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Sample records for 3500-h rupture life

  1. Creep-rupture behavior of candidate Stirling engine iron supperalloys in high-pressure hydrogen. Volume 2: Hydrogen creep-rupture behavior

    NASA Technical Reports Server (NTRS)

    Bhattacharyya, S.; Peterman, W.; Hales, C.

    1984-01-01

    The creep rupture behavior of nine iron base and one cobalt base candidate Stirling engine alloys is evaluated. Rupture life, minimum creep rate, and time to 1% strain data are analyzed. The 3500 h rupture life stress and stress to obtain 1% strain in 3500 h are also estimated.

  2. Composite Overwrap Pressure Vessels: Mechanics and Stress Rupture Lifing Philosophy

    NASA Technical Reports Server (NTRS)

    Thesken, John C.; Murthy, Pappu L. N.; Phoenix, Leigh

    2007-01-01

    The NASA Engineering and Safety Center (NESC) has been conducting an independent technical assessment to address safety concerns related to the known stress rupture failure mode of filament wound pressure vessels in use on Shuttle and the International Space Station. The Shuttle's Kevlar-49 fiber overwrapped tanks are of particular concern due to their long usage and the poorly understood stress rupture process in Kevlar-49 filaments. Existing long term data show that the rupture process is a function of stress, temperature and time. However due to the presence of load sharing liners and the complex manufacturing procedures, the state of actual fiber stress in flight hardware and test articles is not clearly known. Indeed non-conservative life predictions have been made where stress rupture data and lifing procedures have ignored the contribution of the liner in favor of applied pressure as the controlling load parameter. With the aid of analytical and finite element results, this paper examines the fundamental mechanical response of composite overwrapped pressure vessels including the influence of elastic-plastic liners and degraded/creeping overwrap properties. Graphical methods are presented describing the non-linear relationship of applied pressure to Kevlar-49 fiber stress/strain during manufacturing, operations and burst loadings. These are applied to experimental measurements made on a variety of vessel systems to demonstrate the correct calibration of fiber stress as a function of pressure. Applying this analysis to the actual qualification burst data for Shuttle flight hardware revealed that the nominal fiber stress at burst was in some cases 23% lower than what had previously been used to predict stress rupture life. These results motivate a detailed discussion of the appropriate stress rupture lifing philosophy for COPVs including the correct transference of stress rupture life data between dissimilar vessels and test articles.

  3. Effect of heating method on stress-rupture life

    NASA Technical Reports Server (NTRS)

    Bizon, P. T.; Calfo, F. D.

    1977-01-01

    The effect of radiant(furnace), resistance(electric current), burner(hot gas stream), and a combination of resistance and burner heating on intermediate time (100 to 300 hr) stress-rupture life and reduction of area was evaluated. All heating methods were studied using the nickel-based alloy Udimet 700 while all but burner heating were evaluated with the cobalt-based alloy Mar-M 509. Limited test results of eight other superalloys were also included in this study. Resistance heated specimens had about 20 to 30 percent of the stress-rupture life of radiant heated specimens. The limited burner heating data showed about a 50 percent life reduction as compared to the radiant heated tests. A metallurgical examination gave no explanation for these reductions.

  4. Stress Rupture Life Reliability Measures for Composite Overwrapped Pressure Vessels

    NASA Technical Reports Server (NTRS)

    Murthy, Pappu L. N.; Thesken, John C.; Phoenix, S. Leigh; Grimes-Ledesma, Lorie

    2007-01-01

    Composite Overwrapped Pressure Vessels (COPVs) are often used for storing pressurant gases onboard spacecraft. Kevlar (DuPont), glass, carbon and other more recent fibers have all been used as overwraps. Due to the fact that overwraps are subjected to sustained loads for an extended period during a mission, stress rupture failure is a major concern. It is therefore important to ascertain the reliability of these vessels by analysis, since the testing of each flight design cannot be completed on a practical time scale. The present paper examines specifically a Weibull statistics based stress rupture model and considers the various uncertainties associated with the model parameters. The paper also examines several reliability estimate measures that would be of use for the purpose of recertification and for qualifying flight worthiness of these vessels. Specifically, deterministic values for a point estimate, mean estimate and 90/95 percent confidence estimates of the reliability are all examined for a typical flight quality vessel under constant stress. The mean and the 90/95 percent confidence estimates are computed using Monte-Carlo simulation techniques by assuming distribution statistics of model parameters based also on simulation and on the available data, especially the sample sizes represented in the data. The data for the stress rupture model are obtained from the Lawrence Livermore National Laboratories (LLNL) stress rupture testing program, carried out for the past 35 years. Deterministic as well as probabilistic sensitivities are examined.

  5. Creep-rupture behavior of 6 candidate stirling engine iron-base superalloys in high pressure hydrogen. Volume 1: Air creep-rupture behavior

    NASA Technical Reports Server (NTRS)

    Bhattacharyya, S.

    1982-01-01

    Four wrought alloys (A-286, IN 800H, N-155, and 19-9DL) and two cast alloys (CRM-6D and XF-818) were tested to determine their creep-rupture behavior. The wrought alloys were used in the form of sheets of 0.89 mm (0.035 in.) average thickness. The cast alloy specimens were investment cast and machined to 6.35 mm (0.250 in.) gage diameter. All specimens were tested to rupture in air at different times up to 3000 h over the temperature range of 650 C to 925 C (1200 F to 1700 F). Rupture life, minimum creep rate, and time to 1% creep strain were statistically analyzed as a function of stress at different temperatures. Temperature-compensated analysis was also performed to obtain the activation energies for rupture life, time to 1% creep strain, and the minimum creep rate. Microstructural and fracture analyses were also performed. Based on statistical analyses, estimates were made for stress levels at different temperatures to obtain 3500 h rupture life and time to 1% creep strain. Test results are to be compared with similar data being obtained for these alloys under 15 MPa (2175 psi) hydrogen.

  6. Correlation of Rupture Life, Creep Rate, and Microstructure for Type 304 Stainless Steel

    NASA Technical Reports Server (NTRS)

    Swindeman, R. W.; Moteff, J.

    1983-01-01

    The stress and temperature sensitivites of the rupture life and secondary creep rate were examined in detail for a single heat of type 304 stainless steel (9T2796). Assuming that the rupture life has a power law stress dependency, relatively small differences in the stress exponent were observed over a broad range of stress and temperature. In contrast, large changes were observed for equivalent parameter for secondary creep rate. As a result of these differences, the Monkman-Grant correlation was sensitive to stress and temperature below 650 C. Metallurgical studies based on light and transmission electron microscopy suggested that the temperature and stress sensitivities of secondary creep rate at temperatures below 650 C were related to features of the substructure not present at higher temperature. Specifically, the presence of a fine dislocation network stabilized by precipitates altered the stress and temperature sensitivities relative to what might be expected from high temperature studies.

  7. Embolization of Life-Threatening Arterial Rupture in Patients with Vascular Ehlers–Danlos Syndrome

    SciTech Connect

    Okada, Takuya; Frank, Michael; Pellerin, Olivier Primio, Massimiliano Di Angelopoulos, Georgios; Boughenou, Marie-Fazia; Pagny, Jean-Yves; Messas, Emmanuel; Sapoval, Marc

    2013-05-09

    PurposeTo evaluate the safety and efficacy of transarterial embolization of life-threatening arterial rupture in patients with vascular Ehlers–Danlos syndrome (vEDS) in a single tertiary referral center.MethodsWe retrospectively analyzed transarterial embolization for vEDS performed at our institution from 2000 to 2012. The indication of embolization was spontaneous arterial rupture or pseudoaneurysm with acute bleeding. All interventions used a percutaneous approach through a 5F or less introducer sheath. Embolic agents were microcoils and glue in 3 procedures, glue alone in 2, and microcoils alone in 2.ResultsFive consecutive vEDS patients were treated by 7 embolization procedures (4 women, mean age 29.8 years). All procedures were successfully performed. Two patients required a second procedure for newly arterial lesions at a different site from the first procedure. Four of the five patients were still alive after a mean follow-up of 19.4 (range 1–74.7) months. One patient died of multiple organ failure 2 days after procedure. Minor procedural complications were observed in 3 procedures (43 %), all directly managed during the same session. Remote arterial lesions occurred after 3 procedures (43 %); one underwent a second embolization, and the other 2 were observed conservatively. Puncture site complication was observed in only one procedure (14 %).ConclusionEmbolization for vEDS is a safe and effective method to manage life-threatening arterial rupture.

  8. Effects on stress rupture life and tensile strength of tin additions to Inconel 718

    NASA Technical Reports Server (NTRS)

    Dreshfield, R. L.; Johnson, W.

    1982-01-01

    Because Inconel 718 represents a major use of columbium and a large potential source of columbium for aerospace alloys could be that of columbium derived from tin slags, the effects of tin additions to Inconel 718 at levels which might be typical of or exceed those anticipated if tin slag derived columbium were used as a melting stock were investigated. Tin was added to 15 pound Inconel 718 heats at levels varying from none added to approximately 10,000 ppm (1 wt%). Limited 1200 F stress rupture testing was performed at stresses from 68,000 to 115,000 psi and a few tensile tests were performed at room temperature, 800 and 1200 F. Additions of tin in excess of 800 ppm were detrimental to ductility and stress rupture life.

  9. We Can Work it Out: The Importance of Rupture and Repair Processes in Infancy and Adult Life for Flourishing.

    PubMed

    Morton, Mary

    2016-06-01

    This paper argues that insights into infant emotional development, particularly the capacity to engage with rupture and repair, can be applied to the understanding and promotion of flourishing in later life, individually and socially. Starting with the Queen's visit to the Republic of Ireland as an example of successful social repair after rupture that enables flourishing, the paper goes on to outline some relevant psychological theory that undergirds this. It then considers some of the practical relevance and problems that apply to rupture and repair in the contemporary world, particularly the world of health care, Amidst the inevitable messiness of life, flourishing and growth can only be achieved with the kind of flexibility implied by creating repair in the face of rupture. PMID:26846477

  10. A Comparison of Various Stress Rupture Life Models for Orbiter Composite Pressure Vessels and Confidence Intervals

    NASA Technical Reports Server (NTRS)

    Grimes-Ledesma, Lorie; Murthy, Pappu L. N.; Phoenix, S. Leigh; Glaser, Ronald

    2007-01-01

    In conjunction with a recent NASA Engineering and Safety Center (NESC) investigation of flight worthiness of Kevlar Overwrapped Composite Pressure Vessels (COPVs) on board the Orbiter, two stress rupture life prediction models were proposed independently by Phoenix and by Glaser. In this paper, the use of these models to determine the system reliability of 24 COPVs currently in service on board the Orbiter is discussed. The models are briefly described, compared to each other, and model parameters and parameter uncertainties are also reviewed to understand confidence in reliability estimation as well as the sensitivities of these parameters in influencing overall predicted reliability levels. Differences and similarities in the various models will be compared via stress rupture reliability curves (stress ratio vs. lifetime plots). Also outlined will be the differences in the underlying model premises, and predictive outcomes. Sources of error and sensitivities in the models will be examined and discussed based on sensitivity analysis and confidence interval determination. Confidence interval results and their implications will be discussed for the models by Phoenix and Glaser.

  11. A Comparison of Various Stress Rupture Life Models for Orbiter Composite Pressure Vessels and Confidence Intervals

    NASA Technical Reports Server (NTRS)

    Grimes-Ledesma, Lorie; Murthy, Pappu, L. N.; Phoenix, S. Leigh; Glaser, Ronald

    2006-01-01

    In conjunction with a recent NASA Engineering and Safety Center (NESC) investigation of flight worthiness of Kevlar Ovenvrapped Composite Pressure Vessels (COPVs) on board the Orbiter, two stress rupture life prediction models were proposed independently by Phoenix and by Glaser. In this paper, the use of these models to determine the system reliability of 24 COPVs currently in service on board the Orbiter is discussed. The models are briefly described, compared to each other, and model parameters and parameter error are also reviewed to understand confidence in reliability estimation as well as the sensitivities of these parameters in influencing overall predicted reliability levels. Differences and similarities in the various models will be compared via stress rupture reliability curves (stress ratio vs. lifetime plots). Also outlined will be the differences in the underlying model premises, and predictive outcomes. Sources of error and sensitivities in the models will be examined and discussed based on sensitivity analysis and confidence interval determination. Confidence interval results and their implications will be discussed for the models by Phoenix and Glaser.

  12. Acquired vascular malformation in ruptured caesarean section scar: a rare cause of life-threatening vaginal bleeding

    PubMed Central

    Hilal, Kiran; Masroor, Imrana; Aziz, Aliya; Sayani, Raza

    2013-01-01

    Uterine arteriovenous malformations (AVM) are rare and potentially life-threatening lesions. Patients present with severe vaginal bleeding which usually does not respond to conservative management and on most of occasions requires radiological or surgical intervention. We report a case of acquired AVM in a ruptured caesarean section scar. The patient presented with life-threatening vaginal bleeding and was treated with gonadotropin releasing hormone agonist and subsequent angioembolisation coiling. PMID:23839607

  13. Experimental Investigation of the Shuttle Transportation System Composite Overwrapped Pressure Vessels for Stress Rupture Life

    NASA Technical Reports Server (NTRS)

    Greene, Nathanael; Saulsberry, Regor; Yoder, Tommy; Forsyth, Brad; Carillo, Marlene; Thesken, John

    2006-01-01

    A viewgraph presentation describing stress rupture testing on Composite Overwrapped Pressure Vessels (COPV) is shown. The topics include: 1) Purpose for Testing; 2) NASA WSTF COPV Test Program; 3) NASA WSTF Test Facilities; 4) COPV Impact Study; 5) Fluids Compatibility Testing; 6) Stress Rupture Testing; and 7) COPV Lifting.

  14. Crouzon’s Syndrome with Life-Threatening Ear Bleed: Ruptured Jugular Vein Diverticulum Treated by Endovascular Embolization

    SciTech Connect

    Mondel, Prabath Kumar Anand, Sunanda Limaye, Uday S.

    2015-08-15

    Crouzon’s syndrome is the commonest variety of syndromic craniosynostosis. Life-threatening ear bleed due to ruptured jugular venous diverticulum in Crouzon’s syndrome has not been described previously. In patients with syndromic craniosynostosis, definitive repair of jugular diverticulum by open surgery is fraught with high risk of bleeding, poor functional outcomes, and even death. A 24-year-old woman with Crouzon’s syndrome presented with conductive hearing loss and recurrent episodes of torrential bleeding from her left ear. On computed tomography, a defect in the roof of jugular fossa containing jugular venous diverticulum immediately inferior to the bony external auditory canal was seen. The clinical presentation, imaging features, and endovascular management of Crouzon’s syndrome due to a ruptured jugular venous diverticulum is described.

  15. Extracorporeal life support in a severe blunt chest trauma with cardiac rupture.

    PubMed

    Yoann, Launey; Erwan, Flecher; Nicolas, Nesseler; Yannick, Malledant; Philippe, Seguin

    2013-01-01

    This report presents a case of severe blunt chest trauma secondary to a horse riding accident with resultant free-wall rupture of the left ventricle in association with severe lung contusion. We describe the initial surgical and medical management of the cardiac rupture which was associated with a massive haemoptysis due to severe lung trauma. Extra corporeal membrane oxygenation (ECMO) support was initiated and allowed both the acute heart and lung failure to recover. We discuss the successful use and pitfalls of ECMO techniques which are sparsely described in such severe combined cardiac and thoracic trauma. PMID:24829813

  16. Ruptured eardrum

    MedlinePlus

    Tympanic membrane perforation; Eardrum - ruptured or perforated; Perforated eardrum ... Buttaravoli P, Leffler SM. Perforated tympanic membrane (ruptured eardrum). ... PA: Mosby Elsevier; 2012:chap 37. Kerschner JE. Otitis ...

  17. Microstructural aspects of creep-rupture life of Type 316L(N) stainless steel in liquid sodium environment

    NASA Astrophysics Data System (ADS)

    Mishra, M. P.; Borgstedt, H. U.; Frees, G.; Seith, B.; Mannan, S. L.; Rodriguez, P.

    1993-04-01

    The influence of flowing sodium on creep-rupture properties of AISI Type 316L(N) stainless steel base material has been investigated at 550 and 600°C. In sodium test results were compared with reference creep-rupture data generated in air. The creep-rupture lives were longer in air than in sodium environment at 550°C, however, at 600°C, creep-rupture lives were longer in the latter than in the former environment. Microstructural studies showed the presence of sensitization and χ phase on longer duration test specimens at both temperatures. Surface cracks in sodium tested specimens were sharp and relatively more in numbers than in air where cracks were blunted. Cracks seem to follow the intergranular mode. Cavities were formed in long duration tests and propagated ahead of the χ phase.

  18. Deterministic and Probabilistic Creep and Creep Rupture Enhancement to CARES/Creep: Multiaxial Creep Life Prediction of Ceramic Structures Using Continuum Damage Mechanics and the Finite Element Method

    NASA Technical Reports Server (NTRS)

    Jadaan, Osama M.; Powers, Lynn M.; Gyekenyesi, John P.

    1998-01-01

    High temperature and long duration applications of monolithic ceramics can place their failure mode in the creep rupture regime. A previous model advanced by the authors described a methodology by which the creep rupture life of a loaded component can be predicted. That model was based on the life fraction damage accumulation rule in association with the modified Monkman-Grant creep ripture criterion However, that model did not take into account the deteriorating state of the material due to creep damage (e.g., cavitation) as time elapsed. In addition, the material creep parameters used in that life prediction methodology, were based on uniaxial creep curves displaying primary and secondary creep behavior, with no tertiary regime. The objective of this paper is to present a creep life prediction methodology based on a modified form of the Kachanov-Rabotnov continuum damage mechanics (CDM) theory. In this theory, the uniaxial creep rate is described in terms of stress, temperature, time, and the current state of material damage. This scalar damage state parameter is basically an abstract measure of the current state of material damage due to creep deformation. The damage rate is assumed to vary with stress, temperature, time, and the current state of damage itself. Multiaxial creep and creep rupture formulations of the CDM approach are presented in this paper. Parameter estimation methodologies based on nonlinear regression analysis are also described for both, isothermal constant stress states and anisothermal variable stress conditions This creep life prediction methodology was preliminarily added to the integrated design code CARES/Creep (Ceramics Analysis and Reliability Evaluation of Structures/Creep), which is a postprocessor program to commercially available finite element analysis (FEA) packages. Two examples, showing comparisons between experimental and predicted creep lives of ceramic specimens, are used to demonstrate the viability of this methodology and

  19. Rupture disc

    DOEpatents

    Newton, Robert G.

    1977-01-01

    The intermediate heat transport system for a sodium-cooled fast breeder reactor includes a device for rapidly draining the sodium therefrom should a sodium-water reaction occur within the system. This device includes a rupturable member in a drain line in the system and means for cutting a large opening therein and for positively removing the sheared-out portion from the opening cut in the rupturable member. According to the preferred embodiment of the invention the rupturable member includes a solid head seated in the end of the drain line having a rim extending peripherally therearound, the rim being clamped against the end of the drain line by a clamp ring having an interior shearing edge, the bottom of the rupturable member being convex and extending into the drain line. Means are provided to draw the rupturable member away from the drain line against the shearing edge to clear the drain line for outflow of sodium therethrough.

  20. Relation of Engine Turbine-blade Life to Stress-rupture Properties of the Alloys, Stellite 21, Hastelloy B, Cast S-816, Forged S-816, X-40, Nimonic 80, Refractaloy 26, N-155, and Inconel X

    NASA Technical Reports Server (NTRS)

    Garrett, F B; Yaker, C

    1951-01-01

    An investigation was conducted to relate the engine performance of the heat-resistant alloys, Stellite 21, Hastelloy B, cast S-816, forged S-816, X-40, Nimonic 80, Refractory 26, N-155, and Iconel X to their stress-rupture properties. The engine test consisted of the repetition of a 20-minute cycle, 15 minutes at rated speed and approximately 5 minutes at idle. The results of the investigation indicated a direct correlation between stress-rupture life and blade life for the relatively low-strength alloys. The stress-rupture life and blade life for the relatively high-strength alloys did not correlate because of the effects of the vibratory stresses and the corrosive-gas atmosphere.

  1. Arachnoid cyst spontaneous rupture.

    PubMed

    Marques, Inês Brás; Vieira Barbosa, José

    2014-01-01

    Arachnoid cysts are benign congenital cerebrospinal fluid collections, usually asymptomatic and diagnosed incidentally in children or adolescents. They may become symptomatic after enlargement or complications, frequently presenting with symptoms of intracranial hypertension. We report an unusual case of progressive refractory headache in an adult patient due to an arachnoid cyst spontaneous rupture. Although clinical improvement occurred with conservative treatment, the subdural hygroma progressively enlarged and surgical treatment was ultimately needed. Spontaneous rupture is a very rare complication of arachnoid cysts. Accumulation of cerebrospinal fluid accumulation in the subdural space causes sustained intracranial hypertension that may be life-threatening and frequently requires surgical treatment. Patients with arachnoid cysts must be informed on their small vulnerability to cyst rupture and be aware that a sudden and severe headache, especially if starting after minor trauma or a Valsalva manoeuvre, always requires medical evaluation. PMID:24581205

  2. High-Temperature Oxidation of Cr-Mo Steels and Its Relevance to Accelerated Rupture Testing and Life Assessment of In-Service Components

    NASA Astrophysics Data System (ADS)

    Singh Raman, R. K.; Al-Mazrouee, A.

    2007-08-01

    Use of accelerated creep rupture testing to assess the remaining life of components operating at elevated temperatures, such as pipes and tubes, is a common practice. At high temperatures, oxide growth can affect the creep results by diameter reduction and thus can increase the stress. However, the nature of oxide layer and hence oxidation behavior can be affected by minor changes in alloying composition of steels. This article presents the study of oxide-scale growth and specimen diameter reduction kinetics during oxidation of two Cr-Mo steels used in the manufacture of boiler tubing. Oxidation tests were carried out on 1.25Cr-0.5Mo and 2.25Cr-1Mo steels at 600 °C and 700 °C for times up to 1000 hours, using cylindrical specimens (similar to those used for creep testing). At 600 °C, the oxidation resistance of 2.25Cr-1Mo steel was superior to 1.25Cr-0.5Mo steel. However, the oxidation resistance of the two steels at 700 °C was similar in spite of the difference in their Cr contents. Multilayer oxide scales of oxides with various compositions were observed to have formed over the two steels. The similarity in oxidation kinetics of the two steels at 700 °C (in spite of differences in Cr contents) is ascribed to their Si contents and the predominant role of Si in oxidation at this temperature. The article also discusses implications of the variation in the oxidation kinetics to the stress enhancement in creep specimens due to scaling losses, and possible inaccuracies in creep data, as a result of minor variations in alloying composition.

  3. Premature rupture of membranes

    MedlinePlus

    ... When the water breaks early, it is called premature rupture of membranes (PROM). Most women will go ... th week of pregnancy, it is called preterm premature rupture of membranes (PPROM). The earlier your water ...

