1 10 201 https://repository.horizon.ac.id/files/original/6e5a53655e40096dff90c02542d005e1.pdf 3b29e4233661977b9722fc6a40e7f006 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Risk factors of peri-intubation cardiac arrest in critically ill pediatric patients presenting to the emergency department of a low- middle-income country: a case-control study Subject The topic of the resource Peri-intubation, Cardiac arrest, Pediatric, Emergency department, Case-control Description An account of the resource Abstract Background Peri-intubation cardiac arrest is defined as cardiac arrest that occurs within 20 min of airway management. Incidence in the pediatric population ranges from 0.7% to 1.7%. Identifying pre-intubation risk factors may improve preparedness and outcomes during emergency intubations. This study aims to identify clinical and physiological predictors associated with peri-intubation cardiac arrest in pediatric patients undergoing emergency airway management in a tertiary care emergency department. Methods A retrospective case-control study was conducted at the emergency department of a tertiary care hospital in Karachi, Pakistan, from January 2019 to June 2023. Pediatric patients (<18 years) who experienced cardiac arrest within 20 min of intubation were included as cases. For each case, four controls were randomly selected from the same cohort who were intubated without arrest. Pre-intubation clinical data, laboratory parameters, and vital signs were analyzed. Multivariable logistic regression was used to identify independent predictors of peri-intubation cardiac arrest. Results A total of 1031 pediatric patients underwent intubation in the ED, with 25 cases (2.4%) of peri-intubation cardiac arrest identified. For comparison, 100 controls without cardiac arrest were randomly selected, resulting in a total study cohort of 125 patients. Multivariate analysis identified several independent predictors of peri-intubation cardiac arrest. Age less than one year (aOR: 4.37; p=0.042), hypoxemia (SpO2 < 92%) (aOR: 19.81; p=0.003), elevated heart rate (aOR: 1.42; p=0.045), low systolic blood pressure (aOR: 6.56; p=0.043), elevated shock index (≥1.2) (aOR: 5.52; p=0.046), modified shock index≥1.3 (aOR: 6.27; p=0.012), lactate≥2 mmol/L (aOR: 10.09; p=0.047) and capillary refill time>3 s (aOR: 5.78; p=0.038), were found to be independent predictors of peri-intubation cardiac arrest. Conclusion Pre-intubation physiological instability is strongly associated with peri-intubation cardiac arrest in pediatric patients. Early recognition of high-risk features such as hypoxemia, tachycardia, hypotension, elevated lactate levels, delayed capillary refill time, and elevated shock indices may allow for better preparation and Creator An entity primarily responsible for making the resource Noman Ali1*, Erum Shakeel1 , Ahmed Raheem1 , Hania Ather1 and Surraiya Bano1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01099-5 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Peri-intubation, Cardiac arrest, Pediatric, Emergency department, Case-control https://repository.horizon.ac.id/files/original/09c17aafa899e8a43e54ec5a6ace7f41.pdf 8ed73bb0927464fed2d8634c349c9fba Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Epidemiology of selected communicable diseases in Rwanda: a comprehensive analysis of the prevalence of major infectious diseases in Rwanda Subject The topic of the resource Epidemiology, Infectious diseases, HIV/AIDS, Rwanda, Healthcare Description An account of the resource Abstract Background Communicable diseases remain a major public health challenge in Rwanda, contributing significantly to morbidity and mortality. Despite notable progress in reducing the burden of infectious diseases such as malaria, HIV/AIDS, and tuberculosis, recent threats, including Marburg virus infections and other emerging outbreaks, underscore the need for renewed vigilance and strengthened disease control strategies. Transmission occurs through direct or indirect contact and is influenced by socioeconomic, environmental, and demographic factors. This study provides a comprehensive analysis of the prevalence of selected communicable diseases (Malaria, Tuberculosis, HIV/ AIDS, Diarrheal Illnesses, and Neglected Tropical Diseases (NTDs) in Rwanda, highlights past successes, and proposes evidence-based recommendations for future control efforts. Methods A comprehensive search was conducted using multiple sources, including PubMed/Medline, the World Health Organization (WHO) database, demographic surveys, scientific journals, the Centers for Disease Control and Prevention (CDC) databases, and Rwanda’s Health Management Information System (HMIS). Studies were included if they were published between 2010 and 2024, focused on Africa, particularly Rwanda, and were available as free full-text. The most reported diseases across these studies were HIV/AIDS, malaria, tuberculosis, and diarrhoeal illnesses, reflecting their dominance in Rwanda’s epidemiological profile. Findings relevant to the review objectives were summarised and organized thematically as a narrative literature review. Results The incidence of