Joanna Hilton

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We present the case of a 75-year-old woman who presented with extensive breast cellulitis, which was thought to be secondary to a deep breast abscess. On admission the patient underwent debridement of the breast and broad-spectrum intravenous antibiotics were administered. However, during hospitalisation she developed sepsis, acute renal failure and(More)
We present a case of a middle-aged female who attended for a routine laparoscopic cholecystectomy as a day case surgery. At operation, she was found to have a distended gallbladder with an unusually prominent distal portion. This has made the dissection of the Calot's triangle challenging. As a result, the "critical view of safety" technique was applied.(More)
Background: During resuscitation trauma patients receive various intravenous fluids, which can exacerbate coagulopathy and haemorrhage further. This led to the introduction of the damage control resuscitation, which advocates minimal intravenous fluids use. However, some fluid may be required in uncontrolled haemorrhage or when blood products are not(More)
Trauma is the leading cause of death and disability in the first four decades of life all over the world (1). This causes serious social and economic costs (1, 2). The ultimate goal of the trauma care is to return the patient to an independent and productive life as soon as possible. Trauma surgeon’s role is critical in establishing a better quality of(More)
To cite: Kaczynski J, Hilton J. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013202962 DESCRIPTION A 35-year-old woman presented with a 96-h history of constant right iliac fossa (RIF) pain on movement and coughing. The pain was associated with vomiting and anorexia, but there was no associated change in bowel habit,(More)
Current provision of trauma services in the United Kingdom is insufficient, resulting in a high mortality of trauma patients. Multiple studies proved that regionalisation of the trauma care can significantly reduce mortality and morbidity by avoiding unnecessary transfer and reducing delay in delivering definitive surgery. This evidence led to changes in(More)
We present a case of a young man with a superior subluxation of an anterior end of the first rib following a road traffic accident. To the best of our knowledge, no similar case has so far been described in the literature. The patient presented with headache, backache and pain in the right anterior chest wall. After initial assessment, a chest radiograph(More)
The authors present a rare case of the middle aged man who presented with a typical history and clinical findings suggestive of an acute appendicitis. After initial assessment, he required a surgical intervention. Operation findings revealed a perforated ileal diverticulum into a giant lipoma of the small bowel. The patient made a good postoperative(More)
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