  4. Spontaneous Iliac Vein Rupture

    PubMed Central

    Kim, Dae Hwan; Park, Hyung Sub; Lee, Taeseung

    2015-01-01

    Spontaneous iliac vein rupture (SIVR) is a rare entity, which usually occurs without a precipitating factor, but can be a life-threatening emergency often requiring an emergency operation. This is a case report of SIVR in a 62-year-old female who presented to the emergency room with left leg swelling. Workup with contrast-enhanced computed tomography revealed a left leg deep vein thrombosis with May-Thurner syndrome and a hematoma in the pelvic cavity without definite evidence of arterial bleeding. She was managed conservatively without surgical intervention, and also underwent inferior vena cava filter insertion and subsequent anticoagulation therapy for pulmonary thromboembolism. This case shows that SIVR can be successfully managed with close monitoring and conservative management, and anticoagulation may be safely applied despite the patient presenting with venous bleeding. PMID:26217647

  5. Second-Trimester Uterine Rupture: Lessons Learnt

    PubMed Central

    F. ABDULWAHAB, Dalia; ISMAIL, Hamizah; NUSEE, Zalina

    2014-01-01

    Uterine rupture is a rare life-threatening complication. It mainly occurs in the third trimester of pregnancy and is rarely seen during the first or second trimesters. Our centre experienced three important cases of uterine rupture. First case: spontaneous uterine rupture at 14 weeks of pregnancy, which was diagnosed at autopsy. It was misled by the ultrasound finding of an intrauterine pregnancy, and searching for other non-gynaecological causes delayed the urgent obstetric surgical management. Second case: ruptured uterus at 24 weeks following medical termination due to foetal anomaly. It was diagnosed only at laparotomy indicated for failed medical termination and chorioamnionitis. Third case: uterine rupture at 21 weeks of pregnancy in a patient with gastroenterology symptoms. In these reports, we have discussed the various risk factors, presentations, course of events and difficulties in diagnosing uterine rupture. The study concludes that the clinical presentation of uterine ruptures varies. It occurs regardless of gestational age. Ultrasound findings of intrauterine pregnancy with free fluid do not exclude uterine rupture or ectopic pregnancy. Searching for non-gynaecological causes in such clinical presentations might delay crucial surgical intervention, which leads to unnecessary morbidity, mortality or loss of obstetrics function. PMID:25977625

  6. Glass rupture disk

    DOEpatents

    Glass, S. Jill; Nicolaysen, Scott D.; Beauchamp, Edwin K.

    2002-01-01

    A frangible rupture disk and mounting apparatus for use in blocking fluid flow, generally in a fluid conducting conduit such as a well casing, a well tubing string or other conduits within subterranean boreholes. The disk can also be utilized in above-surface pipes or tanks where temporary and controllable fluid blockage is required. The frangible rupture disk is made from a pre-stressed glass with controllable rupture properties wherein the strength distribution has a standard deviation less than approximately 5% from the mean strength. The frangible rupture disk has controllable operating pressures and rupture pressures.

  7. Life-threatening rupture of an external iliac artery pseudoaneurysm caused by necrotizing fasciitis following laparoscopic radical cystectomy: a case report

    PubMed Central

    2014-01-01

    Background Pseudoaneurysms are caused by trauma, tumors, infections, vasculitis, atherosclerosis and iatrogenic complications. In this paper, we report about a patient with rupture of an external iliac artery pseudoaneurysm, which lead to hemorrhagic shock, after undergoing laparoscopic radical cystectomy and extended pelvic lymphadenectomy. Case presentation The patient was a 68-year-old Japanese male diagnosed with invasive bladder cancer. Laparoscopic radical cystectomy and extended pelvic lymphadenectomy were performed. On postoperative day 12, he developed a high fever and an acute inflammatory response with redness and swelling in the right inguinal region. He was diagnosed with necrotizing fasciitis and underwent debridement. On postoperative day 42, a sudden hemorrhage developed from the open wound in the right inguinal region. He was diagnosed with external iliac artery pseudoaneurysm rupture by computed tomography. Conclusion These complications occur extremely rarely after cystectomy with pelvic lymphadenectomy. There are no reports to date on these complications following laparoscopic cystectomy with pelvic lymphadenectomy. PMID:24885366

  8. Ruptured rudimentary horn pregnancy at sixteen weeks.

    PubMed

    Zeqiri, Fehmi; Paçarada, Myrvete; Kongjeli, Niltene; Zeqiri, Vlora; Kongjeli, Gyltene; Krasniqi, Burim

    2010-01-01

    Pregnancy in a non-communicating rudimentary horn is very difficult to diagnose before it ruptures, leading to life -threatening intraperitoneal hemorrhage. A 22-year-old second gravida patient presented at the Emergency Center of the University Clinical Center of Kosova with a 16-week history of amenorrhea and acute onset of severe abdominal pain. She was resuscitated and taken for an emergency laparotomy under general anesthesia. Intraoperatively, there was a massive hemoperitoneum with a ruptured right rudimentary horn Given their rarity, ruptured rudimentary horn pregnancies are of interest. PMID:24591927

  9. Misdiagnosed Chest Pain: Spontaneous Esophageal Rupture

    PubMed Central

    Inci, Sinan; Gundogdu, Fuat; Gungor, Hasan; Arslan, Sakir; Turkyilmaz, Atila; Eroglu, Atila

    2013-01-01

    Chest pain is one of themost common complaints expressed by patients presenting to the emergency department, and any initial evaluation should always consider life-threatening causes. Esophageal rupture is a serious condition with a highmortality rate. If diagnosed, successful therapy depends on the size of the rupture and the time elapsed between rupture and diagnosis.We report on a 41-year-old woman who presented to the emergency department complaining of left-sided chest pain for two hours. PMID:27122690

  10. Fatigue crack propagation analysis of plaque rupture.

    PubMed

    Pei, Xuan; Wu, Baijian; Li, Zhi-Yong

    2013-10-01

    Rupture of atheromatous plaque is the major cause of stroke or heart attack. Considering that the cardiovascular system is a classic fatigue environment, plaque rupture was treated as a chronic fatigue crack growth process in this study. Fracture mechanics theory was introduced to describe the stress status at the crack tip and Paris' law was used to calculate the crack growth rate. The effect of anatomical variation of an idealized plaque cross-section model was investigated. The crack initiation was considered to be either at the maximum circumferential stress location or at any other possible locations around the lumen. Although the crack automatically initialized at the maximum circumferential stress location usually propagated faster than others, it was not necessarily the most critical location where the fatigue life reached its minimum. We found that the fatigue life was minimum for cracks initialized in the following three regions: the midcap zone, the shoulder zone, and the backside zone. The anatomical variation has a significant influence on the fatigue life. Either a decrease in cap thickness or an increase in lipid pool size resulted in a significant decrease in fatigue life. Comparing to the previously used stress analysis, this fatigue model provides some possible explanations of plaque rupture at a low stress level in a pulsatile cardiovascular environment, and the method proposed here may be useful for further investigation of the mechanism of plaque rupture based on in vivo patient data. PMID:23897295

  11. Ruptured rudimentary horn at 22 weeks.

    PubMed

    Dhar, Hansa

    2012-07-01

    Rudimentary horn is a developmental anomaly of the uterus. Pregnancy in a non-communicating rudimentary horn is very difficult to diagnose before it ruptures. A case of undiagnosed rudimentary horn pregnancy at 22 weeks presented to Nizwa regional referral hospital in shock with features of acute abdomen. Chances of rupture in first or second trimester are increased with catastrophic haemorrhage leading to increased maternal and perinatal morbidity and mortality. Management of such cases is a challenge till today due to diagnostic dilemma. Expertise in ultrasonography and early resort to surgical management is life saving in such cases. PMID:23293421

  12. Fault rupture segmentation

    NASA Astrophysics Data System (ADS)

    Cleveland, Kenneth Michael

    A critical foundation to earthquake study and hazard assessment is the understanding of controls on fault rupture, including segmentation. Key challenges to understanding fault rupture segmentation include, but are not limited to: What determines if a fault segment will rupture in a single great event or multiple moderate events? How is slip along a fault partitioned between seismic and seismic components? How does the seismicity of a fault segment evolve over time? How representative are past events for assessing future seismic hazards? In order to address the difficult questions regarding fault rupture segmentation, new methods must be developed that utilize the information available. Much of the research presented in this study focuses on the development of new methods for attacking the challenges of understanding fault rupture segmentation. Not only do these methods exploit a broader band of information within the waveform than has traditionally been used, but they also lend themselves to the inclusion of even more seismic phases providing deeper understandings. Additionally, these methods are designed to be fast and efficient with large datasets, allowing them to utilize the enormous volume of data available. Key findings from this body of work include demonstration that focus on fundamental earthquake properties on regional scales can provide general understanding of fault rupture segmentation. We present a more modern, waveform-based method that locates events using cross-correlation of the Rayleigh waves. Additionally, cross-correlation values can also be used to calculate precise earthquake magnitudes. Finally, insight regarding earthquake rupture directivity can be easily and quickly exploited using cross-correlation of surface waves.

  13. Ruptured, Intracranial Dermoid Cyst - A Visual Diagnosis?

    PubMed Central

    Scheer, Fabian; Andresen, Reimer

    2016-01-01

    Dermoid cysts are a very rare entity of intracranial tumours. The traumatic or non-traumatic rupture of the cyst wall is a serious complication that can be treated surgically or conservatively depending on the clinical symptoms. However, more common entities have to be considered as a differential diagnosis. We report on a female patient who was admitted with complaints of significant, prolonged headache and diffuse pain. Analysis of her blood and cerebrospinal fluid indicated no clear pathology. A CT examination of the head revealed a ruptured dermoid cyst adjacent to the left sphenoidal bone. An additional MRI was conducted to confirm the CT findings and rule out an intracranial ischemia or vasospasms. A conservative therapy was scheduled and the patient recovered well. Using current imaging techniques, especially magnetic resonance imaging, it is possible to identify a ruptured dermoid cyst by its pathognomonic signal behavior and rule out potentially life threatening complications. PMID:27190918

  14. Incomplete Cesarean Scar Rupture

    PubMed Central

    Ahmadi, Firoozeh; Siahbazi, Shiva; Akhbari, Farnaz

    2013-01-01

    Background Uterine rupture at the site of a previous cesarean scar is an uncommon but catastrophic complication of pregnancy, which is associated with significant maternal and fetal morbidity and mortality. Case Presentation A 30-year old woman at 24th week of gestation and complaint of pain, contractions and spotting was admitted in Royan Institute in Tehran, Iran. She had a past medical history of an EP and a cesarean section delivery, respectively 4 and 2 years before hospitalization. Herniation of an amniotic membrane into the maternal bladder was found on ultrasound examination. Conclusion Risk factors of cesarean scar rupture should be considered in women undergoing subsequent pregnancies as they need extra care. Ultrasonography can be used to evaluate women with previous cesarean section to assess the risks of scar rupture during subsequent pregnancies. PMID:23926561

  15. Blunt cardiac rupture.

    PubMed

    Martin, T D; Flynn, T C; Rowlands, B J; Ward, R E; Fischer, R P

    1984-04-01

    Blunt injury to the heart ranges from contusion to disruption. This report comprises 14 patients seen during a 6-year period with cardiac rupture secondary to blunt trauma. Eight patients were injured in automobile accidents, two patients were injured in auto-pedestrian accidents, two were kicked in the chest by ungulates, and two sustained falls. Cardiac tamponade was suspected in ten patients. Five patients presented with prehospital cardiac arrest or arrested shortly after arrival. All underwent emergency department thoracotomy without survival. Two patients expired in the operating room during attempted cardiac repair; both had significant extracardiac injury. Seven patients survived, three had right atrial injuries, three had right ventricular injuries, and one had a left atrial injury. Cardiopulmonary bypass was not required for repair of the surviving patients. There were no significant complications from the cardiac repair. The history of significant force dispersed over a relatively small area of the precordium as in a kicking injury from an animal or steering wheel impact should alert the physician to possible cardiac rupture. Cardiac rupture should be considered in patients who present with signs of cardiac tamponade or persistent thoracic bleeding after blunt trauma. PMID:6708151

  16. Premature rupture of membranes.

    PubMed Central

    Poma, P. A.

    1996-01-01

    The management of patients with premature rupture of membranes has changed markedly in the past several years. The basis for this is a combination of a better understanding of newborn physiology, improved neonatal care, refinements in antibiotic therapy, and the widespread use of maternal and fetal monitoring. The best outcome for both mother and infant undoubtedly reflects data based on a combination of factors, among which are gestational age survival, evidence of fetal distress, presence or absence of labor and sepsis, and of course, the cervical condition as it is related to labor-readiness. An important recent advance is the recognition that an active observation management program is associated with less morbidity and mortality than the classic management course of delivery within 12 hours of membrane rupture. The fact that preterm premature rupture of membranes tends to recur in subsequent pregnancies offers an opportunity for prevention. Moreover, advances in perinatal and neonatal care will continue to improve the outcomes of these women and their children. PMID:8583489

  17. Short term creep rupture predictions for tantalum alloy T-111

    SciTech Connect

    Stephens, J.J. )

    1991-01-01

    A knowledge of the short term creep rupture behavior of Tantalum alloy T-111 is necessary to predict device integrity in the heat source section of Radioisotope Thermoelectric Generators (RTGs) at the end of service life, in the event of a fuel fire. High pressures exist in RTGs near the end of service life, these are caused by gas generation resulting from radioactive decay of the nuclear fuel. The internal pressure exerts a significant hoop stress on the T-111 alloy structural containment member. This paper analyses the short term creep behavior (rupture times up to {similar to}2{times}10{sup 3} hrs.) of cold worked (CW) T-111 alloy, using the existing data of Stephenson (1967). Corellations for the time to rupture, time to 1% strain and minimum creep rate have been obtained from this data using multivariable linear regression analysis. These results are compared to other short term rupture data for T-111 alloy. Finally, at the stress/temperature levels relevant to the RTG fuel fire scenario near the end of service life, the rupture time correlation for T-111 alloy predicts a rupture time of approximately 100 hrs.

  18. Short term creep rupture predictions for Tantalum alloy T-3

    SciTech Connect

    Stephens, J.J.

    1991-01-01

    A knowledge of the short term creep rupture behavior of Tantalum alloy T-111 is necessary to predict device integrity in the heat source section of Radioisotope Thermoelectric Generators (RTG's) at the end of service life, in the event of a fuel fire. High pressures exist in RTG's near the end of service life, these are caused by gas generation resulting from radioactive decay of the nuclear fuel. The internal pressure exerts a significant hoop stress on the T-111 alloy structural containment member. This paper analyses the short term creep behavior (rupture times up to {approximately}2 {times} 10{sup 3} hrs.) of cold worked (CW) T-111 alloy, using the existing data of Stephenson (1967). Corellations for the time to rupture, time to 1% strain and minimum creep rate have been obtained from this data using multivariable linear regression analysis. These results are compared to other short term rupture data for T-111 alloy. Finally, at the stress/temperature levels relevant to the RTG fuel fire scenario near the end of service life, the rupture time correlation for T-111 alloy predicts a rupture time of approximately 100 hrs. 10 refs., 3 figs., 1 tab.

  19. Heat-to-Heat Variation in Creep Life and Fundamental Creep Rupture Strength of 18Cr-8Ni, 18Cr-12Ni-Mo, 18Cr-10Ni-Ti, and 18Cr-12Ni-Nb Stainless Steels

    NASA Astrophysics Data System (ADS)

    Abe, Fujio

    2016-06-01

    Metallurgical factors causing the heat-to-heat variation in time to rupture have been investigated for 300 series stainless steels for boiler and heat exchanger seamless tubes, 18Cr-8Ni (JIS SUS 304HTB), 18Cr-12Ni-Mo (JIS SUS 316HTB), 18Cr-10Ni-Ti (JIS SUS321 HTB), and 18Cr-12Ni-Nb (JIS SUS 347HTB), at 873 K to 1023 K (600 °C to 750 °C) using creep rupture data for nine heats of the respective steels in the NIMS Creep Data Sheets. The maximum time to rupture was 222,705.3 hours. The heat-to-heat variation in time to rupture of the 304HTB and 316HTB becomes more significant with longer test durations at times above ~10,000 hours at 973 K (700 °C) and reaches to about an order of magnitude difference between the strongest and weakest heats at 100,000 hours, whereas that of the 321HTB and 347HTB is very large of about an order of magnitude difference from a short time of ~100 hours to long times exceeding 100,000 hours at 873 K to 973 K (600 °C to 700 °C). The heat-to-heat variation in time to rupture is mainly explained by the effect of impurities: Al and Ti for the 304HTB and 316HTB, which reduces the concentration of dissolved nitrogen available for the creep strength by the formation of AlN and TiN during creep, and boron for the 347HTB, which enhances fine distributions of M23C6 carbides along grain boundaries. The heat-to-heat variation in time to rupture of the 321HTB is caused by the heat-to-heat variation in grain size, which is inversely proportional to the concentration of Ti. The fundamental creep rupture strength not influenced by impurities is estimated for the steels. The 100,000 hours-fundamental creep rupture strength of the 347HTB steel is lower than that of 304HTB and 316HTB at 873 K and 923 K (600 °C and 650 °C) because the slope of stress vs time to rupture curves is steeper in the 347HTB than in the 304HTB and 316HTB. The 100,000 hours-fundamental creep rupture strength of the 321HTB exhibits large variation depending on grain size.

  20. Heat-to-Heat Variation in Creep Life and Fundamental Creep Rupture Strength of 18Cr-8Ni, 18Cr-12Ni-Mo, 18Cr-10Ni-Ti, and 18Cr-12Ni-Nb Stainless Steels

    NASA Astrophysics Data System (ADS)

    Abe, Fujio

    2016-09-01

    Metallurgical factors causing the heat-to-heat variation in time to rupture have been investigated for 300 series stainless steels for boiler and heat exchanger seamless tubes, 18Cr-8Ni (JIS SUS 304HTB), 18Cr-12Ni-Mo (JIS SUS 316HTB), 18Cr-10Ni-Ti (JIS SUS321 HTB), and 18Cr-12Ni-Nb (JIS SUS 347HTB), at 873 K to 1023 K (600 °C to 750 °C) using creep rupture data for nine heats of the respective steels in the NIMS Creep Data Sheets. The maximum time to rupture was 222,705.3 hours. The heat-to-heat variation in time to rupture of the 304HTB and 316HTB becomes more significant with longer test durations at times above ~10,000 hours at 973 K (700 °C) and reaches to about an order of magnitude difference between the strongest and weakest heats at 100,000 hours, whereas that of the 321HTB and 347HTB is very large of about an order of magnitude difference from a short time of ~100 hours to long times exceeding 100,000 hours at 873 K to 973 K (600 °C to 700 °C). The heat-to-heat variation in time to rupture is mainly explained by the effect of impurities: Al and Ti for the 304HTB and 316HTB, which reduces the concentration of dissolved nitrogen available for the creep strength by the formation of AlN and TiN during creep, and boron for the 347HTB, which enhances fine distributions of M23C6 carbides along grain boundaries. The heat-to-heat variation in time to rupture of the 321HTB is caused by the heat-to-heat variation in grain size, which is inversely proportional to the concentration of Ti. The fundamental creep rupture strength not influenced by impurities is estimated for the steels. The 100,000 hours-fundamental creep rupture strength of the 347HTB steel is lower than that of 304HTB and 316HTB at 873 K and 923 K (600 °C and 650 °C) because the slope of stress vs time to rupture curves is steeper in the 347HTB than in the 304HTB and 316HTB. The 100,000 hours-fundamental creep rupture strength of the 321HTB exhibits large variation depending on grain size.

  1. A Three Year Clinicopathological Study of Cases of Rupture Uterus

    PubMed Central

    Rathod, Setu; Swain, Sujata

    2015-01-01

    Introduction Rupture uterus is a life threatening obstetric complication with serious maternal and fetal side-effects. We report a 3 year (2010-2013) retrospective clinical study of pregnancy with rupture uterus cases attending a tertiary care hospital. Aim The aim of the study was to evaluate the incidence of rupture uterus, incidence as per age, parity, clinical presentations, risk factors, complications and management. Materials and Methods Retrospective data of 74 cases of rupture uterus in SCB Medical college, Cuttack was collected from case records of 26,547 deliveries during a 3 year span (2010-2013). Parameters like cause of rupture, type, site of rupture and outcome were recorded. The collected data was analysed by SPSS software v19. Results Out of 26,547 deliveries during the three year period, there were 74 cases of rupture uterus with an incidence of rupture 1 in 359 (0.28%). The mean age of rupture uterus was 27.4 years. 95.8% were multigravida and majority were referred cases from low socioeconomic status. Only 40.5% had the required minimum of four antenatal visits as recommended by WHO (World Health Organisation). A total of 48.6% of cases with rupture uterus had history of previous Caesarean section. Prolonged labour was present in 75.6% of the cases. Only 12.2% of the cases had history of oxytocin use whereas 9.5% had undergone an operative vaginal delivery. Obstructed labour was the cause in 24.3% of cases, 85.1% had complete rupture. Majority had a rupture in the anterior wall (69%) and 81.1% had rupture in lower segment of uterus. Only 17.6% had broad ligament haematoma, 10.8% colporrhexis and 6.8% had associated bladder injury. Repair was possible in only 39.2% of cases, whereas majority landed up in hysterectomy. Internal iliac ligation was done in 2.7% of cases. Perinatal mortality was 90.5% whereas maternal death was seen in 13.5% cases. One patient developed VVF (vesicovaginal fistula). Duration of hospital stay was upto 14 days in 81

  2. Composite Overwrap Pressure Vessels: Mechanics and Stress Rupture Lifting Philosophy

    NASA Technical Reports Server (NTRS)

    Thesken, John C.; Murthy, Pappu L. N.; Phoenix, S. L.

    2009-01-01

    The NASA Engineering and Safety Center (NESC) has been conducting an independent technical assessment to address safety concerns related to the known stress rupture failure mode of filament wound pressure vessels in use on Shuttle and the International Space Station. The Shuttle s Kevlar-49 (DuPont) fiber overwrapped tanks are of particular concern due to their long usage and the poorly understood stress rupture process in Kevlar-49 filaments. Existing long term data show that the rupture process is a function of stress, temperature and time. However due to the presence of load sharing liners and the complex manufacturing procedures, the state of actual fiber stress in flight hardware and test articles is not clearly known. Indeed nonconservative life predictions have been made where stress rupture data and lifing procedures have ignored the contribution of the liner in favor of applied pressure as the controlling load parameter. With the aid of analytical and finite element results, this paper examines the fundamental mechanical response of composite overwrapped pressure vessels including the influence of elastic plastic liners and degraded/creeping overwrap properties. Graphical methods are presented describing the non-linear relationship of applied pressure to Kevlar-49 fiber stress/strain during manufacturing, operations and burst loadings. These are applied to experimental measurements made on a variety of vessel systems to demonstrate the correct calibration of fiber stress as a function of pressure. Applying this analysis to the actual qualification burst data for Shuttle flight hardware revealed that the nominal fiber stress at burst was in some cases 23 percent lower than what had previously been used to predict stress rupture life. These results motivate a detailed discussion of the appropriate stress rupture lifing philosophy for COPVs including the correct transference of stress rupture life data between dissimilar vessels and test articles.