malaria has dramatically decreased from 5.9 million in 2017 to 857,000 in 2022, highlighting the effectiveness of public health efforts in addressing this issue. However, HIV/AIDS continues to be a serious public health concern, with an adult prevalence rate of 3.0%. Although the distribution of highly active antiretroviral therapy (HAART) has been extremely successful, the programmes dependence on external funding threatens long-term sustainability. Inadequate sanitation and hygiene practices have resulted in high rates of diarrhoeal infections among children under five, most of which are caused by microorganisms in contaminated water. Creator An entity primarily responsible for making the resource Olivier Uwishema1*, Lydia Daniel Bisetegn1,2, Pascaline Munezero3 , Courage Chandipwisa1,4, Gerard Nkurunziza5 , Chinyere Vivian Patrick Onyeaka6 and Jean Nepo Utumatwishima7 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01093-x Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Epidemiology, Infectious diseases, HIV/AIDS, Rwanda, Healthcare https://repository.horizon.ac.id/files/original/1d8e15ae5de343e411a3dd54087f1abf.pdf c36d99d5b4e28c34a3b97938726f35b4 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Acute compartment syndrome following Bitis viper envenomation: a literature review with case reports Subject The topic of the resource Compartment syndrome, Fasciotomy, Snakebite, Bitis nasicornis, Bitis gabonica Description An account of the resource Abstract Background Snakebites caused by Bitis nasicornis and Bitis gabonica are rare but can lead to severe systemic and local complications, including acute compartment syndrome (ACS). The role of surgical intervention in snakebite management remains controversial, with limited data available for snakebite envenomation. Case presentation Two cases of upper limb envenomation by Bitis nasicornis and Bitis gabonica were managed at the General University Hospital in Prague in year 2024. Both developed acute compartment syndrome requiring prompt antivenom therapy, fasciotomy, and intensive care. In the first case, antivenom (EchiTab-Plus-ICP) was given within 1 h, 10 vials in total, and fasciotomy at 10 h; the patient was discharged on day 16 with preserved limb function. In the second, antivenom (SAIMR) was administered within 3 h, 4 vials in total (the maximum available in Europe at that time), and fasciotomy at 8 h; recovery was complete by day 7. Diagnosis of ACS was based on clinical signs without intracompartmental pressure measurement. Conclusion These cases highlight that timely surgical intervention, combined with intensive care and antivenin may play a critical role in preventing irreversible tissue damage following viperid envenomation. However, universal guidelines are lacking. Incorporating intracompartmental pressure monitoring into treatment protocols may further improve diagnostic accuracy and patient outcomes. Keywords Compartment syndrome, Fasciotomy, Snakebite, Bitis nasicornis, Bitis gabonica Creator An entity primarily responsible for making the resource Daša Baliarová1,2 , Kristian Chrz1,2* , Zdeněk Krška1,2 , Pavel Michálek2,3 , David Hoskovec1,2 and Jiří Valenta2,3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01091-z Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT https://repository.horizon.ac.id/files/original/a1dd23c6e3068c3cd914437f5f574fd1.pdf a07e94b26b12479ce4bfb0bef509f60b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Myocardial infarction with Paradoxical ST- segment elevation migration: a case study Subject The topic of the resource ST-segment migration, Limbs reversal, Wandering ST-segment elevation Description An account of the resource Abstract Background ST-elevation myocardial infarction is a life-threatening condition and the electrocardiogram is an essential tool for its prompt diagnosis. However, ST-segment elevation migration can occur due to several factors, including lead misplacement, coronary vasospasm, thrombus migration, aortic dissection, and acute pericarditis. Case presentation A 47-year-old man with chest pain whose electrocardiogram revealed ST-segment elevation in different territories within one hour. The apparent ST-segment elevation migration was attributed to limb lead reversal, as confirmed by the cardiac catheterization findings, which were consistent with the second electrocardiogram. Conclusions The accurate identification of ST-segment elevation is important to the cardiologist in order to determine the culprit vessel. This case highlights the accidental electrocardiogram electrode misplacement can result in misdiagnosis, which can be identified by recognizing unusual P-QRS pattern, using familiar-language electrode labeling, and performing serial electrocardiogram reviews. Keywords ST-segment migration, Limbs reversal, Wandering ST-segment elevation Creator An entity primarily responsible for making the resource Yu-An Chen1,3, Cheng-Chieh Huang1,2, Tsung-Han Lee1,2 and Yan-Ren Lin1,2,4* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01090-0 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT ST-segment migration, Limbs reversal, Wandering