The Hidden Wound: Managing Duodenal Trauma
Because when the duodenum is injured, it doesn’t bleed, it waits. The Quiet Saboteur The duodenum sits there, tucked away behind the liver and stomach, … Read more
The Third Kingdom, Obstructive Jaundice: When the Bile Can’t Get Out
When the pipes are blocked, pressure rises… In the First Kingdom, bilirubin production was too high.In the Second, the liver cells were under attack.But in the … Read more
The Silent Killer: Understanding Blunt Abdominal Trauma
Because sometimes, the most dangerous injuries are the ones you can’t see. The Calm Before the Collapse Blunt abdominal trauma rarely announces itself.There’s no arterial … Read more
The Hollow Fury: Managing Gastric Trauma
Because a hole in the stomach is never just a hole. The Setup Blunt trauma loves the liver. Sharp trauma loves the stomach.And when the … Read more
The Second Kingdom, Hepatocellular Jaundice: When the Liver Itself Falls Ill
When the gatekeepers go on strike… In pre-hepatic jaundice, the liver was overworked but otherwise innocent.But in this Kingdom, the liver itself is the problem. Hepatocellular jaundice … Read more
The Quiet Traitor: Pancreatic Trauma and Its Deadly Neighbours
Because the pancreas doesn’t shout when it’s injured, it whispers, waits, and then destroys. The Lie of First Impressions Pancreatic trauma rarely looks bad at … Read more
“The First Kingdom: When the Blood Turns Against Itself”
There’s nothing wrong with the liver… yet. When you see a jaundiced patient, most people (students included!) immediately point to the liver and say, “Aha! … Read more
When Pressure Wins: Post-Trauma Abdominal Compartment Syndrome: With and Without Laparotomy
Because sometimes, the abdomen becomes the enemy. The Silent Strangler Abdominal Compartment Syndrome (ACS) is one of trauma’s cruellest tricks.The bleeding stops. The repairs are … Read more
Damage Control Laparotomy: When Seconds Save Physiology
Because sometimes the victory isn’t closing, it’s coming back tomorrow. Start With the Truth Definitive surgery is a luxury.Damage control is survival. By the time … Read more
“Why is My Patient Yellow?” A Surgical Take on Jaundice
When yellow tells a story There are few things as striking in medicine as jaundice. A patient walks in, and before they’ve even said “hello,” … Read more