  3. Ruptured tubal molar pregnancy.

    PubMed

    Yakasai, I A; Adamu, N; Galadanchi, H S

    2012-01-01

    Molar pregnancies in most instances develop within the uterine cavity, but may occur at any site. Ectopic molar pregnancy is a rare event. The objective of this study was to present a case of ruptured tubal molar gestation, discuss its clinical features and ways to improve diagnostic accuracy. A 35-year-old woman presented with features suggestive of ruptured tubal ectopic pregnancy. There was neither any evidence at the time of presentation to suspect a molar gestation, nor β human chorionic gonadotrophin (βhCG) hormone estimation was done, but only a clearview pregnancy test was carried out. She had total left salpingectomy and histological evaluation of the specimen revealed complete hydatidiform mole. The hCG level normalized within 3 weeks of follow-up. Clinical features of ectopic molar pregnancy may be indistinguishable from non-molar ectopic pregnancy. We recommend βhCG estimation as well as histological examination of the surgical specimen for all patients coming with features suggestive of ectopic pregnancy. PMID:23238205

  4. Staged Management of a Ruptured Internal Mammary Artery Aneurysm

    PubMed Central

    Kwon, O Young; Kim, Gun Jik; Oh, Tak Hyuk; Lee, Young Ok; Lee, Sang Cjeol; Cho, Jun Yong

    2016-01-01

    The rupture of an internal mammary artery (IMA) aneurysm in a patient with type 1 neurofibromatosis (NF-1) is a rare but life-threatening complication requiring emergency management. A 50-year-old man with NF-1 was transferred to the emergency department of Kyungpook National University Hospital, where an IMA aneurysmal rupture and hemothorax were diagnosed and drained. The IMA aneurysmal rupture and hemothorax were successfully repaired by staged management combining endovascular treatment and subsequent video-assisted thoracoscopic surgery (VATS). The patient required cardiopulmonary cerebral resuscitation, the staged management of coil embolization, and a subsequent VATS procedure. This staged approach may be an effective therapeutic strategy in cases of IMA aneurysmal rupture. PMID:27066438

  5. [Spontaneous rupture of mediastinal cystic teratoma (case report)].

    PubMed

    Ege, Gürkan; Akman, Haluk; Kuzucu, Kismet; Kalayci, Göksel

    2004-06-01

    Teratomas are rare tumors in the mediastinum. Benign cystic teratomas of anterior mediastinum are rarely complicated by rupture into an adjacent body cavity. Such rupture, however, is usually associated with life-threatening complications. We present a case with spontaneous rupture of mediastinal cystic teratoma. The patient was evaluated with chest radiograph, computed tomography (CT) and magnetic resonance imaging (MRI). A complex mass including predominantly cystic components was detected in the left anterior mediastinum. After surgery, pathologic diagnosis was reported as mature cystic teratoma. High levels of amylase and lipase were detected in both the cystic fluid and serum. This finding supported the hypothesis of autolysis for the explanation of rupture. In addition, carbohydrate antigen (CA) 19-9, CA 125 and carcinoembryonic antigen (CEA) levels were high in the cystic fluid. PMID:15236127

  6. Staged Management of a Ruptured Internal Mammary Artery Aneurysm.

    PubMed

    Kwon, O Young; Kim, Gun Jik; Oh, Tak Hyuk; Lee, Young Ok; Lee, Sang Cjeol; Cho, Jun Yong

    2016-04-01

    The rupture of an internal mammary artery (IMA) aneurysm in a patient with type 1 neurofibromatosis (NF-1) is a rare but life-threatening complication requiring emergency management. A 50-year-old man with NF-1 was transferred to the emergency department of Kyungpook National University Hospital, where an IMA aneurysmal rupture and hemothorax were diagnosed and drained. The IMA aneurysmal rupture and hemothorax were successfully repaired by staged management combining endovascular treatment and subsequent video-assisted thoracoscopic surgery (VATS). The patient required cardiopulmonary cerebral resuscitation, the staged management of coil embolization, and a subsequent VATS procedure. This staged approach may be an effective therapeutic strategy in cases of IMA aneurysmal rupture. PMID:27066438

  7. Spontaneous rupture on irregular faults

    NASA Astrophysics Data System (ADS)

    Liu, C.

    2014-12-01

    It is now know (e.g. Robinson et al., 2006) that when ruptures propagate around bends, the rupture velocity decrease. In the extreme case, a large bend in the fault can stop the rupture. We develop a 2-D finite difference method to simulate spontaneous dynamic rupture on irregular faults. This method is based on a second order leap-frog finite difference scheme on a uniform mesh of triangles. A relaxation method is used to generate an irregular fault geometry-conforming mesh from the uniform mesh. Through this numerical coordinate mapping, the elastic wave equations are transformed and solved in a curvilinear coordinate system. Extensive numerical experiments using the linear slip-weakening law will be shown to demonstrate the effect of fault geometry on rupture properties. A long term goal is to simulate the strong ground motion near the vicinity of bends, jogs, etc.

  8. Short-lived Supershear Rupture

    NASA Astrophysics Data System (ADS)

    Fukuyama, E.; Xu, S.; Yamashita, F.; Mizoguchi, K.; Takizawa, S.; Kawakata, H.

    2015-12-01

    Fukuyama and Olsen (2002) computed the supershear rupture initiation, propagation and termination process due to a passage of high stress drop area (called asperity) using a boundary integral equation method. They found that supershear rupture continued to propagate after the passage through high stress drop area but it died after a certain propagation distance, which depends on the elastic energy released at the high stress drop area. Here, we could reproduce a similar phenomenon in the laboratory. We conducted large-scale biaxial friction experiments using a pair of meter-scaled metagabbro rock specimens (VP=6.9km/s, VS=3.6km/s) at the National Research institute for Earth Science and Disaster Prevention (NIED). We observed several stick slip rupture events that initiated close to an asperity and immediately became supershear ruptures. But after propagating certain distance they died out and co-existing subshear ruptures became prominent. If we look into details, during the supershear rupture, we could see a sequence of rupture acceleration, its short rest and re-acceleration. This feature reminds us of a sequential breakage of small high stress patches as predicted by Fukuyama and Madariaga (2000). These observations might be interpreted under a concept of energy balance where the energy transmission from strain energy released by the asperity to fracture energy consumed at the crack tip was not instantaneously balanced in space. This could be related to the fact that earthquake rupture velocity is rather smooth reported from the finite fault analysis of large earthquakes with seismic waveforms. References Fukuyama, E. and R. Madariaga (2000) Dynamic propagation and interaction of a rupture front on a planar fault, PAGEOPH, 257, 1959-1979. Fukuyama, E. and K.B. Olsen (2002) A condition for super-shear rupture propagation in a heterogeneous stress field, PAGEOPH, 159, 2047-2056.

  9. A Case of Post Myocardial Infarction Papillary Muscle Rupture.

    PubMed

    Anuwatworn, Amornpol; Milnes, Christopher; Kumar, Vishesh; Raizada, Amol; Nykamp, Verlyn; Stys, Adam

    2016-06-01

    Papillary muscle rupture is a rare, life-threatening post myocardial infarction mechanical complication. Without surgical intervention, prognosis is very poor. Clinicians need to recognize this complication early, as prompt therapy is crucial. We present a case of inferior ST elevation myocardial infarction complicated by posteromedial papillary muscle rupture resulting in severe acute mitral regurgitation (flail anterior mitral leaflet), acute pulmonary edema and cardiogenic shock. In our patient, a new mitral regurgitation murmur suggested this mechanical complication. Complete disruption of papillary muscle was visualized by transesophageal echocardiography. This case illustrates the importance of good physical examination for early diagnosis of papillary muscle rupture, so that life-saving treatment can be administered without delay. PMID:27443107

  10. Ruptured thought: rupture as a critical attitude to nursing research.

    PubMed

    Beedholm, Kirsten; Lomborg, Kirsten; Frederiksen, Kirsten

    2014-04-01

    In this paper, we introduce the notion of ‘rupture’ from the French philosopher Michel Foucault, whose studies of discourse and governmentality have become prominent within nursing research during the last 25 years. We argue that a rupture perspective can be helpful for identifying and maintaining a critical potential within nursing research. The paper begins by introducing rupture as an inheritance from the French epistemological tradition. It then describes how rupture appears in Foucault's works, as both an overall philosophical approach and as an analytic tool in his historical studies. Two examples of analytical applications of rupture are elaborated. In the first example, rupture has inspired us to make an effort to seek alternatives to mainstream conceptions of the phenomenon under study. In the second example, inspired by Foucault's work on discontinuity, we construct a framework for historical epochs in nursing history. The paper concludes by discussing the potential of the notion of rupture as a response to the methodological concerns regarding the use of Foucault-inspired discourse analysis within nursing research. We agree with the critique of Cheek that the critical potential of discourse analysis is at risk of being undermined by research that tends to convert the approach into a fixed method. PMID:24741691

  11. Achilles tendon rupture rehabilitation

    PubMed Central

    Kearney, R. S.; Parsons, N.; Underwood, M.; Costa, M. L.

    2015-01-01

    Objectives The evidence base to inform the management of Achilles tendon rupture is sparse. The objectives of this research were to establish what current practice is in the United Kingdom and explore clinicians’ views on proposed further research in this area. This study was registered with the ISRCTN (ISRCTN68273773) as part of a larger programme of research. Methods We report an online survey of current practice in the United Kingdom, approved by the British Orthopaedic Foot and Ankle Society and completed by 181 of its members. A total of ten of these respondents were invited for a subsequent one-to-one interview to explore clinician views on proposed further research in this area. Results The survey showed wide variations in practice, with patients being managed in plaster cast alone (13%), plaster cast followed by orthoses management (68%), and orthoses alone (19%). Within these categories, further variation existed regarding the individual rehabilitation facets, such as the length of time worn, the foot position within them and weight-bearing status. The subsequent interviews reflected this clinical uncertainty and the pressing need for definitive research. Conclusions The gap in evidence in this area has resulted in practice in the United Kingdom becoming varied and based on individual opinion. Future high-quality randomised trials on this subject are supported by the clinical community. Cite this article: Bone Joint Res 2015;4:65–9 PMID:25868938

  12. Composite Overwrapped Pressure Vessels (COPV) Stress Rupture Test

    NASA Technical Reports Server (NTRS)

    Russell, Richard; Flynn, Howard; Forth, Scott; Greene, Nathanael; Kezian, Michael; Varanauski, Don; Yoder, Tommy; Woodworth, Warren

    2009-01-01

    One of the major concerns for the aging Space Shuttle fleet is the stress rupture life of composite overwrapped pressure vessels (COPVs). Stress rupture life of a COPV has been defined as the minimum time during which the composite maintains structural integrity considering the combined effects of stress levels and time. To assist in the evaluation of the aging COPVs in the Orbiter fleet an analytical reliability model was developed. The actual data used to construct this model was from testing of COPVs constructed of similar, but not exactly same materials and pressure cycles as used on Orbiter vessels. Since no actual Orbiter COPV stress rupture data exists the Space Shuttle Program decided to run a stress rupture test to compare to model predictions. Due to availability of spares, the testing was unfortunately limited to one 40" vessel. The stress rupture test was performed at maximum operating pressure at an elevated temperature to accelerate aging. The test was performed in two phases. The first phase, 130 F, a moderately accelerated test designed to achieve the midpoint of the model predicted point reliability. The more aggressive second phase, performed at 160 F was designed to determine if the test article will exceed the 95% confidence interval of the model. This paper will discuss the results of this test, it's implications and possible follow-on testing.

  13. Spontaneous rupture of the spleen associated with Legionella pneumonia

    PubMed Central

    Casanova-Roman, Manuel; Casas, Javier; Sanchez-Porto, Antonio; Nacle, Belen

    2010-01-01

    Spontaneous rupture of the spleen associated with Legionella pneumonia is a rare and life-threatening complication; only three cases have been reported to date. The authors describe a case of a 47-year-old man who presented with pneumonia and abdominal pain. He underwent a splenectomy, and was successfully treated with clarithromycin and levofloxacin. PMID:21886641

  14. The ruptured PIP breast implant.

    PubMed

    Helyar, V; Burke, C; McWilliams, S

    2013-08-01

    Public concern erupted about the safety of Poly Implant Prothèse (PIP) breast implants when it was revealed in 2011 that they contained an inferior, unlicensed industrial-grade silicone associated with a high rate of rupture. There followed national guidance for UK clinicians, which led to a considerable increase in referrals of asymptomatic women for breast implant assessment. In this review we discuss possible approaches to screening the PIP cohort and the salient characteristics of a ruptured implant. PMID:23622796

  15. Percutaneous bail-out treatment of vein graft rupture with a polytetrafluoroethylene-covered stent.

    PubMed

    Pavlidis, Antonios N; Karamasis, Grigorios V; Clapp, Brian R

    2013-12-01

    Vessel perforation is an undesirable and life-threatening complication during vein graft angioplasty. We report on a case of vein graft rupture during angioplasty, which was successfully managed with deployment of a polytetrafluoroethylene-covered stent. PMID:24160712

  16. Spontaneous Liver Rupture After Treatment With Drug-Eluting Beads

    SciTech Connect

    Ritter, C. O.; Wartenberg, M.; Mottok, A.; Steger, U.; Goltz, J. P.; Hahn, D.; Kickuth, R.

    2012-02-15

    Spontaneous rupture of hepatocellular carcinoma (HCC) after transcatheter arterial chemoembolization (TACE) is a rare and life-threatening complication. Pathophysiologic mechanisms are not yet fully known; it is suggested that rupture is preceded by reactive tissue edema and intratumerous bleeding, leading to a rapid expansion of tumour mass with risk of extrahepatic bleeding in the case of subcapsular localisation. This case report discusses a sudden, unexpected lethal complication in a 74 year-old male patient treated with TACE using DC Bead loaded with doxorubicin (DEBDOX) in a progressive multifocal HCC.

  17. Ruptured ectopic pregnancy in rudimentary horn of the uterus.

    PubMed

    Tufail, Amber; Hashmi, Haleema A

    2007-02-01

    Rudimentary horn is one of the rarest congenital uterine anomalies and consists of a relatively normal appearing uterus on one side with a rudimentary horn on the other side. It is difficult to diagnose before surgery and hazardous to maternal life as rupture of pregnant horn result in severe hemoperitoneum. Case of rudimentary horn pregnancy is reported in a lady with history of habitual abortion and signs and symptoms of acute adnexal pathology. Exploratory laparotomy revealed ruptured rudimentary horn pregnancy. Excision of accessory horn was done. PMID:17288859

  18. Composite Overwrapped Pressure Vessel (COPV) Stress Rupture Testing

    NASA Technical Reports Server (NTRS)

    Greene, Nathanael J.; Saulsberry, Regor L.; Leifeste, Mark R.; Yoder, Tommy B.; Keddy, Chris P.; Forth, Scott C.; Russell, Rick W.

    2010-01-01

    This paper reports stress rupture testing of Kevlar(TradeMark) composite overwrapped pressure vessels (COPVs) at NASA White Sands Test Facility. This 6-year test program was part of the larger effort to predict and extend the lifetime of flight vessels. Tests were performed to characterize control parameters for stress rupture testing, and vessel life was predicted by statistical modeling. One highly instrumented 102-cm (40-in.) diameter Kevlar(TradeMark) COPV was tested to failure (burst) as a single-point model verification. Significant data were generated that will enhance development of improved NDE methods and predictive modeling techniques, and thus better address stress rupture and other composite durability concerns that affect pressure vessel safety, reliability and mission assurance.

  19. Composite Overwrapped Pressure Vessel(COPV) Stress Rupture Testing

    NASA Astrophysics Data System (ADS)

    Greene, Nathanael J.; Saulsberry, Regor L.; Leifeste, Mark, R.; Yoder, Tommy B.; Keddy, Chris P.; Forth, Scott C.; Russell, Rick W.

    2010-09-01

    This paper reports stress rupture testing of Kevlar® composite overwrapped pressure vessels(COPVs) at NASA White Sands Test Facility. This 6-year test program was part of the larger effort to predict and extend the lifetime of flight vessels. Tests were performed to characterize control parameters for stress rupture testing, and vessel life was predicted by statistical modeling. One highly instrumented 102-cm(40-in.) diameter Kevlar® COPV was tested to failure(burst) as a single-point model verification. Significant data were generated that will enhance development of improved NDE methods and predictive modeling techniques, and thus better address stress rupture and other composite durability concerns that affect pressure vessel safety, reliability and mission assurance.

  20. Array Measurements of Earthquake Rupture.

    NASA Astrophysics Data System (ADS)

    Goldstein, Peter

    Accurate measurements of earthquake rupture are an essential step in the development of an understanding of the earthquake source process. In this dissertation new array analysis techniques are developed and used to make the first measurements of two-dimensional earthquake rupture propagation. In order to measure earthquake rupture successfully it is necessary to account for the nonstationary behavior of seismic waves and nonplanar wavefronts due to time delays caused by local heterogeneities. Short time windows are also important because they determine the precision with which it is possible to measure rupture times of earthquake sources. The subarray spatial averaging and seismogram alignment methods were developed for these reasons. The basic algorithm which is used to compute frequency-wavenumber power spectra is the multiple signal characterization (MUSIC) method. Although a variety of methods could be applied with subarray spatial averaging and seismogram alignment, MUSIC is used because it has better resolution of multiple sources than other currently available methods and it provides a unique solution. Power spectra observed at the array are converted into source locations on the fault plane by tracing rays through a layered medium. A dipping layer correction factor is introduced to account for a laterally varying basin structure such as that found beneath the SMART 1 array in Taiwan. A framework is presented that allows for the estimation of precision and resolution of array measurements of source locations and can be used to design an optimum array for a given source. These methods are used to show that the November 14th 1986, M_{L} = 7.0 Hualien, Taiwan earthquake began as a shallow event with unilateral rupture from southwest to northeast. A few seconds later a second, deeper and larger event began rupturing from below the hypocentral region from southwest to northeast slightly down-dip. Energy density estimates indicate larger energy sources at greater

  1. Rupture of the tracheobronchial tree.

    PubMed Central

    Roxburgh, J C

    1987-01-01

    Eleven cases of tracheobronchial rupture are described. Nine were the result of external non-penetrating trauma and all but three had other serious injuries. The remaining two were caused by endobronchial intubation. Of the cases caused by external injury, respiratory tract injury was confined to the cervical trachea in three. Two required tracheostomy and repair and the third was managed conservatively; all made satisfactory recoveries. Intrathoracic rupture was recognised on or soon after admission in three cases. One patient died of uncontrollable pulmonary haemorrhage before he could be operated on; immediate repair gave good long term results in the other two. In three cases rupture of the main bronchus was not recognised until complete obstruction developed three, five, and 12 weeks after the accidents. The strictures were resected and the lung re-expanded. Robertshaw endobronchial tubes ruptured the left main bronchus in two patients undergoing oesophageal surgery. Uneventful recovery followed immediate repair. The difficulty of confirming rupture of a major airway is discussed and the importance of conserving the lung when the diagnosis has been missed is emphasised. Images PMID:3317977

  2. Creep rupture testing of carbon fiber-reinforced epoxy composites

    NASA Astrophysics Data System (ADS)

    Burton, Kathryn Anne

    Carbon fiber is becoming more prevalent in everyday life. As such, it is necessary to have a thorough understanding of, not solely general mechanical properties, but of long-term material behavior. Creep rupture testing of carbon fiber is very difficult due to high strength and low strain to rupture properties. Past efforts have included testing upon strands, single tows and overwrapped pressure vessels. In this study, 1 inch wide, [0°/90°]s laminated composite specimens were constructed from fabric supplied by T.D. Williamson Inc. Specimen fabrication methods and gripping techniques were investigated and a method was developed to collect long term creep rupture behavior data. An Instron 1321 servo-hydraulic material testing machine was used to execute static strength and short term creep rupture tests. A hanging dead-weight apparatus was designed to perform long-term creep rupture testing. The testing apparatus, specimens, and specimen grips functioned well. Collected data exhibited a power law distribution and therefore, a linear trend upon a log strength-log time plot. Statistical analysis indicated the material exhibited slow degradation behavior, similar to previous studies, and could maintain a 50 year carrying capacity at 62% of static strength, approximately 45.7 ksi.

  3. Spontaneous rupture of hepatic hemangiomas: A review of the literature

    PubMed Central

    Jr, Marcelo AF Ribeiro; Papaiordanou, Francine; Gonçalves, Juliana M; Chaib, Eleazar

    2010-01-01

    Hepatic hemangiomas are congenital vascular malformations, considered the most common benign mesenchymal hepatic tumors, composed of masses of blood vessels that are atypical or irregular in arrangement and size. Hepatic hemangiomas can be divided into two major groups: capillary hemangiomas and cavernous hemangiomas These tumors most frequently affect females (80%) and adults in their fourth and fifth decades of life. Most cases are asymptomatic although a few patients may present with a wide variety of clinical symptoms, with spontaneous or traumatic rupture being the most severe complication. In cases of spontaneous rupture, clinical manifestations consist of sudden abdominal pain, and anemia secondary to a haemoperitoneum. Disseminated intravascular coagulopathy can also occur. Haemodynamic instability and signs of hypovolemic shock appear in about one third of cases. As the size of the hemangioma increases, so does the chance of rupture. Imaging studies used in the diagnosis of hepatic hemangiomas include ultrasonography, dynamic contrast-enchanced computed tomography scanning, magnetic resonance imaging, hepatic arteriography, digital subtraction angiography, and nuclear medicine studies. In most cases hepatic hemangiomas are asymptomatic and should be followed up by means of periodic radiological examination. Surgery should be restricted to specific situations. Absolute indications for surgery are spontaneous or traumatic rupture with hemoperitoneum, intratumoral bleeding and consumptive coagulopathy (Kassabach-Merrit syndrome). In a patient presenting with acute abdominal pain due to unknown abdominal disease, spontaneous rupture of a hepatic tumor such as a hemangioma should be considered as a rare differential diagnosis. PMID:21191518

  4. Self-Rupturing Hermetic Valve

    NASA Technical Reports Server (NTRS)

    Tucker, Curtis E., Jr.; Sherrit, Stewart

    2011-01-01

    For commercial, military, and aerospace applications, low-cost, small, reliable, and lightweight gas and liquid hermetically sealed valves with post initiation on/off capability are highly desirable for pressurized systems. Applications include remote fire suppression, single-use system-pressurization systems, spacecraft propellant systems, and in situ instruments. Current pyrotechnic- activated rupture disk hermetic valves were designed for physically larger systems and are heavy and integrate poorly with portable equipment, aircraft, and small spacecraft and instrument systems. Additionally, current pyrotechnically activated systems impart high g-force shock loads to surrounding components and structures, which increase the risk of damage and can require additional mitigation. The disclosed mechanism addresses the need for producing a hermetically sealed micro-isolation valve for low and high pressure for commercial, aerospace, and spacecraft applications. High-precision electrical discharge machining (EDM) parts allow for the machining of mated parts with gaps less than a thousandth of an inch. These high-precision parts are used to support against pressure and extrusion, a thin hermetically welded diaphragm. This diaphragm ruptures from a pressure differential when the support is removed and/or when the plunger is forced against the diaphragm. With the addition of conventional seals to the plunger and a two-way actuator, a derivative of this design would allow nonhermetic use as an on/off or metering valve after the initial rupturing of the hermetic sealing disk. In addition, in a single-use hermetically sealed isolation valve, the valve can be activated without the use of potential leak-inducing valve body penetrations. One implementation of this technology is a high-pressure, high-flow-rate rupture valve that is self-rupturing, which is advantageous for high-pressure applications such as gas isolation valves. Once initiated, this technology is self

  5. Case report: Open replacement of incomplete semi-circular traumatic ruptures of the ascending and descending aorta.

    PubMed

    Mytsyk, Miroslawa; Grapow, Martin T R; Shahinian, Jasmin; Maurer, Markus; Gurke, Lorenz; Eckstein, Friedrich S

    2016-01-01

    An incomplete traumatic rupture of the ascending aorta is a rare but life-threatening condition. Hence, the assessment of the extent of the injury prior to therapy is crucial. We report a case of a 50-year-old male with traumatic aortic rupture who underwent emergency surgery after the evaluation of computed tomography scan (CT-scan). The surgical treatment involved replacement of the ascending aorta and stent implantation in descending aorta due to its covered rupture. PMID:27422556

  6. Rupture interaction with fault jogs

    NASA Astrophysics Data System (ADS)

    Sibson, Richard H.