ST-segment elevation https://repository.horizon.ac.id/files/original/57fdd83b351d02c4848d13880fe361cf.pdf 3d9e5d3e2e8aa18ec5d941aa66eee2e5 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Atypical Lemierre’s syndrome in a tuberculosis survivor: facial abscess and brachiocephalic thrombosis mimicking disseminated infection: a case report Subject The topic of the resource Lemierre’s syndrome, Fusobacterium necrophorum, Brachiocephalic vein thrombosis, Facial abscess, Dental abscess, Odontogenic infection, Tuberculosis Description An account of the resource Abstract Background Lemierre’s Syndrome (LS) is a rare but potentially fatal syndrome that usually starts with a throat and neck infection and leads to blood clots, septicemia, and thrombosis of the internal jugular vein. Fusobacterium necrophorum, an anaerobic bacterium is the most common cause. Classically, it is seen in healthy adolescents following pharyngitis, but recent cases show a wider clinical spectrum and atypical sources and thrombotic sites, which complicates the diagnosis of the syndrome. Case description We reported a 57-year-old woman with a history of pulmonary tuberculosis (TB) who visited the hospital with facial swelling, shortness of breath, fever, and abdominal distension. Imaging showed a large facial abscess, pleural effusion, right lower lobe consolidation, and ascites. Blood and abscess culture grew Fusobacterium necrophorum. Notably, thrombosis was seen in the left brachiocephalic and subclavian vein rather than the usual internal jugular vein. The source of infection was traced to a dental abscess. She was treated with surgical drainage and antibiotics, which resulted in her clinical improvement. The ascitic fluid profile raised concern for tuberculous peritonitis, given her history. Conclusion This case shows the atypical presentation of LS, originating from a dental source and involving the atypical site of thrombosis with possible concurrent tuberculosis. This case highlights the critical need for clinicians to maintain a high index of suspicion for LS, even in the absence of its classic features, to ensure timely diagnosis and intervention. Early recognition, prompt imaging, culture, and targeted treatment are key to managing such a complex presentation effectively. Keywords Lemierre’s syndrome, Fusobacterium necrophorum, Brachiocephalic vein thrombosis, Facial abscess, Dental abscess, Odontogenic infection, Tuberculosis Creator An entity primarily responsible for making the resource infection: a case report Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01082-0 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Lemierre’s syndrome, Fusobacterium necrophorum, Brachiocephalic vein thrombosis, Facial abscess, Dental abscess, Odontogenic infection, Tuberculosis https://repository.horizon.ac.id/files/original/ee013d879af002b7a8dc0f0ce1aaa024.pdf ad20c6c783899e838df1b4b3a993c0ab Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Intra-abdominal pregnancy complicated by uterine rupture: a case report Subject The topic of the resource Intra-abdominal pregnancy, Uterine rupture, Ectopic pregnancy, Advanced gestation, Emergency laparotomy, Maternal outcome, Uganda Description An account of the resource Abstract Background Intra-abdominal pregnancy is a rare and life-threatening form of ectopic gestation that poses significant diagnostic and management challenges, particularly in low-resource settings. Its occurrence alongside uterine rupture further increases maternal risk. Case presentation We report the case of a 22-year-old gravida 4, para 1+2 Ugandan woman at 28 weeks+3 days of gestation who presented with lower abdominal pain and vaginal bleeding. She had not attended antenatal care or undergone prior imaging. On examination, fetal heart sounds were absent, and the uterus was tender with smaller- than-expected fundal height. A provisional diagnosis of intra-abdominal pregnancy with possible uterine rupture was made. Emergency laparotomy revealed a ruptured uterine fundus with an intact gestational sac containing a macerated stillborn male fetus weighing 1.2 kg. The necrotic tissue was excised, and the uterine defect was repaired in layers. The postoperative course was uneventful, and the patient was discharged in stable condition. Conclusion This case highlights the critical need for early antenatal attendance, access to basic obstetric ultrasound, and timely referral to avert complications associated with advanced extra-uterine pregnancies and uterine rupture. Strengthening maternal health systems and clinical suspicion remains vital to improving outcomes in similar low- resource settings. Keywords Intra-abdominal pregnancy, Uterine rupture, Ectopic pregnancy, Advanced gestation, Emergency laparotomy, Maternal outcome, Uganda Creator An entity primarily responsible for making the resource Hassan Nur Mohamud1*, Mohamed Jayte2 , Iqra Abdullahi Mohamed1 , Inzama Wilfred1 , Abdullahi Mohamed Hussein1 and Okelo James1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01081-1 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Intra-abdominal pregnancy, Uterine rupture, Ectopic pregnancy, Advanced