Journal of Trauma and Injury

Case Report

Self-inflicted rectal injury triggering acute myocardial infarction: a case report: Muge Gulen, Mehmet Gorur, Salim Satar, Selen Acehan, Ozge Ozcan Abacioglu, Adnan Kuvvetli; Received June 18, 2025 Accepted July 5, 2025 Published online November 20, 2025; DOI: https://doi.org/10.20408/jti.2025.0138 [Epub ahead of print]

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Abstract PDF: A 47-year-old male patient who had self-inserted a rectal foreign body for anal autoerotic purposes was admitted to the emergency department. Thirty minutes after admission, he developed chest pain and profuse sweating. Electrocardiography revealed an acute inferior myocardial infarction. Initially, the patient underwent coronary angiography, and percutaneous transluminal angioplasty was performed for a 100% occlusion of the right coronary artery. Subsequently, under general anesthesia, the foreign body was removed via rectal examination in the lithotomy position. This rare clinical scenario, which has not been previously reported in the literature, highlights the potential for psychological trauma and local rectal injury to act as triggers for myocardial infarction. Respecting patient confidentiality, maintaining a nonjudgmental approach, and implementing a multidisciplinary strategy are critically important for the effective management of such uncommon cases.; Summary

Original Articles

Changes in patterns of plastic surgery emergencies at a level I trauma center in India during the COVID-19 pandemic: Veena Singh, Ansarul Haq, Sarsij Sharma, Sanjeev Kumar, Aditya Kumar, Amarjeet Kumar, Neeraj Kumar, Anil Kumar; J Trauma Inj. 2022;35(2):108-114. Published online May 11, 2022; DOI: https://doi.org/10.20408/jti.2021.0015

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Purpose
The coronavirus disease 2019 (COVID-19) pandemic has had major effects worldwide, including sudden and forceful setbacks to the healthcare system. The COVID-19 pandemic has also led to changes in the plastic and reconstructive management of emergency cases, including those due to road traffic accidents. This study analyzed changes in patterns of plastic surgery emergencies and modifications in consultation policies to minimize the exposure of healthcare workers.
Methods
Data on plastic surgery emergency calls received from the trauma and emergency department were collected for a period of 2 months before and during lockdown. The data were then analyzed with respect to the cause, mechanism, and site of the injury, as well as other variables.
Results
During lockdown, there was a 40.4% overall decrease in the plastic surgery emergency case volume (168 vs. 100). The average daily number of consultations before lockdown was 2.8 as compared to 1.6 during lockdown. Road traffic accidents remained the most common mechanism of injury in both groups (45.8% vs. 39.0%) but decreased in number during the lockdown (77 vs. 39). Household accidents, including burns, were the second most common cause of injury in both phases (7.7% vs. 20.0%), but their proportion increased significantly from 7.7.% to 20.0% in the lockdown phase (P=0.003). The percentage of minor procedures done in the emergency department increased from 53.5% to 72.0% during lockdown (P=0.002). Procedures in the operating room decreased by 73.1% during lockdown (67 vs. 18, P=0.001).
Conclusions
The COVID-19 pandemic and lockdown orders in India greatly influenced trends in traumatic emergencies as observed by the plastic surgery team at our tertiary care center. Amidst all the chaos and limitations of the pandemic period, providing safe and prompt care to the patients presenting to the emergency room was our foremost priority.

Summary

Citations

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National Academy of Burns India (NABI) online tutorials: Pursuit of excellence in burns education
Veena Kumari Singh, Sanjeev Uppal, Raj Manas, Sameek Bhattacharya
Burns.2024; 50(9): 107223. CrossRef

Plastic surgery in a trauma center: a multidisciplinary approach for polytrauma patients: Kyung-Chul Moon, Yu-Kyeong Yun; J Trauma Inj. 2022;35(4):261-267. Published online December 10, 2021; DOI: https://doi.org/10.20408/jti.2021.0086

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Abstract PDF

Purpose
With the increasing number of polytrauma patients treated at high-level trauma centers, plastic surgery has entered the specialty of traumatology. Plastic surgeons specialize in the simultaneous surgical care of patients with facial or hand trauma and soft tissue injuries requiring microsurgery. The purpose of this study was to introduce the role of plastic surgery in a high-level trauma center.
Methods
Between January 2020 and December 2020, 5,712 patients with traumatic injuries were admitted to the emergency department of a tertiary hospital. Of these 5,712 patients, 1,578 patients were hospitalized for surgical treatment and/or critical care. Among the 1,578 hospitalized trauma patients, 551 patients (35%) required at least one plastic surgery procedure. The patient variables included age, sex, etiology, the injured area, and injury characteristics. We also retrospectively investigated surgical data such as the duration of the operation, hospital stay, length of time from injury to surgery, and collaboration with other departments.
Results
The most common injury referred to plastic surgery was facial trauma (41%), followed by hand trauma (36%), and soft tissue injuries requiring microsurgery in various parts of the body other than the hand (7%). The majority of facial and hand traumas were concomitant injuries. Sixteen percent of patients underwent collaborative surgical management for polytrauma involving both plastic surgery and another department.
Conclusions
The role of plastic surgery in multidisciplinary teams at high-level trauma centers has become increasingly important. The results of this study may help in the development of multidisciplinary trauma team strategies and future workforce planning.