    Propagation of moderate to large earthquake ruptures within major transcurrent fault systems is affected by their large-scale brittle infrastructure, comprising echelon segmentation and curvature of principal slip surfaces (PSS) within typically ˜1 km wide main fault zones. These PSS irregularities are classified into dilational and antidilational fault jogs depending on the tendency for areal increase or reduction, respectively, across the jog structures. High precision microearthquake studies show that the jogs often extend throughout the seismogenic regime to depths of around 10 km. On geomorphic evidence, the larger jogs may persist for periods >105 years. While antidilational jogs form obstacles to both short- and long-term displacements, dilational jogs appear to act as kinetic barriers capable of perturbing or arresting earthquake ruptures, but allowing time-dependent slip transfer. In the case of antidilational jogs slip transfer is accommodated by widespread subsidiary faulting, but for dilational jogs it additionally involves extensional fracture opening localized in the echelon stepover. In fluid-saturated crust, the rapid opening of linking extensional fracture systems to allow passage of earthquake ruptures is opposed by induced suctions which scale with the width of the jog. Rupture arrest at dilational jogs may then be followed by delayed slip transfer as fluid pressures reequilibrate by diffusion. Aftershock distributions associated with the different fault jogs reflect these contrasts in their internal structure and mechanical response.

  7. Concomitant Vesicouterine Rupture with Avulsion of Ureter: A Rare Complication of Vaginal Birth after Cesarean Section

    PubMed Central

    Thiek, J Lalnunnem; Sialo, Stephen; Ahanthem, Santa Singh

    2016-01-01

    Uterine rupture is the most serious and life threatening complication and occurs in 0.7-0.9% of vaginal birth after lower segment caesarean section. Cases of bladder rupture along with uterine rupture have been rarely reported and avulsion of ureter, required ureteric implantation is even rarer. This case report describe a very rare case of vesicouterine rupture with avulsion of ureter following vacuum assisted delivery in a grandmulti with previous lower segment cesarean section (LSCS). Haematuria is the most common presentation of bladder rupture. Antenatal counseling regarding this entity is recommended if woman opted for vaginal birth after cesarean section. Intrapartum and postpartum high index of suspicion are important in clinching the diagnosis. PMID:27134952

  8. Quadriceps Tendon Rupture due to Postepileptic Convulsion

    PubMed Central

    Erkut, Adem; Guvercin, Yilmaz; Sahin, Rifat; Keskin, Davut

    2014-01-01

    We present a case of quadriceps tendon (QT) rupture. QT ruptures can occur in all ages. The cause is mostly traumatic in origin. Spontaneous ruptures that are thought to result from predisposing conditions are rare. Post-convulsion QT ruptures lacking traumas in their history can be overlooked in clinical examinations. This should be born in mind by the attending physician, as early diagnosis and treatment of the condition can lead to satisfactory outcomes. PMID:24944977

  9. Unresponsive primipara after rupture of membranes.

    PubMed

    Buechel, Johanna; Berset, Andreas; Lehmann, Michael A; Lapaire, Olav

    2015-01-01

    Amniotic fluid embolism, also called anaphylactoid syndrome of pregnancy, is a rare but severe problem in obstetrics. It occurs in 8/100,000 births and the maternal mortality is up to 90%. We report the case of a patient with amniotic fluid embolism who was transferred to our hospital. The initial presentation was an unresponsive patient after spontaneous rupture of the membranes. The massive hypotension and coagulopathy as well as fetal bradycardia of 60 bpm led, after stabilisation of the mother, to an emergency caesarean section. The neonate expired hours later, despite neonatological intensive care. During the operation, we had to deal with massive bleeding due to the coagulopathy. Through interdisciplinary teamwork including Bakri postpartum balloon insertion through the obstetrics team, uterine artery embolism by the interventional radiologists and transfusion of blood products, the maternal life was saved and the patient was discharged 9 days after admission. PMID:25883261

  10. Mechanics of Multifault Earthquake Ruptures

    NASA Astrophysics Data System (ADS)

    Fletcher, J. M.; Oskin, M. E.; Teran, O.

    2015-12-01

    The 2010 El Mayor-Cucapah earthquake of magnitude Mw 7.2 produced the most complex rupture ever documented on the Pacific-North American plate margin, and the network of high- and low-angle faults activated in the event record systematic changes in kinematics with fault orientation. Individual faults have a broad and continuous spectrum of slip sense ranging from endmember dextral strike slip to normal slip, and even faults with thrust sense of dip slip were commonly observed in the aftershock sequence. Patterns of coseismic slip are consistent with three-dimensional constrictional strain and show that integrated transtensional shearing can be accommodated in a single earthquake. Stress inversions of coseismic surface rupture and aftershock focal mechanisms define two coaxial, but permuted stress states. The maximum (σ1) and intermediate (σ2) principal stresses are close in magnitude, but flip orientations due to topography- and density-controlled gradients in lithostatic load along the length of the rupture. Although most large earthquakes throughout the world activate slip on multiple faults, the mechanical conditions of their genesis remain poorly understood. Our work attempts to answer several key questions. 1) Why do complex fault systems exist? They must do something that simple, optimally-oriented fault systems cannot because the two types of faults are commonly located in close proximity. 2) How are faults with diverse orientations and slip senses prepared throughout the interseismic period to fail spontaneously together in a single earthquake? 3) Can a single stress state produce multi-fault failure? 4) Are variations in pore pressure, friction and cohesion required to produce simultaneous rupture? 5) How is the fabric of surface rupture affected by variations in orientation, kinematics, total geologic slip and fault zone architecture?

  11. A Retrospective Analysis of Ruptured Breast Implants

    PubMed Central

    Baek, Woo Yeol; Lew, Dae Hyun

    2014-01-01

    Background Rupture is an important complication of breast implants. Before cohesive gel silicone implants, rupture rates of both saline and silicone breast implants were over 10%. Through an analysis of ruptured implants, we can determine the various factors related to ruptured implants. Methods We performed a retrospective review of 72 implants that were removed for implant rupture between 2005 and 2014 at a single institution. The following data were collected: type of implants (saline or silicone), duration of implantation, type of implant shell, degree of capsular contracture, associated symptoms, cause of rupture, diagnostic tools, and management. Results Forty-five Saline implants and 27 silicone implants were used. Rupture was diagnosed at a mean of 5.6 and 12 years after insertion of saline and silicone implants, respectively. There was no association between shell type and risk of rupture. Spontaneous was the most common reason for the rupture. Rupture management was implant change (39 case), microfat graft (2 case), removal only (14 case), and follow-up loss (17 case). Conclusions Saline implants have a shorter average duration of rupture, but diagnosis is easier and safer, leading to fewer complications. Previous-generation silicone implants required frequent follow-up observation, and it is recommended that they be changed to a cohesive gel implant before hidden rupture occurs. PMID:25396188

  12. 46 CFR 64.61 - Rupture disc.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 2 2014-10-01 2014-10-01 false Rupture disc. 64.61 Section 64.61 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.61 Rupture disc. If a rupture...

  13. 46 CFR 64.61 - Rupture disc.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 2 2013-10-01 2013-10-01 false Rupture disc. 64.61 Section 64.61 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.61 Rupture disc. If a rupture...

  14. 46 CFR 64.61 - Rupture disc.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Rupture disc. 64.61 Section 64.61 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.61 Rupture disc. If a rupture...

  15. 46 CFR 64.61 - Rupture disc.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Rupture disc. 64.61 Section 64.61 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.61 Rupture disc. If a rupture...

  16. 46 CFR 64.61 - Rupture disc.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 2 2012-10-01 2012-10-01 false Rupture disc. 64.61 Section 64.61 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.61 Rupture disc. If a rupture...

  17. [Uterine rupture. A case of spontaneous rupture in a thirty week primiparous gestation ].

    PubMed

    Bretones, S; Cousin, C; Gualandi, M; Mellier, G

    1997-01-01

    Uterine rupture is one of the major complications of pregnancy. Most spontaneous uterine ruptures occur during labor in parturients with a scarred uterus. Spontaneous rupture where the uterus is unscarred are more rare and occur more frequently in older multiparous patients. Starting from a case of uterine rupture occurring in a 40 year-old primiparous women, we will present a review of the literature concerning cases of rupture in healthy uteri with no obvious cause. PMID:9265057

  18. Creep-rupture behavior of iron superalloys in high-pressure hydrogen

    NASA Technical Reports Server (NTRS)

    Bhattacharyya, S.; Peterman, W.

    1984-01-01

    The creep-rupture properties of five iron-base and one cobalt-base high temperature alloys were investigated to assess the feasibility of using the alloys as construction materials in a Stirling engine. The alloys were heat treated and hardness measurements were taken. Typical microstructures of the alloys are shown. The creep-rupture properties of the alloys were determined at 760 and 815 C in 15.0 MPa H2 for 200 to 1000 hours. Plots of rupture life versus stress for the six superalloys are presented along with creep strain-time plots.

  19. Mycotic Aneurysm of the Celiac Trunk: From Early CT Sign to Rupture

    SciTech Connect

    Serafino, Gianpiero Vroegindeweij, Dammis; Boks, Simone; Harst, Erwin van der

    2005-06-15

    We present a case of the rapid development and rupture of a mycotic celiac trunk aneurysm. Initiallyon multislice computed tomography (ms-CT) there was a normal celiac trunk with minimal haziness of the surrounding fat. Only 2 weeks later the patient went into hypovolemic shock due to a ruptured celiac aneurysm. Although aneurysms of the visceral arteries are rare, they are of major clinical importance as they carry a life-threatening risk of rupture. This case illustrates the use of ms-CT in detecting and evaluating visceral aneurysms, in order to prevent emergency operation.

  20. Traumatic bilateral Achilles tendon rupture in a young athlete treated with percutaneous tenorrhaphy

    PubMed Central

    MACERA, ARMANDO; CARULLI, CHRISTIAN; MATASSI, FABRIZIO; VENEZIANI, CARLO; INNOCENTI, MASSIMO

    2015-01-01

    While rupture of the Achilles tendon is one of the most frequent injuries sustained in sports and physical activity, bilateral Achilles tendon rupture is uncommon. We present the case of a 33-year-old man who sustained a bilateral Achilles tendon rupture in the absence of predisposing factors. The lesions were managed by percutaneous tenorrhaphy and casting. Six months after surgery he was able to return to his daily-life activities and to perform light sports activity. The Authors review the current literature on the management of this rare condition in young people, with or without risk factors. PMID:26904529

  1. Predicting the endpoints of earthquake ruptures.

    PubMed

    Wesnousky, Steven G

    2006-11-16

    The active fault traces on which earthquakes occur are generally not continuous, and are commonly composed of segments that are separated by discontinuities that appear as steps in map-view. Stress concentrations resulting from slip at such discontinuities may slow or stop rupture propagation and hence play a controlling role in limiting the length of earthquake rupture. Here I examine the mapped surface rupture traces of 22 historical strike-slip earthquakes with rupture lengths ranging between 10 and 420 km. I show that about two-thirds of the endpoints of strike-slip earthquake ruptures are associated with fault steps or the termini of active fault traces, and that there exists a limiting dimension of fault step (3-4 km) above which earthquake ruptures do not propagate and below which rupture propagation ceases only about 40 per cent of the time. The results are of practical importance to seismic hazard analysis where effort is spent attempting to place limits on the probable length of future earthquakes on mapped active faults. Physical insight to the dynamics of the earthquake rupture process is further gained with the observation that the limiting dimension appears to be largely independent of the earthquake rupture length. It follows that the magnitude of stress changes and the volume affected by those stress changes at the driving edge of laterally propagating ruptures are largely similar and invariable during the rupture process regardless of the distance an event has propagated or will propagate. PMID:17108963

  2. Renal failure after ruptured aneurysm.

    PubMed

    Abbott, W M; Abel, R M; Beck, C H; Fischer, J E

    1975-09-01

    The effectiveness of an intravenous nutritional program plus aggressive dialysis was studied in 32 patients with renal failure following ruptured abdominal aortic aneurysm. Each patient was managed postoperatively with a renal failure fluid regimen, consisting of the eight essential amino acids plus dextrose in conjunction with peritoneal dialysis and hemodialysis. This regimen induced salutary metabolic effects temporarily improving the patient's condition in most instances. No technical or septic complications associated with the intravenous dietary therapy occurred. However, the incidence of recovery of renal function was low, and the overall patient survival was only 12.5%. The experience indicates that although this program has been shown to be efficacious in some patients with acute renal failure, it seems of little benefit in those whose renal failure follows ruptured aortic aneurysm. PMID:808197

  3. Oesophageal rupture masquerading as STEMI.

    PubMed

    Skaug, Brian; Taylor, Kenneth R; Chandrasekaran, Somya

    2016-01-01

    A 67-year-old man presented to the emergency department, with acute onset of chest pain. Based on ECG changes suggestive of ST elevation myocardial infarction (STEMI), he was taken emergently to the cardiac catheterisation laboratory for coronary angiography. There he was found to have only non-obstructive coronary disease. Subsequent physical examination and review of his chest radiograph revealed subcutaneous emphysema, and CT scan revealed a distal oesophageal rupture and pneumomediastinum. After stabilisation in the intensive care unit (ICU), he was taken to the operating room for thoracotomy, chest tube placement and stenting of his oesophagus. He survived the incident and, after several weeks of ICU stay, recovered to a large extent. His case highlights the importance of considering oesophageal rupture in the differential diagnosis for acute onset of chest pain. PMID:27068730

  4. Spontaneous mid-oesophageal rupture.

    PubMed

    Holt, S; Millar, J W; Heading, R C; Charles, R G

    1978-08-01

    The clinical presentation and management of spontaneous rupture of the middle third of the oesophagus is described in two patients. Early presentation and treatment in one case led to uncomplicated recovery. In the other patient late presentation and diagnosis resulted in delayed surgical intervention with an unsuccessful outcome. The nature of this rare lesion is discussed and nine previously described cases are reviewed. PMID:733690

  5. Multiple Intrahepatic Artery Aneurysms in a Patient with Behcet's Disease: Use of Transcatheter Embolization for Rupture

    SciTech Connect

    Ahmed, Irfan; Fotiadis, Nikolas I. Dilks, Phil; Kocher, Hemant M.; Fotheringham, Tim; Matson, Matthew

    2010-04-15

    Intrahepatic artery aneuryms are a rare and potentially life-threatening condition. We present the first case in the English literature of multiple intrahepatic artery aneuryms in a patient with Behcet's disease who presented acutely with rupture. The ruptured aneurysm was treated successfully with transcatheter arterial coil embolization-CT and clinical follow-up confirming a good result. We discuss the management dilemma with regard to prophylactic embolization of the numerous other small asymptomatic intrahepatic aneurysms in this same patient.

  6. Primary closure of a spontaneous esophageal rupture under hand-assisted laparoscopy: a case report.

    PubMed

    Mikami, Ryuichi; Nakamoto, Yoshihiko; Ikeda, Hirokuni; Kayata, Hiroyuki; Murakami, Teppei; Yamamoto, Mitsuo

    2016-12-01

    Spontaneous rupture of the esophagus, which is also known as Boerhaave's syndrome, is a rare life-threatening condition that requires urgent surgical management. The optimal treatment involves surgical repair of the esophageal defect, which is usually accomplished via laparotomy, thoracotomy, or both, and mediastinal debridement. Here, we report a case of spontaneous rupture of the esophagus that was treated with suturing repair and drain insertion using a hand-assisted laparoscopic approach. PMID:27450184

  7. Testing of Carbon Fiber Composite Overwrapped Pressure Vessel Stress-Rupture Lifetime

    NASA Technical Reports Server (NTRS)

    Grimes-Ledesma, Lorie; Phoenix, S. Leigh; Beeson, Harold; Yoder, Tommy; Greene, Nathaniel

    2006-01-01

    This paper contains summaries of testing procedures and analysis of stress rupture life testing for two stress rupture test programs, one for Kevlar COPVs performed at Lawrence Livermore National Laboratory, and the other a joint study between NASA JSC White Sands Test Facility and the Jet Propulsion Laboratory. These will be discussed in detail including test setup and issues encountered during testing. Lessons learned from testing in these two programs will be discussed.

  8. Rupture of vertical soap films

    NASA Astrophysics Data System (ADS)

    Rio, Emmanuelle

    2014-11-01

    Soap films are ephemeral and fragile objects. They tend to thin under gravity, which gives rise to the fascinating variations of colors at their interfaces but leads systematically to rupture. Even a child can create, manipulate and admire soap films and bubbles. Nevertheless, the reason why it suddenly bursts remains a mystery although the soap chosen to stabilize the film as well as the humidity of the air seem very important. One difficulty to study the rupture of vertical soap films is to control the initial solution. To avoid this problem we choose to study the rupture during the generation of the film at a controlled velocity. We have built an experiment, in which we measure the maximum length of the film together with its lifetime. The generation of the film is due to the presence of a gradient of surface concentration of surfactants at the liquid/air interface. This leads to a Marangoni force directed toward the top of the film. The film is expected to burst only when its weight is not balanced anymore by this force. We will show that this leads to the surprising result that the thicker films have shorter lifetimes than the thinner ones. It is thus the ability of the interface to sustain a surface concentration gradient of surfactants which controls its stability.

  9. Soft, Brown Rupture: Clinical Signs and Symptoms Associated with Ruptured PIP Breast Implants

    PubMed Central

    Duncan, Robert T.; Feig, Christine; Reintals, Michelle; Hill, Sarah

    2014-01-01

    Background: Preoperative signs and symptoms of patients with Poly Implant Prothese (PIP) implants could be predictive of device failure. Based on clinical observation and intraoperative findings 4 hypotheses were raised: (1) Preoperative clinical signs including acquired asymmetry, breast enlargement, fullness of the lower pole, decreased mound projection, and change in breast consistency could be indicative of implant rupture. (2) Device failure correlates with a low preoperative Baker grade of capsule. (3) Brown-stained implants are more prone to implant failure. (4) The brown gel could be indicative of iodine ingression through a substandard elastomer shell. Methods: Preoperative clinical signs were compared with intraoperative findings for 27 patients undergoing PIP implant explantation. Results: Acquired asymmetry (P = 0.0003), breast enlargement (P = 0.0002), fuller lower pole (P < 0.0001), and loss of lateral projection (P < 0.0001) were all significantly predictive of device failure. Capsule Baker grade was lower preoperatively for ruptured implants. The lack of palpable and visible preoperative capsular contracture could be secondary to the elastic nature of the capsular tissue found. Brown implants failed significantly more often than white implants. Analysis of brown gel revealed the presence of iodine, suggesting povidone iodine ingression at implantation. Conclusions: Preoperative signs can be predictive of PIP implant failure. Brown-stained implants are more prone to rupture. The presence of iodine in the gel suggests unacceptable permeability of the shell early in the implant’s life span. A noninvasive screening test to detect brown implants in situ could help identify implants at risk of failure in those who elect to keep their implants. PMID:25506532

  10. Ground motion hazard from supershear rupture

    USGS Publications Warehouse

    Andrews, D.J.

    2010-01-01

    An idealized rupture, propagating smoothly near a terminal rupture velocity, radiates energy that is focused into a beam. For rupture velocity less than the S-wave speed, radiated energy is concentrated in a beam of intense fault-normal velocity near the projection of the rupture trace. Although confined to a narrow range of azimuths, this beam diverges and attenuates. For rupture velocity greater than the S-wave speed, radiated energy is concentrated in Mach waves forming a pair of beams propagating obliquely away from the fault. These beams do not attenuate until diffraction becomes effective at large distance. Events with supershear and sub-Rayleigh rupture velocity are compared in 2D plane-strain calculations with equal stress drop, fracture energy, and rupture length; only static friction is changed to determine the rupture velocity. Peak velocity in the sub-Rayleigh case near the termination of rupture is larger than peak velocity in the Mach wave in the supershear case. The occurrence of supershear rupture propagation reduces the most intense peak ground velocity near the fault, but it increases peak velocity within a beam at greater distances. ?? 2010.

  11. [Delayed spontaneous rupture of the bladder following augmentation enterocystoplasty].

    PubMed

    Leibovitch, I; Ramon, J; Ben Chaim, J; Goldwasser, B

    1990-08-01

    Delayed spontaneous rupture of the urinary bladder following augmentation enterocystoplasty is a serious life-threatening complication of uncertain etiology. Multiple factors are believed to contribute to the mechanism of bladder perforation. Ruptured augmented bladders share a common urodynamic pattern of high leak point pressure of the urethra, with sensory and mechanical tolerance of high filling pressure. This combination seems to be the main predisposing factor for spontaneous perforation. Other risk factors, including catheter trauma during intermittent self-catheterization, urinary retention due to mucus retention or noncompliance with the catheterization protocol, chronic infection, and decreased sensation of bladder filling, may play roles in the mechanism of rupture. Clinically, patients present with sepsis, abdominal pain and distension, ileus, fever, oliguria and peritoneal irritation. The diagnosis is made on low pressure cystography, although failure of cystography to demonstrate extravasation is not unusual. Aggressive surgical treatment consists of immediate exploration, primary repair of the perforation, drainage of the perivesical space, suprapubic cystostomy and broad-spectrum antibiotics. Longterm management includes a strict intermittent catheterization schedule, anticholinergic therapy and urodynamic evaluation. Failure to achieve a low pressure storage reservoir by conservative means entails an increased risk of recurrent perforation. In such cases further surgical intervention should be considered. We present a 21-year-old paraplegic man 5 months after augmentation enterocystoplasty who required operation because of spontaneous rupture of the augmented bladder. Spontaneous delayed rupture of the bladder should be considered in the differential diagnosis of acute abdomen in patients after augmentation enterocystoplasty. Early surgical treatment and subsequent monitoring of the low pressure reservoir are recommended. PMID:2227670

  12. Spontaneous rupture of a splenotic nodule.

    PubMed Central

    Lanigan, D. J.

    1990-01-01

    A case is presented of spontaneous rupture of splenic tissue occurring 14 years after a splenectomy was carried out for trauma. Spontaneous rupture of a splenotic nodule has not previously been described and it may be added to the list of causes of spontaneous haemoperitoneum. The incidence and function of residual splenic tissue are briefly discussed and other causes of splenic rupture are outlined. PMID:2267217

  13. Investigation of cryogenic rupture disc design

    NASA Technical Reports Server (NTRS)

    Keough, J. B.; Oldland, A. H.