gestation, Emergency https://repository.horizon.ac.id/files/original/1beb61e80d5003468dda227b994e0ffa.pdf 88e0125c1fc9aebc4dd2b67197cd645c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Minimally invasive management of penetrating thoracic and abdominal injuries: a case series Subject The topic of the resource Penetrating trauma, Emergency surgery, Laparoscopy, Thoracoscopy, Gastric injury, Hepatic injury, Pulmonary injury Description An account of the resource Abstract Background Penetrating thoracic and abdominal trauma presents a diagnostic and therapeutic challenge in the emergency department (ED). Traditionally managed with open laparotomy or thoracotomy, advances in minimally invasive surgery (MIS) have enabled safe, effective, and rapid diagnosis and intervention. We present a case series of four patients with penetrating gastric, hepatic, and pulmonary injuries successfully managed using MIS, highlighting its role in emergency care. Case presentations Four hemodynamically stable patients presented to the ED with penetrating abdominal or thoracic trauma: (1) Stab wound to epigastrium: Diagnostic laparoscopy revealed a 1 cm anterior gastric body perforation, repaired laparoscopically. The patient recovered uneventfully and remained asymptomatic at 3-year follow-up. (2) Gunshot to upper abdomen: Laparoscopic wedge resection of a gastric cardia perforation was performed. Recovery was uneventful, with 1-year follow-up showing no complications. (3) Gunshot to right upper abdomen with hepatic injury: Laparoscopic hemostasis and bullet extraction under fluoroscopy were successfully performed. Four-year follow-up was uneventful. (4) Gunshot to left upper chest: Video-assisted thoracoscopic left upper lobe segmentectomy and bullet extraction were carried out. Five-year follow-up revealed preserved pulmonary function and no complications. Discussion Early identification and triage in the ED, combined with MIS, enabled rapid diagnosis and definitive treatment while minimizing morbidity. Laparoscopy and thoracoscopy provide excellent visualization, reduce unnecessary open procedures, and shorten hospital stays. Conclusion MIS is a safe, effective, and feasible approach for selected hemodynamically stable penetrating thoracic and abdominal injuries in the ED. Careful patient selection and surgical expertise are essential for optimizing outcomes. Keywords Penetrating trauma, Emergency surgery, Laparoscopy, Thoracoscopy, Gastric injury, Hepatic injury, Pulmonary injury Creator An entity primarily responsible for making the resource Wail Alqatta1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01080-2 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT https://repository.horizon.ac.id/files/original/b2528c2e7dcbe51ab92943df17084db9.pdf 253577c003bd094c33ca1ebe906bd01c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource A narrative review of the diabetic ketoacidosis and hyperosmolar hyperglycemic state overlap syndrome Subject The topic of the resource Diabetic ketoacidosis, Hyperosmolar hyperglycemic state, Overlap syndrome, Euglycemic DKA, Hyperglycemic emergencies Description An account of the resource Abstract Background Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are life-threatening acute complications of diabetes. Up to one-third of patients present with overlapping features of both syndromes, complicating diagnosis and management. This overlap is associated with higher mortality than isolated DKA or HHS. Objective This narrative review synthesizes current evidence on the epidemiology, pathophysiology, and management of DKA-HHS overlap in both adult and pediatric populations with either type 1 or type 2 diabetes, highlighting the distinct challenges in recognition, treatment, and outcomes across these groups. Findings While DKA is defined by ketosis and metabolic acidosis, and HHS by profound hyperglycemia and hyperosmolality, overlap presentations combine both abnormalities. These patients face increased risks of cerebral edema, thromboembolism, and acute kidney injury. Standardized management protocols remain lacking, and treatment must balance fluid resuscitation, insulin therapy, and electrolyte correction, with distinct approaches for adults and children. Emerging issues such as SGLT2 inhibitor–induced euglycemic DKA and disparities in outcomes between high- and low-resource settings further complicate care. Conclusion DKA-HHS overlap represents a high-risk clinical phenotype requiring early recognition and individualized therapy. Consensus guidelines, risk stratification tools, and studies of fluid and insulin strategies are urgently needed to improve outcomes in this vulnerable population. Keywords Diabetic ketoacidosis, Hyperosmolar hyperglycemic state, Overlap syndrome, Euglycemic DKA, Hyperglycemic emergencies Creator An entity primarily responsible for making the resource Eslam Abady1 , Panos I. Tamvakologos2 , Marina Ramzy Mourid3 , Salma Tamer Abdelrahman4 , Mayam Mohamed Aziz5 , Shree Rath6 , Lauren A. Carr7 and Mohammed Alsabri8* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01078-w Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Diabetic