomy for Traumatic Splenic Rupture.

To determine whether the right-lateral decubitus or supine position is superior for emergency laparoscopy for traumatic splenic rupture. Descriptive study. Place and Duration of the Study: Department of General Surgery, Central Hospital of Shaoxing, Affiliated Hospital of China Medical University, Zhejiang, China, from January 2015 to December 2022. Clinical data of 96 patients who underwent laparoscopic surgery (LS) for traumatic splenic rupture were analysed. The patients were divided into two groups according to surgical position. Group A (n = 42) patients were placed in the right-lateral decubitus position and Group B (n = 54) patients were placed in the supine position. The operation time, intraoperative blood loss, conversion to laparotomy rate, postoperative length of hospital stay, and complications rates were compared between the two groups. Compared with Group B, Group A had a shorter operation time (145.5 ± 24.4 min vs. 169.0 ± 15.3 min, p = 0.0001), less intraoperative blood loss (75.3 ± 35.3 ml vs. 110.3 ± 50.6 ml, p = 0.0002), fewer conversions to laparotomy (2.4% vs. 16.7%, p = 0.023), fewer cases of postoperative pancreatic leakage (7.1% vs. 24.1%, p = 0.027), and fewer complications (23.8% vs. 53.7%, p = 0.003); all differences were significant. There was no statistically significant difference in the postoperative length of hospital stay, hospital cost, or rate of complications such as fever, postoperative abdominal infection, postoperative bleeding or venous thrombosis between the two groups. For patients with traumatic splenic rupture, the right-lateral decubitus position is best for LS. Laparoscopy, Traumatic splenic rupture, Splenectomy, Surgical position.

Positioning for Emergency Laparoscopic Splenectomy for Traumatic Splenic Rupture.

To determine whether the right-lateral decubitus or supine position is superior for emergency laparoscopy for traumatic splenic rupture. Descriptive study. Place and Duration of the Study: Department of General Surgery, Central Hospital of Shaoxing, Affiliated Hospital of China Medical University, Zhejiang, China, from January 2015 to December 2022. Clinical data of 96 patients who underwent laparoscopic surgery (LS) for traumatic splenic rupture were analysed. The patients were divided into two groups according to surgical position. Group A (n = 42) patients were placed in the right-lateral decubitus position and Group B (n = 54) patients were placed in the supine position. The operation time, intraoperative blood loss, conversion to laparotomy rate, postoperative length of hospital stay, and complications rates were compared between the two groups. Compared with Group B, Group A had a shorter operation time (145.5 ± 24.4 min vs. 169.0 ± 15.3 min, p = 0.0001), less intraoperative blood loss (75.3 ± 35.3 ml vs. 110.3 ± 50.6 ml, p = 0.0002), fewer conversions to laparotomy (2.4% vs. 16.7%, p = 0.023), fewer cases of postoperative pancreatic leakage (7.1% vs. 24.1%, p = 0.027), and fewer complications (23.8% vs. 53.7%, p = 0.003); all differences were significant. There was no statistically significant difference in the postoperative length of hospital stay, hospital cost, or rate of complications such as fever, postoperative abdominal infection, postoperative bleeding or venous thrombosis between the two groups. For patients with traumatic splenic rupture, the right-lateral decubitus position is best for LS. Laparoscopy, Traumatic splenic rupture, Splenectomy, Surgical position.

028. Traumatic Diaphragmatic Rupture with Unstable Hemodynamic: A Case Report of a Rare Surgical Trauma Emergency

Background: Traumatic diaphragmatic rupture (TDR) with unstable hemodynamics is a life-threatening condition often masked by other injuries, necessitating timely diagnosis and treatment. This case report illustrates the significance of rapid response and resuscitation in managing a 17-year-old female patient with TDR following a severe traffic accident. Case: A 17-year-old female patient was admitted after a motorcycle accident, arriving at the hospital 4 hours and 10 minutes post-incident. She displayed respiratory distress (SpO2: 80% on FM) and severe hemodynamic instability (BP: 70/40 mmHg, HR: 121 bpm). Grade IV traumatic diaphragmatic rupture (AAST) was confirmed alongside multiple injuries. Resuscitation began with intubation, 1 L of crystalloid fluid, and a 1-unit PRC transfusion. Initial management improved her BP to 80/60 mmHg; however, it later dropped to 60/40 mmHg. A FAST Ultrasonography (USG) revealed free echogenic fluid in the hepatorenal space, prompting emergency exploratory laparotomy. Intraoperatively, a diaphragmatic rupture was identified, with herniation of the liver, stomach, and colon. Surgical interventions included diaphragmatic repair and chest tube insertion. Postoperatively, the patient required vasopressors (dobutamine and epinephrine) to stabilize her hemodynamics (BP: 100/60 mmHg, HR: 83 bpm). Conclusion: Early diagnosis and aggressive resuscitation are vital in managing TDR with unstable hemodynamics, underscoring the necessity for rapid assessment and intervention.