    1973-01-01

    Rupture disc designs of both the active (command actuated) and passive (pressure ruptured) types were evaluated for performance characteristics at cryogenic temperatures and for capability to operate in a variety of cryogens, including gaseous and liquid fluorine. The test results, coupled with information from literature and industry searches, were used to establish a statement of design criteria and recommended practices for application of rupture discs to cryogenic rocket propellant feed and vent systems.

  14. Tendon Ruptures Associated With Corticosteroid Therapy

    PubMed Central

    Halpern, Alan A.; Horowitz, Bruce G.; Nagel, Donald A.

    1977-01-01

    In five patients, tendon ruptures occurred in association with corticosteroid therapy, either systemic or local infiltration. The chronic nature of the pain in all of these patients suggests that what we often call tendinitis may in fact be early or partial ruptures of tendons. Patients who receive local infiltration of corticosteroids should perhaps be advised of the risk of a ruptured tendon. In addition, particularly when the Achilles tendon is involved, immobilization should be utilized initially for a presumed tendinitis or early rupture, to protect the tendon from further injury. ImagesFigure 1.Figure 2. PMID:919538

  15. Acute Pectoralis Major Rupture Captured on Video

    PubMed Central

    Valencia Mora, María

    2016-01-01

    Pectoralis major (PM) ruptures are uncommon injuries, although they are becoming more frequent. We report a case of a PM rupture in a young male who presented with axillar pain and absence of the anterior axillary fold after he perceived a snap while lifting 200 kg in the bench press. Diagnosis of PM rupture was suspected clinically and confirmed with imaging studies. The patient was treated surgically, reinserting the tendon to the humerus with suture anchors. One-year follow-up showed excellent results. The patient was recording his training on video, so we can observe in detail the most common mechanism of injury of PM rupture. PMID:27595030

  16. Spontaneous rupture of uterine leiomyoma during labour

    PubMed Central

    Ramskill, Nikki; Hameed, Aisha; Beebeejaun, Yusuf

    2014-01-01

    Uterine rupture in labour requires an emergency caesarean section. In women with a uterine scar, either from gynaecological surgery or from a previous caesarean section, it is well documented that the risk of rupture is higher than in those without. Spontaneous uterine rupture in a uterus with fibroids during pregnancy or labour is extremely rare. We present a case of a 33-year-old, unbooked pregnant woman from Nigeria who had a uterine rupture secondary to fibroids. She required an emergency caesarean section in labour. The fibroids were not removed. Her baby was born alive and in good condition and she made an uneventful recovery. PMID:25199188

  17. Rupture dynamics in model polymer systems.

    PubMed

    Borah, Rupam; Debnath, Pallavi

    2016-05-11

    In this paper we explore the rupture dynamics of a model polymer system to capture the microscopic mechanism during relative motion of surfaces at the single polymer level. Our model is similar to the model for friction introduced by Filippov, Klafter, and Urbakh [Filippov et al., Phys. Rev. Lett., 2004, 92, 135503]; but with an important generalization to a flexible transducer (modelled as a bead spring polymer) which is attached to a fixed rigid planar substrate by interconnecting bonds (modelled as harmonic springs), and pulled by a constant force FT. Bonds are allowed to rupture stochastically. The model is simulated, and the results for a certain set of parameters exhibit a sequential rupture mechanism resulting in rupture fronts. A mean field formalism is developed to study these rupture fronts and the possible propagating solutions for the coupled bead and bond dynamics, where the coupling excludes an exact analytical treatment. Numerical solutions to mean field equations are obtained by standard numerical techniques, and they agree well with the simulation results which show sequential rupture. Within a travelling wave formalism based on the Tanh method, we show that the velocity of the rupture front can be obtained in closed form. The derived expression for the rupture front velocity gives good agreement with the stochastic and mean field results, when the rupture is sequential, while propagating solutions for bead and bond dynamics are shown to agree under certain conditions. PMID:27087684

  18. [Achilles tendon rupture : Current diagnostic and therapeutic standards].

    PubMed

    Hertel, G; Götz, J; Grifka, J; Willers, J

    2016-08-01

    A superior life expectancy and an increased activity in the population result in an increase in degenerative diseases, such as Achilles tendon ruptures. The medical history and physical examinations are the methods of choice to diagnose Achilles tendon ruptures. Ultrasound and radiography represent reasonable extended diagnostic procedures. In order to decide on the medical indications for the therapy concept, the advantages and disadvantages of conservative and surgical treatment options have to be weighed up on an indivdual basis. There are explicit contraindications for both treatment options. For the surgical treatment concept open suture techniques, minimally invasive methods and reconstructive procedures are available. The postoperative management of the patient is as important as the choice of surgical technique. With the correct medical indications and supervision of the patient it is possible to achieve extremely satisfying results for the patient with both conservative and surgical treatment options. PMID:27405457

  19. Spontaneously ruptured choledochal cyst: Rare diagnosis on hepatic scintigraphy

    PubMed Central

    Chauhan, Suneel; Pandit, AG; Jacob, MJ; Kumar, Puneet

    2011-01-01

    A 47-day-old female infant presented with congenital inguinal hernia, seizure on the 2nd day of life, fever, progressive jaundice, acholic stools and distension of abdomen. She was suspected to have choledochal cyst with extrahepatic biliary atresia (EHBA) and referred for an Hepatobiliary Tc-99m iminodiacetic acid (HIDA) scan. On HIDA scan, a functional diagnosis of ruptured choledochal cyst was made which was not possible on anatomical imaging like ultrasound (USG)/computed tomography (CT) scan. This was supported thereafter by bilious aspirate on abdominal paracentesis. Immediate laparotomy with T-tube insertion was done. The child improved dramatically after the procedure. Biliary peritonitis secondary to cyst perforation or rupture is a rare complication reported to occur in 1–2% cases of choledochal cyst. Early diagnosis and management is the key to reduce the morbidity and mortality. PMID:23326070

  20. A Ruptured Digital Epidermal Inclusion Cyst: A Sinister Presentation

    PubMed Central

    Fletcher, Phillip; Ragg, Amanda; Vane, Andrew

    2016-01-01

    Epidermal inclusion cysts are benign cutaneous lesions caused by dermal or subdermal implantation and proliferation of epidermal squamous epithelium as a result of trauma or surgery. They are typically located on the scalp, face, trunk, neck, or back; however they can be found anywhere on the body. Lesions are asymptomatic unless complicated by rupture, malignant transformation to squamous cell carcinoma, or infection at which point they can clinically appear as more sinister pathologies. We present the case of a 45-year-old laborer with a ruptured epidermal inclusion cyst, manifesting clinically and radiographically as a malignancy. Following MRI, definitive surgical management may appear to be a logical progression in management of the patient. This case however is a good example of why meticulously following surgical protocol when evaluating an unknown soft tissue mass is imperative. By following protocol, an alternate diagnosis was made and the patient has since gone on to a make a full recovery without life transforming surgery. PMID:27418992

  1. A Ruptured Digital Epidermal Inclusion Cyst: A Sinister Presentation.

    PubMed

    Bohler, Iain; Fletcher, Phillip; Ragg, Amanda; Vane, Andrew

    2016-01-01

    Epidermal inclusion cysts are benign cutaneous lesions caused by dermal or subdermal implantation and proliferation of epidermal squamous epithelium as a result of trauma or surgery. They are typically located on the scalp, face, trunk, neck, or back; however they can be found anywhere on the body. Lesions are asymptomatic unless complicated by rupture, malignant transformation to squamous cell carcinoma, or infection at which point they can clinically appear as more sinister pathologies. We present the case of a 45-year-old laborer with a ruptured epidermal inclusion cyst, manifesting clinically and radiographically as a malignancy. Following MRI, definitive surgical management may appear to be a logical progression in management of the patient. This case however is a good example of why meticulously following surgical protocol when evaluating an unknown soft tissue mass is imperative. By following protocol, an alternate diagnosis was made and the patient has since gone on to a make a full recovery without life transforming surgery. PMID:27418992

  2. Influence of composition on precipitation behavior and stress rupture properties in INCONEL RTM740 series superalloys

    NASA Astrophysics Data System (ADS)

    Casias, Andrea M.

    Increasing demands for energy efficiency and reduction in CO2 emissions have led to the development of advanced ultra-supercritical (AUSC) boilers. These boilers operate at temperatures of 760 °C and pressures of 35 MPa, providing efficiencies close to 50 pct. However, austenitic stainless steels typically used in boiler applications do not have sufficient creep or oxidation resistance. For this reason, nickel (Ni)-based superalloys, such as IN740, have been identified as potential materials for AUSC boiler tube components. However, IN740 is susceptible to heat-affected-zone liquation cracking in the base metal of heavy section weldments. To improve weldability, IN740H was developed. However, IN740H has lower stress rupture ductility compared to IN740. For this reason, two IN740H modifications have been produced by lowering carbon content and increasing boron content. In this study, IN740, IN740H, and the two modified IN740H alloys (modified 1 and 2) were produced with equiaxed grain sizes of 90 ìm (alloys IN740, IN740H, and IN740H modified 1 alloys) and 112 µm (IN740H modified 2 alloy). An aging study was performed at 800 °C on all alloys for 1, 3, 10, and 30 hours to assess precipitation behavior. Stress rupture tests were performed at 760 °C with the goal of attaining stress levels that would yield rupture at 1000 hours. The percent reduction in area was measured after failure as a measure of creep ductility. Light optical, scanning electron, and transmission electron microscopy were used in conjunction with X-ray diffraction to examine precipitation behavior of annealed, aged, and stress rupture tested samples. The amount and type of precipitation that occurred during aging prior to stress rupture testing or in-situ during stress rupture testing influenced damage development, stress rupture life, and ductility. In terms of stress rupture life, IN740H modified 2 performed the best followed by IN740H modified 1 and IN740, which performed similarly, and IN740

  3. Orientation dependence of the stress rupture properties of Nickel-base superalloy single crystals

    NASA Technical Reports Server (NTRS)

    Mackay, R. A.

    1981-01-01

    The influence of orientation of the stress rupture behavior of Mar-M247 single crystals was studied. Stress rupture tests were performed at 724 MPa and 774 C where the effect of anisotropy is prominent. The mechanical behavior of the single crystals was rationalized on the basis of the Schmid factors for the operative slip systems and the lattice rotations which the crystals underwent during deformation. The stress rupture lives were found to be greatly influenced by the lattice rotations required to produce intersecting slip, because steady-state creep does not begin until after the onset of intersecting slip. Crystals which required large rotations to become oriented for intersecting slip exhibited a large primary creep strain, a large effective stress level at the onset of steady-state creep, and consequently a short stress rupture life. A unified analysis was attained for the stress rupture behavior of the Mar-M247 single crystals tested in this study at 774 C and that of the Mar-M200 single crystals tested in a prior study at 760 C. In this analysis, the standard 001-011-111 stereographic triangle was divided into several regions of crystallographic orientation which were rank ordered according to stress rupture life for this temperature regime. This plot indicates that those crystals having orientations within about 25 deg of the 001 exhibited significantly longer lives when their orientations were closer to the 001-011 boundary of the stereographic triangle than to the 001-111 boundary.

  4. Blunt cardiac rupture with prehospital pulseless electrical activity: a rare successful experience.

    PubMed

    Lu, Li-Hua; Choi, Wai-Mau; Wu, Hsueh-Ru; Liu, Hung-Chang; Chiu, Wen-Ta; Tsai, Shin-Han

    2005-12-01

    Blunt cardiac rupture is highly associated with mortality. In the recent literature, the reported mortality rates of cardiac rupture ranged from 59.7% to 100%. The probability of survival for those with prehospital pulseless electrical activity was extremely low. This case report describes a rare example of survival of a female patient with life-threatening cardiac rupture and cardiac tamponade after a major car accident. The victim developed pulseless electrical activity at admission. She recovered from the accident, however, without developing any signs of neurologic deficits. This case study emphasizes the value of the primary survey of patients and prompt and accurate interventions, including focused abdominal sonography for trauma, pericardiocentesis, and an urgent thoracotomy in the operating room for primary repair of cardiac rupture without applying a cardiopulmonary bypass system. The study showed that early diagnosis and aggressive interventions are crucial factors to the successful outcome of patient's survival. PMID:16394928

  5. Splenic rupture and intracranial haemorrhage in a haemophilic neonate: case report and literature review.

    PubMed

    Adamu, Ibrahim; Asarian, Armand; Xiao, Philip

    2012-01-01

    Splenic rupture and intracranial haemorrhage are life-threatening conditions infrequently encountered in neonates without history of birth trauma. External manifestations of birth trauma; namely, capput succadeneum and cephalhematoma, when present raise suspicions for more serious intracranial or visceral damage. Rupture of normal spleen without an obvious source of trauma in haemophilic neonate is a rare event. The concurrence of both conditions and the unusual presentation make this case a rare one that is seldom encountered in the literature. Additionally, when splenic rupture occurs, the consensus is to employ all non-operative techniques aimed at salvaging the spleen, thus avoiding the immune-compromised state associated with splenectomy. However, in this case, we present a 3-day-old male with family history of haemophilia A, who was diagnosed with splenic rupture and bilateral subdural haematomas and underwent splenectomy, albeit with post-operative complications, in light of haemodynamic instability and high ongoing transfusion requirements. PMID:22878771

  6. [Bilateral bronchial rupture: problems of respiratory management].

    PubMed

    Sztark, F; Thicoïpé, M; Favarel-Garrigues, J F; Velly, J F; Lassié, P

    1995-01-01

    The authors report the case of bilateral bronchial rupture in a 39-year-old multiple trauma patient. During the thoracotomy for right main bronchus repair, a partial left bronchial rupture was recognized because of severe hypoxaemia after left selective intubation. PMID:7486281

  7. Madelung Deformity and Extensor Tendon Rupture.

    PubMed

    Shahcheraghi, Gholam Hossain; Peyman, Maryam; Mozafarian, Kamran

    2015-07-01

    Extensor tendon rupture in chronic Madelung deformity, as a result of tendon attrition on the dislocated distal ulna, is a rare occurrence. It is, however, seen more often in rheumatoid arthritis. There are few case reports in the English-language literature on this issue. We report a case of multiple tendon ruptures in a previously undiagnosed Madelung deformity. PMID:26161772

  8. Simultaneous and spontaneous bilateral quadriceps tendons rupture.

    PubMed

    Celik, Evrim Coşkun; Ozbaydar, Mehmet; Ofluoglu, Demet; Demircay, Emre

    2012-07-01

    Simultaneous and spontaneous bilateral quadriceps tendon rupture is an uncommon injury that is usually seen in association with multiple medical conditions and some medications. We report a case of simultaneous and spontaneous bilateral quadriceps tendon rupture that may be related to the long-term use of a statin. PMID:22561379

  9. Myocardial infarction complicated by ventricular septal rupture.

    PubMed

    Sahjian, Michael; Ventriglia, Rich; Bolton, Lauri

    2012-01-01

    Transporting patients with an ST segment elevation myocardial infarction (STEMI) is a fairly common practice for most critical care transport teams. When a STEMI is complicated by ventricular septal rupture, the care can become more challenging, especially if the rupture is not yet diagnosed. This article describes such a transport and reviews the pathophysiology of the process along with treatment options. PMID:22225564

  10. Fractal avalanche ruptures in biological membranes

    NASA Astrophysics Data System (ADS)

    Gözen, Irep; Dommersnes, Paul; Czolkos, Ilja; Jesorka, Aldo; Lobovkina, Tatsiana; Orwar, Owe

    2010-11-01

    Bilayer membranes envelope cells as well as organelles, and constitute the most ubiquitous biological material found in all branches of the phylogenetic tree. Cell membrane rupture is an important biological process, and substantial rupture rates are found in skeletal and cardiac muscle cells under a mechanical load. Rupture can also be induced by processes such as cell death, and active cell membrane repair mechanisms are essential to preserve cell integrity. Pore formation in cell membranes is also at the heart of many biomedical applications such as in drug, gene and short interfering RNA delivery. Membrane rupture dynamics has been studied in bilayer vesicles under tensile stress, which consistently produce circular pores. We observed very different rupture mechanics in bilayer membranes spreading on solid supports: in one instance fingering instabilities were seen resulting in floral-like pores and in another, the rupture proceeded in a series of rapid avalanches causing fractal membrane fragmentation. The intermittent character of rupture evolution and the broad distribution in avalanche sizes is consistent with crackling-noise dynamics. Such noisy dynamics appear in fracture of solid disordered materials, in dislocation avalanches in plastic deformations and domain wall magnetization avalanches. We also observed similar fractal rupture mechanics in spreading cell membranes.

  11. The effects of barriers on supershear rupture

    NASA Astrophysics Data System (ADS)

    Xu, Jiankuan; Zhang, Zhenguo; Chen, Xiaofei

    2016-07-01

    A barrier may induce a supershear rupture transition in some cases, whereas it may prevent the further propagation of a supershear rupture in other cases. We investigate the effects of a barrier on the supershear rupture propagation on a planar fault in a 3-D half-space. Our results show that the effect of a barrier on supershear is strongly dependent on its size, strength, and location. For larger sizes, shallower buried depths, and relatively higher strengths, the barrier tends to prevent supershear propagation more strongly. When the barrier is located on the free surface and near the critical distance, it prevents the further propagation of supershear rupture. If a barrier is located far from the critical distance, the first supershear daughter crack is slowed down and a new supershear daughter crack is generated after the rupture front passes through the barrier. This mechanism greatly lengthens the supershear transition distance.

  12. Do buried-rupture earthquakes trigger less landslides than surface-rupture earthquakes for reverse faults?

    NASA Astrophysics Data System (ADS)

    Xu, Chong

    2014-07-01

    Gorum et al. (2013, Geomorphology 184, 127-138) carried out a study on inventory compilation and statistical analyses of landslides triggered by the 2010 Mw 7.0 Haiti earthquake. They revealed that spatial distribution patterns of these landslides were mainly controlled by complex rupture mechanism and topography. They also suggested that blind-rupture earthquakes trigger fewer landslides than surface-rupture earthquakes on thrust reverse faults. Although a few lines of evidence indicate that buried-rupture earthquakes might trigger fewer landslides than surface-rupture earthquakes on reverse faults, more careful comparisons and analyses indicate that it is not always true. Instead, some cases show that a buried-rupture earthquake can trigger a larger quantity of landslides that are distributed in a larger area, whereas surface-rupture earthquakes can trigger larger but a fewer landslides distributed in a smaller area.

  13. Material Parameters for Creep Rupture of Austenitic Stainless Steel Foils

    NASA Astrophysics Data System (ADS)

    Osman, H.; Borhana, A.; Tamin, M. N.

    2014-08-01

    Creep rupture properties of austenitic stainless steel foil, 347SS, used in compact recuperators have been evaluated at 700 °C in the stress range of 54-221 MPa to establish the baseline behavior for its extended use. Creep curves of the foil show that the primary creep stage is brief and creep life is dominated by tertiary creep deformation with rupture lives in the range of 10-2000 h. Results are compared with properties of bulk specimens tested at 98 and 162 MPa. Thin foil 347SS specimens were found to have higher creep rates and higher rupture ductility than their bulk specimen counterparts. Power law relationship was obtained between the minimum creep rate and the applied stress with stress exponent value, n = 5.7. The value of the stress exponent is indicative of the rate-controlling deformation mechanism associated with dislocation creep. Nucleation of voids mainly occurred at second-phase particles (chromium-rich M23C6 carbides) that are present in the metal matrix by decohesion of the particle-matrix interface. The improvement in strength is attributed to the precipitation of fine niobium carbides in the matrix that act as obstacles to the movement of dislocations.

  14. Spontaneous rupture of the spleen operated in gynecological unit mistaken for ruptured hemorrhagic ovarian cyst: total splenectomy

    PubMed Central

    Eko, Filbert Eko; Fouelifack, Florent Ymele; de Paul, Elanga Vincent

    2014-01-01

    Spontaneous splenic rupture is always neglected when consulting acute abdominal pains in gynecological emergencies. It constitutes about 1% of all splenic ruptures and can be managed by abstention, surgery or embolization. We present the case of a young lady who was diagnosed of spontaneous rupture during surgery that was mistaken for ruptured hemorrhagic ovarian cyst and finally treated by total splenectomy. The pre-operative work up was absolute for a rupturred hemorrhagic cyst and secondariy for a ruptured ectopic gestation. PMID:25918564

  15. Spontaneous Splenic Rupture in Vascular Ehlers-Danlos Syndrome.

    PubMed

    Batagini, Nayara Cioffi; Gornik, Heather; Kirksey, Lee

    2015-01-01

    Vascular Ehlers-Danlos Syndrome (VEDS) is a rare autosomal dominant collagen vascular disorder. Different from other Ehler-Danlos Syndrome subtypes, VEDS has poor prognosis due to severe fragility of connective tissues and association with life-threatening vascular and gastrointestinal complications. Spontaneous splenic rupture is a rare but hazardous complication related to this syndrome. To date, only 2 cases have been reported in the literature. Here we present another case of this uncommon complication, occurring in a 54-year-old woman in clinical follow-up for VEDS who presented with sudden onset of abdominal pain and hypotension. PMID:26323967

  16. Chronic rupture of abdominal aortic aneurysm.

    PubMed

    Kotsis, Thomas; Thomas, Kotsis; Tympa, Aliki; Aliki, Tympa; Kalinis, Aris; Aris, Kalinis; Vasilopoulos, Ioannis; Ioannis, Vasilopoulos; Theodoraki, Kassiani; Kassiani, Theodoraki

    2011-10-01

    Although the mortality rate after abdominal aortic aneurysm rupture approximates 90% despite the urgent management, a few cases of chronic rupture and delayed repair have been reported in the world literature; anatomic and hemodynamic reasons occasionally allow for the fortunate course of these patients. We report in this article the case of 76-year-old man with a ruptured abdominal aortic aneurysm who was transferred to our facility 4 weeks after his initial hospitalization in a district institution and who finally had a successful open repair. PMID:21620664

  17. Massive bleeeding from upper gastrointestinal tract as a symptom of rupture of splenic artery aneurysm to stomach

    PubMed Central

    Wierzbicki, Tomasz; Szmeja, Jacek; Borejsza-Wysocki, Maciej; Męczyński, Michał; Smuszkiewicz, Piotr; Katulska, Katarzyna; Drews, Michał

    2012-01-01

    Summary Background Splenic artery aneurysm is the most common aneurysm of visceral vessels. Their rupture usually leads to massive bleeding, being a direct life threat. Splenic artery aneurysms usually rupture into the free peritoneal cavity, and much less frequently into the lumen of the gastrointestinal tract. Case Report We describe the case of a 38-year-old male patient, who, as a result of chronic pancreatitis, developed a false aneurysm of the splenic artery, which initially caused necrosis of the large intestine and bleeding into its lumen, and subsequently necrosis of the posterior stomach wall with the aneurysm rupture to the stomach lumen with a dramatic course. Conclusions The case described confirms that splenic artery aneurysm can be a cause of bleeding to both upper and lower parts of the gastrointestinal tract, and the aneurysm rupture is usually of a dramatic and life-threatening course. PMID:22293886

  18. Spontaneous uterine rupture after abdominal myomectomy at the gestational age of 20 weeks in pregnancy: A case report

    PubMed Central

    Pakniat, Hamideh; Soofizadeh, Nasrin; Khezri, Marzieh Beigom

    2016-01-01

    Background: Uterine rupture in pregnancy is rare and often could be life threatening and catastrophic. Myomectomy is one of very common surgeries in gynecology, performed as the vaginal, abdominal and laparoscopic surgeries. Pregnancies occured after abdominal and laparoscopic myomectomy are high risk for uterine rapture. Case: Patient was a 28 Years old female, pregnant woman at the 20 wks of gestational age with abdominal pain and a history of abdominal myomectomy 6 yrs ago. Uterus was ruptured and fetus in amniotic sac was found in abdominal cavity. Conclusion: Early diagnosis of uterine rupture after myomectomy can save patients from death. PMID:27525334

  19. Creep-rupture reliability analysis

    NASA Technical Reports Server (NTRS)

    Peralta-Duran, A.; Wirsching, P. H.