ketoacidosis, Hyperosmolar hyperglycemic state, Overlap syndrome, Euglycemic DKA, https://repository.horizon.ac.id/files/original/e9fe076077239a78559df713ee2410b9.pdf 9ccddf46849bcc815413144a4fc83d66 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Hepatic necrosis and dysfunction following angioembolization in a trauma-related mortality Subject The topic of the resource Angiographic embolization is a key tool in managing hemorrhage from blunt traumatic injuries, Description An account of the resource Abstract Background Angiographic embolization is a key tool in managing hemorrhage from blunt traumatic injuries, particularly hepatic trauma, but it carries risks such as hepatic necrosis. The incidence of clinically significant hepatic necrosis post-embolization is around 6%, with non-selective embolization increasing this risk compared to selective techniques. Objective To report a case of a patient with high-grade blunt hepatic injury who developed hepatic necrosis and dysfunction leading to death following non-selective angiographic embolization. Methods A 46-year-old male involved in a high-speed motor vehicle collision underwent emergency laparotomy for multiple liver lacerations, followed by non-selective coil embolization of the right and middle hepatic artery trunks due to suspected ongoing hemorrhage. The case was retrospectively analyzed, including operative findings, imaging (CT and angiography), and clinical outcomes over 25 days. Results Despite no active contrast blush on CT or angiography, non-selective embolization was performed. The patient developed patchy hepatic necrosis, requiring multiple laparotomies, and progressed to liver failure, ARDS, and cerebral edema. Death occurred 25 days post-admission due to severe encephalopathy, with hepatic necrosis likely exacerbated by the embolization. Conclusion This case suggests that non-selective angiographic embolization may have contributed significantly to hepatic necrosis and mortality in a patient with high-grade hepatic trauma, highlighting the need for careful consideration of embolization indications and techniques. Creator An entity primarily responsible for making the resource Ali Cadili1* and Jonathan Gates1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01077-x Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Angiographic embolization is a key tool in managing hemorrhage from blunt traumatic injuries https://repository.horizon.ac.id/files/original/c5042300e917fce0c7708bd0ed1fd43b.pdf 608eea7daf162fcb00cd4e2c15a1ae63 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Mature NK-cell lymphoma presenting with chylothorax and delirium: a rare emergency case Subject The topic of the resource Chylothorax, Delirium, Mature NK-cell tumor Description An account of the resource Abstract Background Extranodal natural killer (NK)/T-cell lymphomas constitute less than 1% of non-Hodgkin lymphomas, with central nervous system involvement and chylothorax representing exceptionally rare presentations. This unique combination has not been previously reported in emergency medicine literature. Case presentation A previously healthy 51-year-old Chinese male presented with progressive dyspnea, high fever, and bilateral pleural effusion over eight days. Physical examination revealed extensive ecchymoses, bilateral lung consolidation, and splenomegaly. Laboratory studies demonstrated pancytopenia (WBC 3.26×109/L, platelets 58×109/L), severe coagulopathy, and elevated lactate dehydrogenase (773 U/L). Thoracentesis confirmed chylothorax with triglyceride levels of 1.46 mmol/L and positive Sudan III staining. On hospital day 10, the patient developed acute hyperactive delirium with visual hallucinations and paranoid behavior. Flow cytometry revealed abnormal NK-cell expansion across peripheral blood (68.09%), bone marrow (13.75%), and pleural fluid (87.34%), establishing the diagnosis of mature NK-cell lymphoma with multi-site involvement. PET-CT imaging demonstrated splenic involvement (SUVmax 9.0) and a hypodense lesion in the left occipital lobe. Despite supportive care including oxygen therapy, empirical antibiotics, and sedation, the patient rapidly progressed to hemophagocytic lymphohistiocytosis and multi-organ failure, resulting in death within four weeks of presentation. Conclusions This case demonstrates that mature NK-cell lymphoma may present with the previously unreported combination of chylothorax and acute delirium in emergency settings. Emergency physicians should maintain heightened awareness of hematologic malignancies when encountering patients with unexplained pleural effusion, neuropsychiatric symptoms, and cytopenias, as early recognition and prompt hematology consultation may influence clinical outcomes despite the typically aggressive disease course. Keywords Chylothorax, Delirium, Mature NK-cell tumor Creator An entity primarily responsible for making the resource Wen Shang1,2, Zhiguo Guo1,2, Qingbian Ma1,2*, Jijun Wang3* and Yuchang Xu1,2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01076-y Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Chylothorax, Delirium, Mature NK-cell tumor