Laparoscopy is an alternative approach to repairing acute traumatic diaphragmatic lacerations and chronic traumatic diaphragmatic hernias. Large traumatic diaphragmatic injuries adjacent to or including the esophageal hiatus are best approached via laparotomy.

An abdominal intercostal hernia under an intact diaphragm is a rare phenomenon in which abdominal contents enter the intercostal space directly from the peritoneum through an acquired defect. The management of such cases has not been well established due to its infrequency. We discuss the successful laparoscopic management of such a hernia.

We present an extremely rare case of combined splenic abscess and Bcell lymphoma in a patient who was initially admitted for congestive heart failure. Due to its non-specific clinical picture, the final diagnosis was challenging. The patient was initially conservatively managed with antibiotics and percutaneous drainage of the abscess and then definitively managed with a splenectomy. This is the first case described with both pathological processes present simultaneously.

Globally, trauma remains the leading cause of morbidity and mortality for all age groups with uncontrolled hemorrhage as the most common form of preventable death in the trauma setting. Specifically, non-compressible torso hemorrhage in trauma patients is known to have high mortality rates. Open aortic cross clamping via anterolateral thoracotomy has been the standard approach, but the procedure carries a high mortality risk. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a technique that promptly controls hemorrhage, increases cardiac afterload, and increases central aortic pressure. REBOA in different forms has existed since the Korean War in 1950. It involves the insertion of a balloon into the aorta via a femoral access approach that is subsequently inflated to provide hemostasis. Despite the potential of REBOA to save lives, many non-vascular surgeons and emergency healthcare providers may be reluctant to use the new procedure. This may be due to a lack of knowledge, skill, or equipment required to perform the procedure. We present a case of a patient with multiple pelvic injuries and massive bleeding for which REBOA was utilized safely and correctly.