    1984-01-01

    A probabilistic approach to the correlation and extrapolation of creep-rupture data is presented. Time temperature parameters (TTP) are used to correlate the data, and an analytical expression for the master curve is developed. The expression provides a simple model for the statistical distribution of strength and fits neatly into a probabilistic design format. The analysis focuses on the Larson-Miller and on the Manson-Haferd parameters, but it can be applied to any of the TTP's. A method is developed for evaluating material dependent constants for TTP's. It is shown that optimized constants can provide a significant improvement in the correlation of the data, thereby reducing modelling error. Attempts were made to quantify the performance of the proposed method in predicting long term behavior. Uncertainty in predicting long term behavior from short term tests was derived for several sets of data. Examples are presented which illustrate the theory and demonstrate the application of state of the art reliability methods to the design of components under creep.

  20. Creep-rupture reliability analysis

    NASA Technical Reports Server (NTRS)

    Peralta-Duran, A.; Wirsching, P. H.

    1985-01-01

    A probabilistic approach to the correlation and extrapolation of creep-rupture data is presented. Time temperature parameters (TTP) are used to correlate the data, and an analytical expression for the master curve is developed. The expression provides a simple model for the statistical distribution of strength and fits neatly into a probabilistic design format. The analysis focuses on the Larson-Miller and on the Manson-Haferd parameters, but it can be applied to any of the TTP's. A method is developed for evaluating material dependent constants for TTP's. It is shown that optimized constants can provide a significant improvement in the correlation of the data, thereby reducing modelling error. Attempts were made to quantify the performance of the proposed method in predicting long term behavior. Uncertainty in predicting long term behavior from short term tests was derived for several sets of data. Examples are presented which illustrate the theory and demonstrate the application of state of the art reliability methods to the design of components under creep.

  1. Nondestructive Evaluation and Monitoring Results from COPV Accelerated Stress Rupture Testing, NASA White Sands Test Facility (WSTF)

    NASA Technical Reports Server (NTRS)

    Saulsberry Regor

    2010-01-01

    Develop and demonstrate NDE techniques for real-time characterization of CPVs and, where possible, identification of NDE capable of assessing stress rupture related strength degradation and/or making vessel life predictions (structural health monitoring or periodic inspection modes). Secondary: Provide the COPV user and materials community with quality carbon/epoxy (C/Ep) COPV stress rupture progression rate data. Aid in modeling, manufacturing, and application of COPVs for NASA spacecraft.

  2. Spontaneous rupture of ovarian cystadenocarcinoma: pre- and post-rupture computed tomography evaluation*

    PubMed Central

    Salvadori, Priscila Silveira; Bomfim, Lucas Novais; von Atzingen, Augusto Castelli; D’Ippolito, Giuseppe

    2015-01-01

    Epithelial ovarian tumors are the most common malignant ovarian neoplasms and, in most cases, eventual rupture of such tumors is associated with a surgical procedure. The authors report the case of a 54-year-old woman who presented with spontaneous rupture of ovarian cystadenocarcinoma documented by computed tomography, both before and after the event. In such cases, a post-rupture staging tends to be less favorable, compromising the prognosis. PMID:26543286

  3. Spontaneous rupture of ovarian cystadenocarcinoma: pre- and post-rupture computed tomography evaluation.

    PubMed

    Salvadori, Priscila Silveira; Bomfim, Lucas Novais; von Atzingen, Augusto Castelli; D'Ippolito, Giuseppe

    2015-01-01

    Epithelial ovarian tumors are the most common malignant ovarian neoplasms and, in most cases, eventual rupture of such tumors is associated with a surgical procedure. The authors report the case of a 54-year-old woman who presented with spontaneous rupture of ovarian cystadenocarcinoma documented by computed tomography, both before and after the event. In such cases, a post-rupture staging tends to be less favorable, compromising the prognosis. PMID:26543286

  4. Traumatic Gallbladder Rupture Treated by Laparoscopic Cholecystectomy

    PubMed Central

    Egawa, Noriyuki; Ueda, Junji; Hiraki, Masatsugu; Ide, Takao; Inoue, Satoshi; Sakamoto, Yuichiro; Noshiro, Hirokazu

    2016-01-01

    Abstract Gallbladder rupture due to blunt abdominal injury is rare. There are few reports of traumatic gallbladder injury, and it is commonly associated with other concomitant visceral injuries. Therefore, it is difficult to diagnose traumatic gallbladder rupture preoperatively when it is caused by blunt abdominal injury. We report a patient who underwent laparoscopic cholecystectomy after an exact preoperative diagnosis of traumatic gallbladder rupture. A 43-year-old man was admitted to our hospital due to blunt abdominal trauma. The day after admission, abdominal pain and ascites increased and a muscular defense sign appeared. Percutaneous drainage of the ascites was performed, and the aspirated fluid was bloody and almost pure bile. He was diagnosed with gallbladder rupture by the cholangiography using the endoscopic retrograde cholangiopancreatography technique. Laparoscopic cholecystectomy was performed safely, and he promptly recovered. If accumulated fluids contain bile, endoscopic cholangiography is useful not only to diagnose gallbladder injury but also to determine the therapeutic strategy. PMID:27462188

  5. Traumatic Gallbladder Rupture Treated by Laparoscopic Cholecystectomy.

    PubMed

    Egawa, Noriyuki; Ueda, Junji; Hiraki, Masatsugu; Ide, Takao; Inoue, Satoshi; Sakamoto, Yuichiro; Noshiro, Hirokazu

    2016-01-01

    Gallbladder rupture due to blunt abdominal injury is rare. There are few reports of traumatic gallbladder injury, and it is commonly associated with other concomitant visceral injuries. Therefore, it is difficult to diagnose traumatic gallbladder rupture preoperatively when it is caused by blunt abdominal injury. We report a patient who underwent laparoscopic cholecystectomy after an exact preoperative diagnosis of traumatic gallbladder rupture. A 43-year-old man was admitted to our hospital due to blunt abdominal trauma. The day after admission, abdominal pain and ascites increased and a muscular defense sign appeared. Percutaneous drainage of the ascites was performed, and the aspirated fluid was bloody and almost pure bile. He was diagnosed with gallbladder rupture by the cholangiography using the endoscopic retrograde cholangiopancreatography technique. Laparoscopic cholecystectomy was performed safely, and he promptly recovered. If accumulated fluids contain bile, endoscopic cholangiography is useful not only to diagnose gallbladder injury but also to determine the therapeutic strategy. PMID:27462188

  6. Biomechanical rupture risk assessment of abdominal aortic aneurysms based on a novel probabilistic rupture risk index.

    PubMed

    Polzer, Stanislav; Gasser, T Christian

    2015-12-01

    A rupture risk assessment is critical to the clinical treatment of abdominal aortic aneurysm (AAA) patients. The biomechanical AAA rupture risk assessment quantitatively integrates many known AAA rupture risk factors but the variability of risk predictions due to model input uncertainties remains a challenging limitation. This study derives a probabilistic rupture risk index (PRRI). Specifically, the uncertainties in AAA wall thickness and wall strength were considered, and wall stress was predicted with a state-of-the-art deterministic biomechanical model. The discriminative power of PRRI was tested in a diameter-matched cohort of ruptured (n = 7) and intact (n = 7) AAAs and compared to alternative risk assessment methods. Computed PRRI at 1.5 mean arterial pressure was significantly (p = 0.041) higher in ruptured AAAs (20.21(s.d. 14.15%)) than in intact AAAs (3.71(s.d. 5.77)%). PRRI showed a high sensitivity and specificity (discriminative power of 0.837) to discriminate between ruptured and intact AAA cases. The underlying statistical representation of stochastic data of wall thickness, wall strength and peak wall stress had only negligible effects on PRRI computations. Uncertainties in AAA wall stress predictions, the wide range of reported wall strength and the stochastic nature of failure motivate a probabilistic rupture risk assessment. Advanced AAA biomechanical modelling paired with a probabilistic rupture index definition as known from engineering risk assessment seems to be superior to a purely deterministic approach. PMID:26631334

  7. [Centralisation of treatment of ruptured aneurysm].

    PubMed

    Akkersdijk, Willem L; Akkersdijk, George J M; Akkersdijk, George P

    2014-01-01

    In the future, patients with a ruptured aneurysm will be treated at fewer hospitals in the Netherlands. Although there is a search for scientific support for this, the reason for centralisation is obvious: reduction of costs and reduction of workload for vascular surgeons during night and weekend shifts. Already there are a number of examples of regionally organised vascular surgeons who treat their patients with a ruptured aneurysm with great satisfaction and with good results. PMID:25563776

  8. Dynamic rupture activation of backthrust fault branching

    NASA Astrophysics Data System (ADS)

    Xu, Shiqing; Fukuyama, Eiichi; Ben-Zion, Yehuda; Ampuero, Jean-Paul

    2015-03-01

    We perform dynamic rupture simulations to investigate the possible reactivation of backthrust branches triggered by ruptures along a main thrust fault. Simulations with slip-weakening fault friction and uniform initial stress show that fast propagation speed or long propagation distance of the main rupture promotes reactivation of backthrust over a range of branch angles. The latter condition may occur separately from the former if rupture speed is limited by an increasing slip-weakening distance towards the junction direction. The results suggest a trade-off between the amplitude and duration of the dynamic stress near the main rupture front for backthrust reactivation. Termination of the main rupture by a barrier can provide enhanced loading amplitude and duration along a backthrust rooted near the barrier, facilitating its reactivation especially with a high frictional resistance. The free surface and depth-dependent initial stress can have several additional effects. The sign of the triggered motion along the backthrust can be reversed from thrust to normal if a deeply nucleated main rupture breaks the free surface, while it is preserved as thrust if the main rupture is terminated by a barrier at depth. The numerical results are discussed in relation to several recent megathrust earthquakes in Sumatra, Chile, and Japan, and related topics such as branch feedbacks to the main fault. The dynamic view on backthrust fault branching provided by the study fills a gap not covered by quasi-static models or observations. A specific examined case of antithetic fault branching may be useful for indicating a barrier-like behavior along the main fault.

  9. Describing Soils: Calibration Tool for Teaching Soil Rupture Resistance

    ERIC Educational Resources Information Center

    Seybold, C. A.; Harms, D. S.; Grossman, R. B.

    2009-01-01

    Rupture resistance is a measure of the strength of a soil to withstand an applied stress or resist deformation. In soil survey, during routine soil descriptions, rupture resistance is described for each horizon or layer in the soil profile. The lower portion of the rupture resistance classes are assigned based on rupture between thumb and…

  10. Rupture Propagation for Stochastic Fault Models

    NASA Astrophysics Data System (ADS)

    Favreau, P.; Lavallee, D.; Archuleta, R.

    2003-12-01

    The inversion of strong motion data of large earhquakes give the spatial distribution of pre-stress on the ruptured faults and it can be partially reproduced by stochastic models, but a fundamental question remains: how rupture propagates, constrained by the presence of spatial heterogeneity? For this purpose we investigate how the underlying random variables, that control the pre-stress spatial variability, condition the propagation of the rupture. Two stochastic models of prestress distributions are considered, respectively based on Cauchy and Gaussian random variables. The parameters of the two stochastic models have values corresponding to the slip distribution of the 1979 Imperial Valley earthquake. We use a finite difference code to simulate the spontaneous propagation of shear rupture on a flat fault in a 3D continuum elastic body. The friction law is the slip dependent friction law. The simulations show that the propagation of the rupture front is more complex, incoherent or snake-like for a prestress distribution based on Cauchy random variables. This may be related to the presence of a higher number of asperities in this case. These simulations suggest that directivity is stronger in the Cauchy scenario, compared to the smoother rupture of the Gauss scenario.

  11. Strain Measurement Using FBG on COPV in Stress Rupture Test

    NASA Technical Reports Server (NTRS)

    Banks, Curtis; Grant, Joseph

    2007-01-01

    White Sands Test Facility (WSTF) was requested to perform ambient temperature hydrostatic pressurization testing of a Space Transportation System (STS) 40-in. Kevlar Composite Overwrapped Pressure Vessel (COPV). The 40-in. vessel was of the same design and approximate age as the STS Main Propulsion System (MPS) and Orbiter Maneuvering System (OMS) vessels. The NASA Engineering Safety Center (NESC) assembled a team of experts and conducted an assessment that involved a review of national Kevlar COPY data. During the review, the STS COPVs were found to be beyond their original certification of ten years. The team observed that the likelihood of STS COPV Stress rupture, a catastrophic burst before leak failure mode, was greater than previously believed. Consequently, a detailed assessment of remaining stress rupture life became necessary. Prior to STS-114, a certification deviation was written for two flights of OV-103 (Discovery) and OV-104 (Atlantis) per rationale that was based on an extensive review of the Lawrence Livermore National Laboratories, COPV data, and revisions to the STS COPV stress levels. In order to obtain flight rationale to extend the certification deviation through the end of the Program, the Orbiter Project Office has directed an interagency COPV team to conduct further testing and analysis to investigate conservatism in the stress rupture model and evaluate material age degradation. Additional analysis of stress rupture life requires understanding the fiber stresses including stress that occurs due to thru-wall composite compression in COPV components. Data must be obtained at both zero gauge pressure (pre-stress) and at the component operating pressure so that this phenomenon can be properly evaluated. The zero gauge pressure stresses are predominantly a result of the autofrettage process used during vessel manufacture. Determining these pre-stresses and the constitutive behavior of the overwrap at pressure will provide necessary information

  12. Endovascular Aneurysm Repair Using a Reverse Chimney Technique in a Patient With Marfan Syndrome and Contained Ruptured Chronic Type B Dissection

    SciTech Connect

    Ketelsen, Dominik; Kalender, Guenay; Heuschmid, Martin; Syha, Roland; Mangold, Stefanie; Claussen, Claus D.; Brechtel, Klaus

    2011-10-15

    We report endovascular thoracic and abdominal aneurysm repair (EVAR) with reverse chimney technique in a patient with contained ruptured type B dissection. EVAR seems feasible as a bailout option in Marfan patients with acute life-threatening disease.

  13. Factors to be Considered for Selection and Design of Rupture Disc

    SciTech Connect

    Murty, D.V.R.; Bhaskar Rao, Y.; Chennakeshava Reddy, A.

    2006-07-01

    All over the world numerous fatalities and large property losses have taken place because of Industrial Explosions. In order to mitigate the losses of life and property due to overpressure rupture discs are used. Successful implementation would depend on many factors and one of the important factors is the selection and design of rupture discs. There are several factors that affect the disc performance. The present paper discusses the factors that effect the disc performance so that the right type of disc can be selected. (authors)

  14. Transcatheter Embolization of Splenic Artery Pseudo-Aneurysm Rupturing into Colon After Post-Operative Pancreatitis

    SciTech Connect

    Iwama, Yuki; Sugimoto, Koji Zamora, Carlos A.; Yamaguchi, Masato; Tsurusaki, Masakatsu; Taniguchi, Takanori; Mori, Takeki; Sugimura, Kazuro

    2006-02-15

    Splenic pseudoaneurysms following chronic pancreatitis can rarely become a source of life-threatening bleeding by rupturing into various regions or components, including pseudocysts, the abdominal cavity, the gastrointestinal tract, and the pancreatic duct. In such cases, prompt diagnosis and therapy are warranted. We report herein the case of a 52-year-old man in whom a splenic pseudoaneurysm ruptured into the colon via a fistula with an abscess cavity, causing massive bleeding, which was successfully managed by trans-catheter arterial embolization (TAE)

  15. Successful endovascular treatment of rupture of mycotic left main coronary artery aneurysm.

    PubMed

    Torii, Sho; Ohta, Hiroshi; Morino, Yoshihiro; Nakashima, Makoto; Suzuki, Yoshitaka; Murata, Seiichiro; Sakuma, Yoshihiro; Ikari, Yuji; Tamura, Tsutomu

    2013-08-01

    Mycotic coronary aneurysm formation is a rare complication in patients with infective endocarditis. Furthermore, rupture of coronary artery aneurysm, also rare, is life threatening. Sudden rupture of left main mycotic coronary aneurysm occurred in a patient, aged 68 years, 1 month after root replacement for aortic regurgitation caused by infectious endocarditis. A polytetrafluoroethylene-covered stent was implanted covering the entire aneurysmal portion crossing over the left circumflex coronary artery in this emergent situation. After a successful hemostatic procedure, the patient recovered from cardiogenic shock. We confirmed the sustained patency of the stent segment by coronary angiography 6 months after the procedure. PMID:23395219

  16. General Considerations of Ruptured Abdominal Aortic Aneurysm: Ruptured Abdominal Aortic Aneurysm

    PubMed Central

    Lee, Chung Won; Bae, Miju; Chung, Sung Woon

    2015-01-01

    Although development of surgical technique and critical care, ruptured abdominal aortic aneurysm still carries a high mortality. In order to obtain good results, various efforts have been attempted. This paper reviews initial management of ruptured abdominal aortic aneurysm and discuss the key point open surgical repair and endovascular aneurysm repair. PMID:25705591

  17. Spontaneous rupture of unscarred uterus in a primigravida with preterm prelabour rupture of membranes.

    PubMed

    Mourad, Wael Sayed; Bersano, Debbra J; Greenspan, Peter B; Harper, Diane Medved

    2015-01-01

    Intrapartum uterine rupture is a true obstetrical emergency. Uterine rupture is associated with severe maternal and fetal morbidity and mortality. It is rare in the unscarred uterus of a primigravida. A 23-year-old primigravida with an unscarred uterus was admitted with preterm prelabour rupture of membranes at 36(+4) weeks of gestation. Abnormal fetal heart monitoring, associated with acute onset of severe abdominopelvic pain, developed on admission. Rupture occurred prior to onset of regular uterine contractions and in the absence of any interventional oxytocin. The neonate had evidence of severe acidosis despite emergency caesarean delivery. This case highlights the importance of maintaining a high index of suspicion for uterine rupture, even in the unlikely setting of a primigravida with an unscarred uterus. PMID:26055584

  18. A Rare Case of Simultaneous Acute Bilateral Quadriceps Tendon Rupture and Unilateral Achilles Tendon Rupture

    PubMed Central

    Leong, Wei Yee; Gheorghiu, Daniel; Rao, Janardhan

    2013-01-01

    Introduction: There have been multiple reported cases of bilateral quadriceps tendon ruptures (QTR) in the literature. These injuries frequently associated with delayed diagnosis, which results in delayed surgical treatment. In very unusual cases, bilateral QTRs can be associated with other simultaneous tendon ruptures. Case Report: We present a rare case of bilateral QTR with a simultaneous Achilles Tendon Rupture involving a 31 years old Caucasian man who is a semi-professional body builder taking anabolic steroids. To date bilateral QTR with additional TA rupture has only been reported once in the literature and to our knowledge this is the first reported case of bilateral QTR and simultaneous TA rupture in a young, fit and healthy individual. Conclusion: The diagnosis of bilateral QTR alone can sometimes be challenging and the possibility of even further tendon injuries should be carefully assessed. A delay in diagnosis could result in delay in treatment and potentially worse outcome for the patient. PMID:27298913

  19. Lived experiences of women who developed uterine rupture following severe obstructed labor in Mulago hospital, Uganda

    PubMed Central

    2014-01-01

    Background Maternal mortality is a major public health challenge in Uganda. Whereas uterine rupture remains a major cause of maternal morbidity and mortality, there is limited research into what happens to women who survive such severe obstetric complications. Understanding their experiences might delineate strategies to support survivors. Methods This qualitative study used a phenomenological approach to explore lived experiences of women who developed uterine rupture following obstructed labor. In-depth interviews initially conducted during their hospitalization were repeated 3–6 months after the childbirth event to explore their health and meanings they attached to the traumatic events and their outcomes. Data were analyzed using thematic analysis. Results The resultant themes included barriers to access healthcare, multiple “losses” and enduring physical, psychosocial and economic consequences. Many women who develop uterine rupture fail to access critical care needed due to failure to recognise danger signs of obstructed labor, late decision making for accessing care, geographical barriers to health facilities, late or failure to diagnose obstructed labor at health facilities, and failure to promptly perform caesarean section. Secondly, the sequel of uterine rupture includes several losses (loss of lives, loss of fertility, loss of body image, poor quality of life and disrupted marital relationships). Thirdly, uterine rupture has grim economic consequences for the survivors (with financial loss and loss of income during and after the calamitous events). Conclusion Uterine rupture is associated with poor quality of care due to factors that operate at personal, household, family, community and society levels, and results in dire physical, psychosocial and financial consequences for survivors. There is need to improve access to and provision of emergency obstetric care in order to prevent uterine rupture consequent to obstructed labor. There is also

  20. Emergency endovascular aortic repair of a ruptured mycotic aorto-iliac aneurysm presenting with lumbar radiculopathy.

    PubMed

    Lee, Ting-Ying; Tsai, Chien-Sung; Tsai, Yi-Ting; Lin, Chih-Yuan; Lin, Yi-Chanag; Hsu, Po-Shun

    2014-01-01

    Ruptured abdominal aortic aneurysm is life-threatening without immediate management. The initial clinical presentation is non-specific and impending rupture is easily missed, especially without a CT scan. We present a case of a 56-year-old man with low-back pain and left lower-extremity numbness, which was diagnosed as a herniated intervertebral disc (HIVD) with left acute sciatica syndrome. He also complained of persistent fever and abdominal discomfort. Routine blood work-up revealed leukocytosis and decreasing haemoglobin levels. CT angiography (CTA) showed impending rupture of the left aorto-iliac aneurysm. We therefore performed endovascular aneurysm repair (EVAR). Blood culture revealed Salmonella enterica, for which he received antibiotics. No acute sciatica syndrome was present immediately after the EVAR. No EVAR-related complications were noted in the one-year CTA follow up. PMID:25000523

  1. Stress-Rupture of New Tyranno Si-C-O-Zr Fiber Reinforced Minicomposites

    NASA Technical Reports Server (NTRS)

    Morscher, Gregory N.