Summary

Citations

Citations to this article as recorded by

The Importance of Plastic Surgery in Multidisciplinary Teams: A Systematic Review and Meta-analysis of Comparative Studies
Abdulaziz Elemosho, Ramiz Kardan, Edward M. Reece, Jason M. Souza, Chad Gordon, B. Todd Heniford, Jeffrey E. Janis
Plastic and Reconstructive Surgery - Global Open.2026; 14(4): e7631. CrossRef
Complex penetrating trauma complicated by hemorrhagic cardiac tamponade with diaphragmatic rupture and liver laceration
Yun Lu, Zhu Wang, Yang Zhang, Jiayi Wang, Hao Zhang, Jun Wei
Radiology Case Reports.2026; 21(7): 2916. CrossRef
Mental health of patients with post-traumatic midfacial defects and deformities
V.M. Mikhailyukov, A.Yu. Drobyshev, O.V. Levchenko, P.O. Golomazdin, M.I. Misirkhanova
Russian Journal of Stomatology.2026; 19(1): 117. CrossRef
Proactive Surgical Management and Outcomes of Unilateral Zygomaticomaxillary Complex Fractures in Major Trauma Patients: A National Level I Center Experience
Min Ji Kim, Jun Suk Lee, Hyoseob Lim
Journal of Craniofacial Surgery.2025; 36(5): 1520. CrossRef
Severe soft tissue injuries in multiple trauma patients—a challenge we can meet? A matched-pair analysis from the TraumaRegister DGU®
Nora Kirsten, Georg Maximilian Franke, Rolf Lefering, Tim Klüter, Matthias Weuster, Michael Müller, Sebastian Lippross, Andreas Seekamp, Stefanie Fitschen-Oestern
Frontiers in Medicine.2025;[Epub] CrossRef
Facial Subunit Transplantation: Current Concepts and Future Directions
Felix J. Klimitz, Leonard Knoedler, Helia Hosseini, Stav Brown, Samuel Knoedler, Robert L. Walton, Bohdan Pomahac, Martin Kauke-Navarro
Annals of Plastic Surgery.2025; 95(4): 427. CrossRef
Evaluation and analysis of clinical outcome prediction for trauma patients based on machine learning
Hui Shi, Yongqin Zhang, Ying Xia, Ji Cai, Haiping Yu, Li Feng, Fang Wang
Chinese Journal of Traumatology.2025;[Epub] CrossRef
Perspective on plastic surgery in developing nations: experiences drawn from Sudan
Albra Kamal, Hozifa Mohamed, Momen Mohamed
International Journal of Surgery Open.2025; 63(2): 109. CrossRef
Interdisziplinäres Extremitäten-Board in der Behandlung von Komplexverletzungen
T. Omar Pacha, P. Mommsen, V. Brauckmann, G. Aktas, M. Krempec, B. Wilhelmi, J.-D. Clausen, V. März, N. Krezdorn, P. M. Vogt, S. Sehmisch, J. B. Hinrichs, J. Ernst
Die Unfallchirurgie.2023; 126(3): 175. CrossRef

Current Status of Intraosseous Infusion Technique Use at Emergency Departments in Korea: Sang Cheon Choi, Hyun Soo Park, Jae Woo Kim; J Korean Soc Traumatol. 2007;20(1):6-11.

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Abstract PDF: PURPOSE
Gaining vascular access is difficult and time-consuming in critically ill children, so nowdays, in many countries, intraosseous vascular access is frequently used for rapid vascular access in critically ill children. Its pharmacokinetics is close to that of the peripheral intravenous route, but its infusion flow rate is faster. The purpose of this study was to determine how widely the intraosseous infusion technique was being used in Korean emergency departments.
METHODS
We telephoned forty-two (42) randomly selected university-affiliated hospitals. We asked physicians if they use the intraosseous infusion technique. Responders were emergency and pediatric residents and emergency faculty. If they responded that they were not using the intraosseous infusion technique, we asked the reason. Also, we asked about their experiences with the intraosseous infusion technique.
RESULTS
Forty-two (42) hospitals were enrolled in this study. No hospital used the intraosseous infusion technique on a regular basis. However, 8 hospitals used the intraosseous infusion technique occasionally. None of the responders had experience with the intraosseous infusion technique.
CONCLUSION
The intraosseous infusion technique is currently underrepresented at emergency departments in Korea.; Summary

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