Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_402»
«MEDICAL WRITING: CASE ABSTRACT_402»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
External iliac artery
thrombosis associated with the ilio-inguinal approach in the management of
acetabular fractures: a case report
The ilio-inguinal approach has
come to be used routinely in the management of acetabular fractures involving
the anterior wall. Thrombotic complications following surgery via this route
are a serious, but rare, complication.
We report the case of a
66-year-old male patient who slipped on an icy pavement and fell on his left
hip. He sustained a comminuted acetabular fracture (a transtectal T-fracture
with an incomplete posterior stem through the ischial tuberosity), and was
operated on five days later, via an ilio-inguinal approach. In the recovery
room, his left lower limb was found to be cool and pale. Immediate
re-exploration showed a left external iliac artery thrombosis, and thrombectomy
was performed. In the surgical management of acetabular fractures, thrombosis
of a major pelvic artery is a rare but potentially devastating complication. We
discuss the possible aetiology (initial vessel trauma versus iatrogenic,
intraoperative arterial injury) and pathomechanism, and wish to draw attention
to this complication and to recommend ways in which it can be prevented.
We recommend circulation
monitoring in patients with acetabular fractures, especially where nerve blocks
and/or deep sedation/analgesia have been used. High-risk patients should be
identified and subjected to intensive preoperative screening, including
ultrasonography and if necessary angiography.
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·Why is it important
·Needs to be reported
Answer the questions:
1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
3.What the reader should learn from the case report?
4.What the clinical impact will be?
5.Is it an original case report of interest to a particular clinical
specialty of medicine?
6.Will it have a broader clinical impact across medicine?
7.Are any teaching points identified?
·Why abstract is the most important part for case
published in electronic databases?