    1999-01-01

    Minicomposites consisting of two varieties of Zr containing SiC-based fibers from Ube (Tyranno) with BN interphases and CVI SiC matrices were studied. The two fiber-types were the ZMI and ZE fiber-types that contain approximately 8 and 2% oxygen, respectively. The minicomposites were precracked and tested under constant load testing at temperatures ranging from 700 to 1200 C. The data were then compared to the rupture behavior of Hi- Nicalon (TM) fiber reinforced minicomposites tested under identical conditions. It was found that the Ube fiber-types had stress rupture life equivalent to Hi- Nicalon (TM) over the entire temperature range. A potential benefit of the ZMI fiber-type is that it offers rupture properties almost as good as Hi-Nicalon (TM) at the cost of ceramic grade Nicalon (TM).

  2. Dynamic rupture processes inferred from laboratory microearthquakes

    NASA Astrophysics Data System (ADS)

    Passelègue, François. X.; Schubnel, Alexandre; Nielsen, Stefan; Bhat, Harsha S.; Deldicque, Damien; Madariaga, Raúl

    2016-06-01

    We report macroscopic stick-slip events in saw-cut Westerly granite samples deformed under controlled upper crustal stress conditions in the laboratory. Experiments were conducted under triaxial loading (σ1>σ2=σ3) at confining pressures (σ3) ranging from 10 to 100 MPa. A high-frequency acoustic monitoring array recorded particle acceleration during macroscopic stick-slip events allowing us to estimate rupture speed. In addition, we record the stress drop dynamically and we show that the dynamic stress drop measured locally close to the fault plane is almost total in the breakdown zone (for normal stress >75 MPa), while the friction f recovers to values of f > 0.4 within only a few hundred microseconds. Enhanced dynamic weakening is observed to be linked to the melting of asperities which can be well explained by flash heating theory in agreement with our postmortem microstructural analysis. Relationships between initial state of stress, rupture velocities, stress drop, and energy budget suggest that at high normal stress (leading to supershear rupture velocities), the rupture processes are more dissipative. Our observations question the current dichotomy between the fracture energy and the frictional energy in terms of rupture processes. A power law scaling of the fracture energy with final slip is observed over 8 orders of magnitude in slip, from a few microns to tens of meters.

  3. Component external leakage and rupture frequency estimates

    SciTech Connect

    Eide, S.A.; Khericha, S.T.; Calley, M.B.; Johnson, D.A.; Marteeny, M.L.

    1991-11-01

    In order to perform detailed internal flooding risk analyses of nuclear power plants, external leakage and rupture frequencies are needed for various types of components - piping, valves, pumps, flanges, and others. However, there appears to be no up-to-date, comprehensive source for such frequency estimates. This report attempts to fill that void. Based on a comprehensive search of Licensee Event Reports (LERs) contained in Nuclear Power Experience (NPE), and estimates of component populations and exposure times, component external leakage and rupture frequencies were generated. The remainder of this report covers the specifies of the NPE search for external leakage and rupture events, analysis of the data, a comparison with frequency estimates from other sources, and a discussion of the results.

  4. Right ventricular hydatid cyst ruptured to pericardium

    PubMed Central

    Sabzi, Feridoun; Vaziri, Siavoosh; Faraji, Reza

    2015-01-01

    Cardiac hydatidosis is rare presentation of body hydatidosis. Incidence of cardiac involvements range from 5% to 5% of patients with hydatid disease. Most common site of hydatid cyst in heart is interventricular septum and left ventricular free wall. Right ventricular free wall involvement by cyst that ruptured to pericardial cavity is very rare presentation of hydatid cyst. Cardiac involvement may have serious consequences such as rupture to blood steam or pericardial cavity. Both the disease and its surgical treatment carry a high complication rate, including rupture leading to cardiac tamponade, anaphylaxis and also death. In the present report, a 43-year-old man with constrictive pericarditis secondary to a pericardial hydatid cyst is described. PMID:26139761

  5. Anterior cruciate ligament rupture and osteoarthritis progression.

    PubMed

    Wong, James Min-Leong; Khan, Tanvir; Jayadev, Chethan S; Khan, Wasim; Johnstone, David

    2012-01-01

    Anterior Cruciate Ligament (ACL) rupture is a common sporting injury that frequently affects young, athletic patients. Apart from the functional problems of instability, patients with ACL deficient knees also develop osteoarthritis. Although this is frequently cited as an indication for ACL reconstruction, the relationship between ACL rupture, reconstruction and the instigation and progression of articular cartilage degenerative change is controversial.The purpose of this paper is to review the published literature with regards ACL rupture and the multifactorial causes for osteoarthritis progression, and whether or not this is slowed or stopped by ACL reconstruction.There is no evidence in the published literature to support the view that ACL reconstruction prevents osteoarthritis, although it may prevent further meniscal damage. It must be recognised that this conclusion is based on the current literature which has substantial methodological limitations. PMID:22896777

  6. Postmyomectomic Uterine Rupture Despite Cesarean Section.

    PubMed

    Kacperczyk, Joanna; Bartnik, Paweł; Romejko-Wolniewicz, Ewa; Dobrowolska-Redo, Agnieszka

    2016-03-01

    Uterine fibroids (leiomyomas) are benign smooth muscle tumors of the uterus. Fibroids can develop anywhere within the muscular wall. Leiomyomas may be associated with infertility. Laparoscopic myomectomy is often used to remove symptomatic intramural or subserosal fibroids. Advantages of the procedure include short recovery time and minimal perioperative morbidity. At the same time, the multilayer suture technique is more complicated during laparoscopy. A rare but serious complication of laparoscopic myomectomies is uterine rupture. A brief review of the literature and a clinical example of a 33-year-old woman with history of infertility, laparoscopic myomectomies and uterine rupture followed by peripartum hemorrhage is presented. The treatment of leiomyomas is a challenge not only because of possible recurrence but also due to long-term consequences following successful myomectomy. Management of patients with uterine scars should include careful planning of the route of delivery, as the risk of rupture may be increased. PMID:26976991

  7. Creep rupture behavior of unidirectional advanced composites

    NASA Technical Reports Server (NTRS)

    Yeow, Y. T.

    1980-01-01

    A 'material modeling' methodology for predicting the creep rupture behavior of unidirectional advanced composites is proposed. In this approach the parameters (obtained from short-term tests) required to make the predictions are the three principal creep compliance master curves and their corresponding quasi-static strengths tested at room temperature (22 C). Using these parameters in conjunction with a failure criterion, creep rupture envelopes can be generated for any combination of in-plane loading conditions and ambient temperature. The analysis was validated experimentally for one composite system, the T300/934 graphite-epoxy system. This was done by performing short-term creep tests (to generate the principal creep compliance master curves with the time-temperature superposition principle) and relatively long-term creep rupture tensile tests of off-axis specimens at 180 C. Good to reasonable agreement between experimental and analytical results is observed.

  8. Effect of Post-Weld Heat Treatment on Creep Rupture Properties of Grade 91 Steel Heavy Section Welds

    SciTech Connect

    Li, Leijun

    2012-11-02

    This project will conduct a systematic metallurgical study on the effect of post-weld heat treatment (PWHT) on the creep rupture properties of P91 heavy section welds. The objective is to develop a technical guide for selecting PWHT parameters, and to predict expected creep-rupture life based on the selection of heat treatment parameters. The project consists of four interdependent tasks: Experimentally and numerically characterize the temperature fields of typical post-weld heat treatment procedures for various weld and joint configurations to be used in Gen IV systems. Characterize the microstructure of various regions, including the weld fusion zone, coarse-grain heat-affected zone, and fine-grain heat affected zone, in the welds that underwent the various welding and PWHT thermal histories. Conduct creep and creep-rupture testing of coupons extracted from actual and physically simulated welds. Establish the relationship among PWHT parameters, thermal histories, microstructure, creep, and creep-rupture properties.

  9. A Late Presentation of Spontaneous Bladder Rupture During Labor.

    PubMed

    Farahzadi, A; Mohammadipour, S

    2016-09-01

    Spontaneous bladder rupture is usually due to bladder diseases. Bladder rupture during labor or postpartum is extremely rare. Acute abdomen is the usual presentation of spontaneous bladder rupture. Patients may complain of suprapubic pain, anuria and hematuria. Some patients with intraperitoneal bladder rupture may have no abdominal pain and can pass urine without any symptoms so the diagnosis of intraperitoneal rupture may be difficult in these situations. We report a nulliparous woman with abdominal pain and distension about 20 days after normal vaginal delivery. There was intraperitoneal rupture of bladder in dome of bladder which was sealed by jejunum. PMID:27313990

  10. Consequences of expansion joint bellows rupture

    SciTech Connect

    Daugherty, W.L.; Miller, R.F.; Cramer, D.S.

    1992-01-01

    Expansion joints are used in piping systems to accommodate pipe deflections during service and to facilitate fitup. Typically, the expansion joint bellows is the thinnest part of the pressure boundary, bellows rupture frequencies are typically several orders of magnitude higher than pipe rupture frequencies. This paper reviews an effort to estimate the flow rates associated with bellows rupture. The Level I PRA (probabilistic risk assessment) for the Savannah River Site production reactors made the bounding assumption that bellows rupture would produce the maximum possible leakage - that of a double-ended guillotine break (DEGB). This assumption resulted in predictions of flooding of the reactor building with a high conditional probability that a Loss of Pumping Accident and core melting would follow. This paper describes analyses that were performed to develop a realistic break area and leak rate resulting from bellows rupture and therefore reduce the impact that bellows rupture can have on the estimated total core melt frequency. In the event of a 360 degree circumferential break of the bellows the resulting two sections will separate to the point where the force from the internal pressure acting to push the bellows open is just balanced by the spring force of the bellows itself. For the bellows addressed in this analysis, the equilibrium separation distance is 0.7 inches with normal pump lineup. The opening area is influenced by any initial compression or extension due to installation alignment, and by any operational displacements such as thermal expansion of the adjoining pipe. The influence of such factors is considered and the impact on the flooding rate and, hence, core melt frequency is reviewed.

  11. Consequences of expansion joint bellows rupture

    SciTech Connect

    Daugherty, W.L.; Miller, R.F.; Cramer, D.S.

    1992-11-01

    Expansion joints are used in piping systems to accommodate pipe deflections during service and to facilitate fitup. Typically, the expansion joint bellows is the thinnest part of the pressure boundary, bellows rupture frequencies are typically several orders of magnitude higher than pipe rupture frequencies. This paper reviews an effort to estimate the flow rates associated with bellows rupture. The Level I PRA (probabilistic risk assessment) for the Savannah River Site production reactors made the bounding assumption that bellows rupture would produce the maximum possible leakage - that of a double-ended guillotine break (DEGB). This assumption resulted in predictions of flooding of the reactor building with a high conditional probability that a Loss of Pumping Accident and core melting would follow. This paper describes analyses that were performed to develop a realistic break area and leak rate resulting from bellows rupture and therefore reduce the impact that bellows rupture can have on the estimated total core melt frequency. In the event of a 360 degree circumferential break of the bellows the resulting two sections will separate to the point where the force from the internal pressure acting to push the bellows open is just balanced by the spring force of the bellows itself. For the bellows addressed in this analysis, the equilibrium separation distance is 0.7 inches with normal pump lineup. The opening area is influenced by any initial compression or extension due to installation alignment, and by any operational displacements such as thermal expansion of the adjoining pipe. The influence of such factors is considered and the impact on the flooding rate and, hence, core melt frequency is reviewed.

  12. COMPARISON OF CLADDING CREEP RUPTURE MODELS

    SciTech Connect

    P. Macheret

    2000-06-12

    The objective of this calculation is to compare several creep rupture correlations for use in calculating creep strain accrued by the Zircaloy cladding of spent nuclear fuel when it has been emplaced in the repository. These correlations are used to calculate creep strain values that are then compared to a large set of experimentally measured creep strain data, taken from four different research articles, making it possible to determine the best fitting correlation. The scope of the calculation extends to six different creep rupture correlations.

  13. Pectoralis major tendon rupture. Surgical procedures review.

    PubMed Central

    Merolla, Giovanni; Paladini, Paolo; Campi, Fabrizio; Porcellini, Giuseppe

    2012-01-01

    Summary Pectoralis major (PM) muscle is the powerful dynamic stabiliser of the shoulder that acts as a flexor, adductor and internal rotator. The rupture of the PM tendon is a relatively rare injury that was firstly described in a French boy by Patissier in 1822 and later, in 1861, by Letenneur who reported another similiar case. To date, over 200 cases have been published. In this article we describe the clinical anatomy and the mechanism of injuries of PM and we review the surgical procedures for acute and chronic ruptures. PMID:23738281

  14. [Traumatic diaphragmatic rupture with delayed unusual disclosure].

    PubMed

    Thicoïpé, M; Sztark, F; Lassié, P; Tueux, O; Dabadie, P

    1995-01-01

    The authors report the case of a delayed presentation of a traumatic diaphragmatic rupture in a 22-year-old patient admitted to hospital for a minor surgical procedure under general anaesthesia. Nine months before, he had a road traffic accident with a minor thoracic trauma. Three days after surgery, the patient was readmitted for a tension hydrothorax due to the herniation and the perforation of the stomach into the left pleural cavity. Such a delayed presentation of a traumatic diaphragmatic rupture remains uncommon. The peroperative ventilatory factors involved in the development of the hernia are discussed. PMID:8572411

  15. Thoracic Outlet Syndrome Following Breast Implant Rupture

    PubMed Central

    Caplash, Yugesh; Giri, Pratyush; Kearney, Daniel; Wagstaff, Marcus

    2015-01-01

    Summary: We present a patient with bilateral breast implant rupture who developed severe locoregional silicone granulomatous lymphadenopathy. Poly Implant Prothese silicone implants had been used for bilateral breast augmentation 5 years prior. Extracapsular implant rupture and bilateral axillary lymphadenopathy indicated explantation, capsulectomy, and selective lymph node excision. Histology demonstrated silicone lymphadenopathy with no evidence of malignancy. Over the subsequent 12 months, she developed progressive locoregional lymphadenopathy involving bilateral cervical, axillary, and internal mammary groups, resulting in bilateral thoracic outlet syndrome. We report the unusual presentation, progression, and the ultimate surgical management of this patient. PMID:25878942

  16. Experimental Investigation of Thrust Fault Rupture Mechanics

    NASA Astrophysics Data System (ADS)

    Gabuchian, Vahe

    Thrust fault earthquakes are investigated in the laboratory by generating dynamic shear ruptures along pre-existing frictional faults in rectangular plates. A considerable body of evidence suggests that dip-slip earthquakes exhibit enhanced ground motions in the acute hanging wall wedge as an outcome of broken symmetry between hanging and foot wall plates with respect to the earth surface. To understand the physical behavior of thrust fault earthquakes, particularly ground motions near the earth surface, ruptures are nucleated in analog laboratory experiments and guided up-dip towards the simulated earth surface. The transient slip event and emitted radiation mimic a natural thrust earthquake. High-speed photography and laser velocimeters capture the rupture evolution, outputting a full-field view of photo-elastic fringe contours proportional to maximum shearing stresses as well as continuous ground motion velocity records at discrete points on the specimen. Earth surface-normal measurements validate selective enhancement of hanging wall ground motions for both sub-Rayleigh and super-shear rupture speeds. The earth surface breaks upon rupture tip arrival to the fault trace, generating prominent Rayleigh surface waves. A rupture wave is sensed in the hanging wall but is, however, absent from the foot wall plate: a direct consequence of proximity from fault to seismometer. Signatures in earth surface-normal records attenuate with distance from the fault trace. Super-shear earthquakes feature greater amplitudes of ground shaking profiles, as expected from the increased tectonic pressures required to induce super-shear transition. Paired stations measure fault parallel and fault normal ground motions at various depths, which yield slip and opening rates through direct subtraction of like components. Peak fault slip and opening rates associated with the rupture tip increase with proximity to the fault trace, a result of selective ground motion amplification in the

  17. [Gastric rupture after ingestion of liquid nitrogen].

    PubMed

    Knudsen, Anders Riegels; Nielsen, Casper; Christensen, Peter

    2009-02-01

    A 28-year-old male was admitted to hospital with severe abdominal distension and subcutaneous emphysema after ingesting 15 ml liquid nitrogen to produce an impressive burp. A rupture of the stomach at the lesser curvature was sutured by laparotomy. Peroperative gastroscopy showed no signs of cold-induced lesions. Liquid nitrogen boils at -196 degrees C. When heated to body temperature, it instantly expands 700 times, in this case predictably leading to gastric rupture. Therefore, any oral intake of even small amounts of liquid nitrogen should be avoided. PMID:19210943

  18. Spontaneous Achilles tendon rupture in alkaptonuria

    PubMed Central

    Alajoulin, Omar A.; Alsbou, Mohammed S.; Ja’afreh, Somayya O.; Kalbouneh, Heba M.

    2015-01-01

    Alkaptonuria (AKU) is a rare inborn metabolic disease characterized by accumulation of homogentisic acid (HGA). Excretion of HGA in urine causes darkening of urine and its deposition in connective tissues causes dark pigmentation (ochronosis), early degeneration of articular cartilage, weakening of the tendons, and subsequent rupture. In this case report, we present a rare case of a patient presented with unilateral spontaneous rupture of Achilles tendon due to AKU. The patient developed most of the orthopedic manifestations of the disease earlier than typical presentations. Alkaptonuria patients should avoid strenuous exercises and foot straining especially in patients developing early orthopedic manifestations. PMID:26620992

  19. Complex Vertebral Arteriovenous Fistula and Ruptured Aneurysm in Neurofibromatosis

    PubMed Central

    Roth, Tori C.; Manness, Wayne K; Hershey, Beverly L.; Yazdi, Joseph

    2000-01-01

    The objective and importance of this study was to describe the challenges encountered with treating a high-flow vertebral arteriovenous fistula (AVF) and ruptured aneurysm in a patient with life-threatening hemorrhage. A 36-year-old female with Neurofibromatosis type 1 (NF1) presented 2 weeks after uneventful cesarean section with a rapidly expanding pulsatile neck mass. Angiography demonstrated a complex left vertebral AVF and multiple associated vertebral artery aneurysms. Emergent endovascular coil embolization was performed using a retrograde and antegrade approach to occlude the fistulas and trap the ruptured aneurysm, successfully treating the acute hemorrhage. Subsequent definitive therapy was accomplished utilizing a combined neurointerventional and neurosurgical strategy of direct-puncture acrylic embolization and ligation of the vertebral artery. Recent advances in neurointerventional technology allow novel approaches in the primary and/or preoperative treatment of complex vascular lesions such as those seen in NF1. ImagesFigure 1Figure 2Figure 3Figure 4Figure 5p40-b PMID:17171099

  20. Successful surgical management of ruptured umbilical hernias in cirrhotic patients.

    PubMed

    Chatzizacharias, Nikolaos A; Bradley, J Andrew; Harper, Simon; Butler, Andrew; Jah, Asif; Huguet, Emmanuel; Praseedom, Raaj K; Allison, Michael; Gibbs, Paul

    2015-03-14

    Acute umbilical hernia rupture in patients with hepatic cirrhosis and ascites is an unusual, but potentially life-threatening complication, with postoperative morbidity about 70% and mortality between 60%-80% after supportive care and 6%-20% after urgent surgical repair. Management options include primary surgical repair with or without concomitant portal venous system decompression for the control of the ascites. We present a retrospective analysis of our centre's experience over the last 6 years. Our cohort consisted of 11 consecutive patients (median age: 53 years, range: 36-63 years) with advanced hepatic cirrhosis and refractory ascites. Appropriate patient resuscitation and optimisation with intravenous fluids, prophylactic antibiotics and local measures was instituted. One failed attempt for conservative management was followed by a successful primary repair. In all cases, with one exception, a primary repair with non-absorbable Nylon, interrupted sutures, without mesh, was performed. The perioperative complication rate was 25% and the recurrence rate 8.3%. No mortality was recorded. Median length of hospital stay was 14 d (range: 4-31 d). Based on our experience, the management of ruptured umbilical hernias in patients with advanced hepatic cirrhosis and refractory ascites is feasible without the use of transjugular intrahepatic portosystemic shunt routinely in the preoperative period, provided that meticulous patient optimisation is performed. PMID:25780312

  1. [A Case of Adrenergic Crisis Caused by Spontaneous Rupture of Cystic Pheochromocytoma].

    PubMed

    Miura, Kenji; Kanno, Toru; Nakamae, Keichiro; Kubota, Masashi; Nishiyama, Ryuichi; Okada, Takashi; Higashi, Yoshihito; Yamada, Hitoshi

    2015-11-01

    Pheochromocytoma crisis is a life-threatening situation. Herein we report a case of catecholamineinduced crisis caused by the rupture of cystic pheochromocytoma. A 76-year-old man with hypertension was referred to our hospital because of a cystic tumor in the retroperitoneal space adjacent to the aorta, which was suspicious of pheochromocytoma. Two days after admission, lower abdominal pain suddenly appeared, followed by hypertension with systolic pressure of 260 mmHg. Computed tomography revealed that the cystic tumor was ruptured spontaneously, leading to diagnosis of pheochromocytoma crisis. His blood pressure was successfully managed by medical treatment and he could recover from crisis. After adequate medical preparation by an α-adrenergic blocker, the tumor was successfully removed by laparoscopy, though the adhesion around the tumor was severe. To our knowledge adrenergic crisis caused by spontaneous rupture of cystic pheochromocytoma is rare, but we have to keep in mind that cystic pheochromocytoma can cause life-threatening crisis by the release of catecholamine due to rupture. PMID:26699885

  2. An Unusual Case of Spontaneous Esophageal Rupture after Swallowing a Boneless Chicken Nugget.

    PubMed

    Aga, Zeenia; Avelino, Jackie; Darling, Gail E; Leung, Jo Jo

    2016-01-01

    A 25-year-old previously healthy man presented to our Emergency Department with shortness of breath and epigastric pain after swallowing a boneless chicken nugget one hour prior to presentation. Physical examination revealed epigastric rigidity and tenderness. Serology was normal except for mildly elevated bilirubin and amylase. Computed tomography (CT) scan of the chest revealed a distal esophageal rupture with accompanying pneumomediastinum and left-sided pleural effusion. Treatment was initiated with administration of intravenous fluids and broad-spectrum antibiotics. Subsequently, an esophageal stent was inserted endoscopically in addition to VATS (Video-Assisted Thoracoscopic Surgery) drainage of the left-sided pleural space. This case illustrates an unusual presentation of Boerhaave's syndrome: a rare and life-threatening form of noniatrogenic esophageal rupture most often preceded by forceful vomiting. Our case demonstrates that physicians should maintain an index of suspicion for spontaneous esophageal rupture in patients presenting with shortness of breath and epigastric pain even in the absence of preceding vomiting, cough, or seizure. Additionally, ingestion of boneless, shell-less foods may be sufficient to cause rupture in individuals without underlying esophageal pathology. CT scan of the thorax and upper abdomen should be performed in these patients to rule out this rare and life-threatening diagnosis. PMID:26949552

  3. Primary gastric rupture in 47 horses (1995–2011)

    PubMed Central

    Winfield, Laramie S.; Dechant, Julie E.