030. Delayed Presentation of Blunt Traumatic Diaphragmatic Hernia 15 Years After Injury: A Case Report

Background: Traumatic diaphragmatic rupture is rare with incidence between 0.8-8% and often resulting from blunt or penetrating trauma. We present a case of delayed diaphragmatic hernia in a 41-year-old male, 15 years after blunt abdominal trauma. Case: A 41-year-old male presented with dyspnea and severe abdominal pain. He reported being struck in the abdomen with wood during a gang attack 15 years prior. A year after the accident, he complained of uncomfortable breathing that worsened in the past 6 years. Physical examination revealed decreased breath sounds on the left side and a distended abdomen. Imaging confirmed bowel herniation into the left hemithorax, partial lung collapse, and a mediastinal shift. Emergency laparotomy revealed a 5 cm diaphragmatic defect, massive gastric necrosis, and herniation of abdominal organs into the thoracic cavity. The defect was closed with primary repair, and necrotic gastric tissue was excised and repaired using primary closure with omental patch. The patient recovered well and was discharged on day 11. Conclusion: Diaphragmatic ruptures require prompt surgical repair to prevent complications. Physicians must carefully evaluate trauma history and conduct thorough examinations to improve outcomes in emergency settings.

Features of diagnosis and treatment of a polytrauma victim with predominant closed chest trauma with lung and diaphragm rupture. Clinical case

The article describes a clinical case and presents clinical signs of traumatic rupture of the diaphragm and lung on the background of a wave‑like course of the postoperative period. Open diaphragmatic injuries are more common than closed ones. In this case, the closed chest and abdominal trauma was sustained as a result of a road traffic accident. The injury was combined and severe, with signs of traumatic shock. The location of the diaphragmatic injury was on the right side, which is less common. The severe condition of the patient with respiratory failure (respiratory rate over 30 per minute) was an indication for artificial lung ventilation, which made it impossible to take complaints and anamnesis. The individual spatial topography of the diaphragm depends on the size and location of the abdominal organs, body structure, and depends on the line of examination. The movement of internal organs into the pleural cavity indicates a diaphragmatic rupture, but in this case, the extrahepatic location of the diaphragmatic defect was covered by the liver, the lower lobe of the right lung, and adhesions, which led to the cover­up of the diaphragmatic defect. Increased abdominal size due to polytrauma and mechanical ventilation in case of closed chest and abdominal trauma; increased air discharge through pleural drainage during video laparoscopy or increased abdominal size during video thoracoscopy; clamping of the pleural drainage with a spiral computed tomography of the chest and abdominal organs allows detecting pneumoperitoneum and pneumothorax, which indicates the presence of a defect in the diaphragm and lung. The use of video thoracoscopy, video laparoscopy, and spiral computed tomography does not always provide complete information about the existing damage to the diaphragm, so dynamic observation with control radiological examinations is preferred.

8049 Beyond Metastasis: Parasitic Thyroid Tissue Mimicking Thyroid Cancer

Abstract Disclosure: M.S. Shah: None. S. Humayon: None. N.A. Mungo: None. This case study details a complex clinical scenario involving a patient with diaphoresis and a familial history of thyroid cancer. Initial suspicions of functionally active metastatic thyroid cancer led to a thyroidectomy and cervical lymph node dissection, only to reveal unexpected parasitic thyroid tissue. This case highlights the importance of meticulous evaluation and follow up similar presentations, shedding light on the rarity of this phenomenon.The patient, experiencing a year of diaphoresis unresponsive to estradiol therapy, underwent imaging revealing multiple thyroid nodules. A left superior nodule (TI-RADS 4) and a more concerning right mid-posterior nodule (TI-RADS 5) prompted fine needle aspiration (FNA). FNA of the right thyroid nodule exhibited Bethesda category III atypia, no molecular samples were taken at that time, while cervical lymph node FNA yielded nondiagnostic results.Subsequent ultrasound showed no interval change in the right thyroid nodule but raised concerns about increased solid components and decreased echogenicity in other nodules. Due to patient concerns of positive family history of thyroid cancer, the lymph node was biopsied. The result yielded a low cellular sample, but follicular thyroid tissue was present. The patient elected to undergo thyroidectomy as she did not want to continue monitoring. Pathology revealed parasitic thyroid tissue in the lymph node and nodular follicular thyroid disease, with no evidence of papillary thyroid carcinoma in the gland. Notably, the patient had no history of thyroid surgeries, ruling out traumatic rupture or implantation from a follicular adenoma. However, the possibility of follow-up metastatic follicular carcinoma cannot be entirely excluded on histologic grounds.Follow-up tests were recommended, encompassing mutational analysis, whole-body scans, and thyroglobulin (Tg) monitoring. Molecular analysis did not favor cancer. Tg levels remained at (18 ng/ml, n&amp;lt; 35ng/ml) of initial evaluation six weeks post surgery and repeat testing is pending. Ablative radioactive iodine therapy may be appropriate as resection of all parasitic thyroid tissue can prove difficult.This case emphasizes the diagnostic challenges posed by the rare occurrence of parasitic thyroid tissue, often mistaken for metastatic thyroid cancer. The findings contribute to our understanding of uncommon thyroid pathologies. The clinical implications of this case extend to the importance of heightened clinical suspicion in intricate endocrine cases. Presentation: 6/3/2024

Post traumatic focal globe rupture

Post traumatic focal globe rupture