Extensive traumatic anterior chest wall injury including type I manubriosternal dislocation.

Manubriosternal joint dislocation (MSD) is a rare traumatic injury, usually preceded by a high energy trauma. We report a case of a 40-year-old female who was involved in a motor vehicle accident and presented to a tertiary trauma centre. She suffered from severe chest wall injuries, including significantly displaced manubriosternal dislocation with lung herniation, bilateral rib fractures and hemopneumothoraxes. She underwent a chest wall reconstruction with open reduction and internal fixation with sternal and costal plates with good functional outcome. In this case report we discuss the management of these rare and unstable type I manubriosternal dislocation with associated rib fractures.

Perforated Meckel's diverticulitis secondary to a corn kernel obstruction of lumen in an elderly patient.

Meckel's diverticulum (MD) is the most common congenital malformation of the gastrointestinal tract. The most frequent complications are bleeding, intestinal obstruction, intussusception and neoplasm. Perforation because of diverticulitis is very rare and usually associated to foreign bodies. We report a case of an elderly man who presented with right iliac fossa pain, raised inflammatory markers and a computer tomography (CT) scan suggestive of Meckel's diverticulitis. He underwent a laparoscopic converted to open small bowel resection and primary anastomosis for perforated MD, which revealed a corn kernel at its base in the absence of ectopic gastric or pancreatic tissue. Symptomatic and perforated MD secondary to a phytobezoar is extremely rare in elderly patients, hence the importance of clinical suspicion in patients with abdominal pain, independent from their age, to avoid delay in diagnosis, which can lead to increased morbidity and mortality in this demographic.