    2015-01-01

    The purpose of this retrospective case-control study was to identify factors associated with primary gastric rupture and to investigate if there were differences between etiologies of primary gastric rupture. Compared to the general colic population, Quarter horses were under-represented and Friesians and draft breeds were over-represented in 47 cases of primary gastric ruptures. Horses with primary gastric rupture typically presented with severe clinical and clinicopathological derangements. There were 24 idiopathic gastric ruptures, 20 gastric impaction associated ruptures, and 3 perforating gastric ulcers. Thoroughbred horses were over-represented in the idiopathic gastric rupture group compared to other breeds and etiologies. This study suggests the presence of important breed predispositions for development of gastric rupture. Further study is necessary to identify if these predispositions are associated with management factors or breed-specific disorders. PMID:26345205

  4. Spontaneous rupture of fetal hydronephrosis: case report.

    PubMed

    Kosus, A; Kosus, N; Duran, M; Turhan, N

    2011-08-01

    Hydronephrosis is the most common congenital anomaly observed with prenatal ultrasonography. Ureteropelvic junction obstruction (UPJO) is the most common cause of prenatal hydronephrosis. Spontaneous rupture has been reported in adults with severe hydronephrosis. There is no reported spontaneous rupture case in the fetus in the literature. A spontaneous ureteral rupture due to severe UPJO was reported in this case report. Prenatal ultrasound at 33 week gestation in a 21-year-old pregnant woman, revealed a female fetus with grade IV hydronephrosis of the right kidney, suggestive of a UPJO. During the follow-up at XXXVIII week, 5 cm cystic structure was not observed in right kidney. Mild ectasia was present in pelvicalyciel part which make us think about spontaneous rupture. Ultrasonographic examination after a week post-delivery revealed 15 mm pelvicalyciel ectasia on right side which persisted during the second control after 1 month. Vesicoureteral reflux was not detected during voiding cystourethrogram. Diuretic renography revealed loss of right renal function completely. Because there was not any complain or any clinical sign, surgery was not thought. Spontaneous follow-up was recommended. PMID:21959707

  5. In vitro analysis of localized aneurysm rupture.

    PubMed

    Romo, Aaron; Badel, Pierre; Duprey, Ambroise; Favre, Jean-Pierre; Avril, Stéphane

    2014-02-01

    In this study, bulge inflation tests were used to characterize the failure response of 15 layers of human ascending thoracic aortic aneurysms (ATAA). Full field displacement data were collected during each of the mechanical tests using a digital image stereo-correlation (DIS-C) system. Using the collected displacement data, the local stress fields at burst were derived and the thickness evolution was estimated during the inflation tests. It was shown that rupture of the ATAA does not systematically occur at the location of maximum stress, but in a weakened zone of the tissue where the measured fields show strain localization and localized thinning of the wall. Our results are the first to show the existence of weakened zones in the aneurysmal tissue when rupture is imminent. An understanding these local rupture mechanics is necessary to improve clinical assessments of aneurysm rupture risk. Further studies must be performed to determine if these weakened zones can be detected in vivo using non-invasive techniques. PMID:24406100

  6. An Uncommon Presentation of Breast Implant Rupture

    PubMed Central

    Watson, David I.; Dean, Nicola R.

    2016-01-01

    Summary: Late periprosthetic seroma has lately been concerning for breast implant-associated anaplastic large cell lymphoma. The authors present an uncommon presentation of breast implant rupture with a seroma and skin rash forming 2 years after insertion of the implant. PMID:27579243

  7. Star polymers rupture induced by constant forces

    NASA Astrophysics Data System (ADS)

    García, N. A.; Febbo, M.; Vega, D. A.; Milchev, A.

    2014-10-01

    In this work, we study the breakage process of an unknotted three-arm star-shaped polymer when it is pulled from its free ends by a constant force. The star polymer configuration is described through an array of monomers coupled by anharmonic bonds, while the rupture process is tracked in three-dimensional space by means of Langevin Molecular Dynamics simulations. The interaction between monomers is described by a Morse potential, while a Weeks-Chandler-Anderson energetic contribution accounts for the excluded volume interaction. We explore the effect of the molecular architecture on the distributions of rupture times over a broad interval of pulling forces and star configurations. It was found that the rupture time distribution of the individual star arms is strongly affected by the star configuration imposed by the pulling forces and the length of the arms. We also observed that for large pulling forces the rupture time distributions resemble the dominant features observed for linear polymer chains. The model introduced here provides the basic ingredients to describe the effects of tensile forces on stress-induced degradation of branched macromolecules and polymer networks.

  8. Active diaphragm rupture with laser beam irradiation

    NASA Astrophysics Data System (ADS)

    Takahashi, T.; Torikai, H.; Yang, Q. S.; Watanabe, K.; Sasoh, A.

    We performed shock tube operations with a layer of diaphragm being ruptured by laser beam irradiation. Mylar or Cellophane was examined as the diaphragm material. It has been demonstrated that shock tube can be operated with this new technique. The absorbed energy depends on the material and thickness of the diaphragm and is an important control parameter.

  9. D-Zero Cryostat Supplemental Rupture Disc

    SciTech Connect

    Mulholland, G.T.; /Fermilab

    1987-08-03

    The common relief and rupture disc vent line requires a double disc assembly with vented interspace for accurate disc burst pressures. The first disc must take pump and purge vacuum loading, but be set to operate at 110% of the MAWP, 18.3 psig (ASME code). The available solution is 18.3 psig with a burst tolerance of +/- psig. The interspace should be locally vented by a flow limiting vent valve to decouple the vent line backpressure from the vessel rupture disc. The second disc must take the worst case vent line backpressure, the steady state value found in D-Zero engineering note 3740.000-EN-63 with all three cryostats simultaneously venting at the fire condition into the 4-inch x 6-inch and 6-inch x 8-inch sections. This value is less than 2 psid. The maximum rupture value for the second disc must be less than the minimum rupture value for the first disc less 2 psid i.e. < 16.3.

  10. Primary obstructive megaureter with ruptured kidney.

    PubMed

    Chung, Shiu-Dong; Sun, Hsu-Dong; Yang, Den-Kai; Liao, Chun-Hou

    2009-01-01

    A 17-year-old boy presented to the emergency department for severe left flank pain and gross hematuria 1 hour after playing basketball without significant collision. Laboratory tests showed normal renal function and massive hematuria. Abdominal computed tomography scan disclosed a primary megaureter with ruptured kidney. We successfully treated him with ureteral stenting followed by endoscopic ureterotomy and ureteroneocystostomy. PMID:19041564

  11. Pancreatic pseudocyst rupture into the portal vein.

    PubMed

    Dawson, Brian C; Kasa, David; Mazer, Mark A

    2009-07-01

    A patient with a pancreatic pseudocyst rupture into the portal vein with a resultant noninfectious systemic inflammatory response syndrome and subsequent portal vein thrombosis diagnosed by computed tomography and ultrasonography is reported. A review of the existing English literature on this rare complication is also provided. PMID:19561436

  12. Traumatic rupture of the right subclavian artery

    PubMed Central

    Girdwood, Robert W.; Holden, Michael P.; Ionescu, Marian I.

    1972-01-01

    The case report of a patient who sustained a traumatic rupture of the right subclavian artery in a motor vehicle accident is presented. The preoperative diagnosis, surgical approach, postoperative management, and indications for angiography in traumatic lesions of the thoracic aorta and great vessels are discussed. The relevant literature is reviewed. Images PMID:5034604

  13. An Uncommon Presentation of Breast Implant Rupture.

    PubMed

    Koh, Eugene; Watson, David I; Dean, Nicola R

    2016-05-01

    Late periprosthetic seroma has lately been concerning for breast implant-associated anaplastic large cell lymphoma. The authors present an uncommon presentation of breast implant rupture with a seroma and skin rash forming 2 years after insertion of the implant. PMID:27579243

  14. Source rupture process of the 2011 Fukushima-ken Hamadori earthquake: how did the two subparallel faults rupture?

    NASA Astrophysics Data System (ADS)

    Tanaka, Miho; Asano, Kimiyuki; Iwata, Tomotaka; Kubo, Hisahiko

    2014-12-01

    The 2011 Fukushima-ken Hamadori earthquake (MW 6.6) occurred about a month after the 2011 Great Tohoku earthquake (MW 9.0), and it is thought to have been induced by the 2011 Tohoku earthquake. After the 2011 Hamadori earthquake, two subparallel faults (the Itozawa and Yunodake faults) were identified by field surveys. The hypocenter was located nearby the Itozawa fault, and it is probable that the Itozawa fault ruptured before the Yunodake fault rupture. Here, we estimated the source rupture process of the 2011 Hamadori earthquake using a model with two subparallel faults based on strong motion data. The rupture starting point and rupture delay time of the Yunodake fault were determined based on Akaike's Bayesian Information Criterion (ABIC). The results show that the Yunodake fault started to rupture from the northern deep point 4.5 s after the Itozawa fault started to rupture. The estimated slip distribution in the shallow part is consistent with the surface slip distribution identified by field surveys. Time-dependent Coulomb failure function changes (ΔCFF) were calculated using the stress change from the Itozawa fault rupture in order to evaluate the effect of the rupture on the Yunodake fault. The ΔCFF is positive at the rupture starting point of the Yunodake fault 4.5 s after the Itozawa fault started to rupture; therefore, it is concluded that during the 2011 Hamadori earthquake, the Yunodake fault rupture was triggered by the Itozawa fault rupture.

  15. Deterministic Multiaxial Creep and Creep Rupture Enhancements for CARES/Creep Integrated Design Code

    NASA Technical Reports Server (NTRS)

    Jadaan, Osama M.

    1998-01-01

    High temperature and long duration applications of monolithic ceramics can place their failure mode in the creep rupture regime. A previous model advanced by the authors described a methodology by which the creep rupture life of a loaded component can be predicted. That model was based on the life fraction damage accumulation rule in association with the modified Monkman-Grant creep rupture criterion. However, that model did not take into account the deteriorating state of the material due to creep damage (e.g., cavitation) as time elapsed. In addition, the material creep parameters used in that life prediction methodology, were based on uniaxial creep curves displaying primary and secondary creep behavior, with no tertiary regime. The objective of this paper is to present a creep life prediction methodology based on a modified form of the Kachanov-Rabotnov continuum damage mechanics (CDM) theory. In this theory, the uniaxial creep rate is described in terms of sum, temperature, time, and the current state of material damage. This scalar damage state parameter is basically an abstract measure of the current state of material damage due to creep deformation. The damage rate is assumed to vary with stress, temperature, time, and the current state of damage itself. Multiaxial creep and creep rupture formulations of the CDM approach are presented in this paper. Parameter estimation methodologies based on nonlinear regression analysis are also described for both, isothermal constant stress states and anisothermal variable stress conditions This creep life prediction methodology was preliminarily added to the integrated design code CARES/Creep (Ceramics Analysis and Reliability Evaluation of Structures/Creep), which is a postprocessor program to commercially available finite element analysis (FEA) packages. Two examples, showing comparisons between experimental and predicted creep lives of ceramic specimens, are used to demonstrate the viability of Ns methodology and the

  16. Perinephric abscess caused by ruptured retrocecal appendix: MDCT demonstration

    PubMed Central

    Wani, Nisar Ahmad; Farooq, Mir; Gojwari, Tariq; Kosar, Tasleem

    2010-01-01

    Acute appendicitis may occasionally become extraordinarily complicated and life threatening yet difficult to diagnose. One such presentation is described in a 60-year-old man who was brought to the hospital due to right lumbar pain and fever for the last 15 days. Ultrasonography showed a right perinephric gas and fluid collection. Abdominal computed tomography with multidetector-row CT (MDCT) revealed gas-containing abscess in the right retroperitoneal region involving the perinephric space, extending from the lower pole of the right kidney up to the bare area of the liver. Inflamed retrocecal appendix was seen on thick multiplanar reformat images with its tip at the lower extent of the abscess. Laparotomy and retroperitoneal exploration were performed immediately and a large volume of foul smelling pus was drained. A ruptured retrocecal appendix was confirmed as the cause of the abscess. PMID:20842255

  17. Ruptured rectal duplication with urogenital abnormality: Unusual presentation

    PubMed Central

    Solanki, Shailesh; Babu, M Narendra; Jadhav, Vinay; Shankar, Gowri; Santhanakrishnan, Ramesh

    2015-01-01

    Rectal duplication (RD) accounts for 5% of alimentary tract duplication. A varied presentation and associated anomalies have been described in the literature. Antenatal rupture of the RD is very rare. We present an unusual case of a ruptured RD associated with urogenital abnormalities in newborn male. We are discussing diagnosis, embryology, management and literature review of ruptured RD. PMID:25552833

  18. Rupture dimensions and rupture processes of fluid-induced microcracks in salt rock

    NASA Astrophysics Data System (ADS)

    Dahm, T.

    2001-08-01

    We developed and applied a simple empirical Green function method to study induced microcracks observed during hydraulic fracturing experiments in salt rock. Either unidirectional ruptures on rectangular faults or allround ruptures on elliptical faults are tested to explain the observed directivity effects in body-wave amplitude spectra. Mostly, the rectangular rupture model and horizontal fault planes are favored. The average rupture lengths are between 15 and 27 mm, the average rupture durations between 14 and 26 μs. Small average rupture velocities of 30% of the S-wave velocity of the rock are indicated. The dispersive low-frequency coda-waves present in the data look similar to coda-waves observed during other hydraulic fracturing experiments and to long-period events from some volcanoes, which have been explained by the resonance of a fluid-filled crack. The radiation pattern of first motion amplitudes of most events is dominated by a dip-slip double-couple indicating slip on horizontal or vertical planes. We cannot distinguish whether the observed low-frequency coda-waves are influenced by a source effect or by a possible sensor-borehole coupling. However, a simple method using Gauss filter at different center frequencies and relocation is tested to analyze the low-frequency coda-waves in terms of source models.

  19. Saved from a fatal flight: A ruptured splenic artery aneurysm in a pregnant woman

    PubMed Central

    Heitkamp, Anke C.; Dickhoff, Chris; Nederhoed, Johanna H.; Franschman, Gaby; de Vries, Johanna I.

    2015-01-01

    Introduction The reported prevalence of a SAA varies between 0.01 and 10.4% [1], and since SAAs often remain asymptomatic, the true prevalence is uncertain. The reported SAAs occur more frequently in younger patients, with 58% diagnosed in women of childbearing age; 95% of these are diagnosed during pregnancy. Presentation of case A 26-year-old woman, thirty-one weeks pregnant, was about to board an airplane for a three hour flight from the Netherlands to Turkey. Just before entering the plane, she suddenly felt a severe abdominal pain. Ultrasound guided aspiration of the abdominal fluid showed blood and supported the decision to perform urgent laparotomy. A caesarean section was performed. After further inspection a ruptured SAA was encountered. The splenic artery was ligated proximally and distally to the rupture in order to stop the bleeding. As the hilar localization of the aneurysm interfered with a primary vascular reconstruction, a splenectomy was performed. The mother and baby survived. Discussion Although rupture of a SAA is rare, its consequences can be devastating for both mother and child. The literature shows a higher incidence of ruptured SAA in pregnant women, although there is a difficulty in recognizing hemodynamic instability in pregnancy due to the increase in circulating volume. Conclusion In case of pregnant women with acute abdomen and hypovolemia, emergency physicians, surgeons, anesthesiologists, and gynecologists should be aware of the possibility of a ruptured SAA, apart from more common causes like placental abruption, placenta percreta, or uterine rupture. Early recognition and prompt multidisciplinary treatment might save the life of mother and child. PMID:25617728

  20. Simultaneous rupture of the quadriceps tendon with contralateral rupture of the patellar tendon in an otherwise healthy athlete.

    PubMed Central

    Munshi, N I; Mbubaegbu, C E

    1996-01-01

    A case of a healthy athlete with simultaneous rupture of quadriceps tendon and rupture of the contralateral patella tendon is reported. Both tendons rupturing in the same patient is rare and this is the first reported case in a previously healthy person. Different mechanisms are implicated in the different ruptures. The rarity is because the simultaneous presence of contributory factors for either injury in the same person is uncommon. Images Fig. 2 PMID:8799608

  1. Rupture Paths in Kappa-Maps: Quantitative Insights on Heterogeneous Earthquake Ruptures From Energy Arguments.

    NASA Astrophysics Data System (ADS)

    Ampuero, J.; Ripperger, J.; Mai, M.

    2005-12-01

    Earthquake rupture is a notoriously complex process, at all observable scales. Although heterogeneities of strength and initial stress contribute to this rupture complexity, a systematic approach to quantify their effect has not yet been attempted. For instance, little is known about the relation between the final size of an earthquake and the statistical properties of initial strength excess fields. Canonical cases of dynamic rupture (e.g. uniform initial stress and friction properties), can be characterized by two non-dimensional numbers: the S-parameter (ratio of strength excess to stress drop) and the Kappa-parameter (ratio of static energy release rate to fracture energy, Madariaga and Olsen, 2000). The latter was introduced as a global parameter, involving the fault depth or asperity size as the fundamental scale. However, because faults contain heterogeneities at all scales it is not clear how a single scale-length may be relevant to define Kappa. We define here a scale-dependent Kappa-map, based on classical energy concepts in fracture mechanics. In 2D these maps can be defined exactly, and their efficient computation is implemented as a series of FFT-convolutions, by scaled analytical filters related to stress intensity factor weight functions. For given heterogeneous stress drop and fracture energy, such Kappa-maps are useful to predict nucleation properties and final moment, as we illustrate through increasingly complex examples complemented by dynamic rupture simulations. Other properties that can be derived from the 2D Kappa-maps, with additional assumptions, include radiated energy and rupture directivity. In 3D, the shape of the rupture front is unknown a priori and the energy release rate G might be non-uniform along the front. We therefore propose an approximate definition of Kappa in which G is estimated on circular patches. Comparisons with 3D dynamic rupture simulations on highly heterogeneous initial stress fields show that the final moment can

  2. Dynamic Rupture Processes during Laboratory Earthquakes

    NASA Astrophysics Data System (ADS)

    Passelègue, F. X.; Schubnel, A.; Nielsen, S. B.; Bhat Suresh, H.; Madariaga, R. I.

    2014-12-01

    Since the proposal by Brace and Byerlee [1966] that the mechanism of stick-slip is similar to earthquakes, many experimental studies have been conducted in order to improve the understanding of rupture mechanics. Here, we report the results of macroscopic stick-slip events in saw-cut samples deformed under controlled upper crustal stress conditions in the laboratory. Experiments were conducted under triaxial laoding (σ1>σ2=σ3) at confining pressures ranging from 10 to 100 MPa. Usual a dual gain system, a high frequency monitoring array recorded the microseismicity during stick-slip sequences and the particle accelerations during macroscopic instabilities. While strain, stress and axial shortening were measured until 10 Hz sampling rate, we also recorded for the first time the dynamic stress changes during macroscopic rupture using dynamic strain gages located close to the fault plane (10 MHz sampling rate). We show that increasing the normal stress acting on the fault plane (i) increases the intensity of foreshock activity prior to the main rupture, (ii) increases the friction along the fault plane, (iii) increases the seismic slip, and (iv) induces the transition from sub-Rayleigh to supershear ruptures [Passelègue et al., 2013]. In addition, after demonstrating that our stick-slip instabilities exhibit a purely slip weakening behavior, we estimated the rupture processes parameters including the size of the breakdown zone (R), the slip-weakening distance (Dc), the energy rate (F) and the fracture energy (G). We compare our results with linear elastic fracture mechanics and previous experimental studies. Finally, the dynamic stress drop is almost complete at high normal stresses with dynamic friction drop ranging from 0.4 to 0.6. These results are consistent with the onset of melting, which was confirmed by our post mortem microstructural analysis (XRD, SEM, TEM). These results show that weakening mechanisms are activated after only 80 μm of slip, suggesting

  3. SORD: A New Rupture Dynamics Modeling Code

    NASA Astrophysics Data System (ADS)

    Ely, G.; Minster, B.; Day, S.

    2005-12-01

    We report on our progress in validating our rupture dynamics modeling code, capable of dealing with nonplanar faults and surface topography. The method uses a "mimetic" approach to model spontaneous rupture on a fault within a 3D isotropic anelastic solid, wherein the equations of motion are approximated with a second order Support-Operator method on a logically rectangular mesh. Grid cells are not required to be parallelepipeds, however, so that non-rectangular meshes can be supported to model complex regions. However, for areas in the mesh which are in fact rectangular, the code uses a streamlined version of the algorithm that takes advantage of the simplifications of the operators in such areas. The fault itself is modeled using a double node technique, and the rheology on the fault surface is modeled through a slip-weakening, frictional, internal boundary condition. The Support Operator Rupture Dynamics (SORD) code, was prototyped in MATLAB, and all algorithms have been validated against known (including analytical solutions, eg Kostrov, 1964) solutions or previously validated solutions. This validation effort is conducted in the context of the SCEC Dynamic Rupture model validation effort led by R. Archuleta and R. Harris. Absorbing boundaries at the model edges are handled using the perfectly matched layers method (PML) (Olsen & Marcinkovich, 2003). PML is shown to work extremely well on rectangular meshes. We show that our implementation is also effective on non-rectangular meshes under the restriction that the boundary be planar. For validation of the model we use a variety of test cases using two types of meshes: a rectangular mesh and skewed mesh. The skewed mesh amplifies any biases caused by the Support-Operator method on non-rectangular elements. Wave propagation and absorbing boundaries are tested with a spherical wave source. Rupture dynamics on a planar fault are tested against (1) a Kostrov analytical solution, (2) data from foam rubber scale models

  4. Isolated Total Rupture of Extraocular Muscles.

    PubMed

    Chen, Jingchang; Kang, Ying; Deng, Daming; Shen, Tao; Yan, Jianhua

    2015-09-01

    Total rupture of extraocular muscles is an infrequent clinical finding. Here we conducted this retrospective study to evaluate their causes of injury, clinical features, imaging, surgical management, and final outcomes in cases of isolated extraocular muscle rupture at a tertiary center in China. Thirty-six patients were identified (24 men and 12 women). Mean age was 34 years (range 2-60). The right eye was involved in 21 patients and the left 1 in 15. A sharp object or metal hook was the cause of this lesion in 16 patients, sinus surgery in 14 patients, traffic accident in 3 patients, orbital surgery in 2 patients, and conjunctive tumor surgery in 1 patient. The most commonly involved muscles were medial (18 patients) and inferior rectus muscles (13 patients). The function of the ruptured muscles revealed a scale of -3 to -4 defect of ocular motility and the amount of deviation in primary position varied from 10 to 140 PD (prism diopter). Computerized tomography (CT) confirmed the presence of ruptured muscles. An end-to-end muscle anastomosis was performed and 3 to 5 mm of muscle was resected in 23 patients. When the posterior border of the injured muscle could not be identified (13 patients), a partial tendon transposition was performed, together with recession of the antagonist in most patients, whereas a recession of the antagonist muscle plus a resection of the involved muscle with or without nasal periosteal fixation was performed in the remaining patients. After an average of 16.42 months of follow-up an excellent result was achieved in 23 patients and results of 13 patients were considered as a failure. In most patients, the posterior border of the ruptured muscle can be identified and an early surgery can be performed to restore function. Alternatively, a partial tendon transposition should be performed. When muscular rupture is suspected, an early orbital CT is required to confirm this possibility, which can then verify the necessity for an early surgical

  5. Isolated Total Rupture of Extraocular Muscles

    PubMed Central

    Chen, Jingchang; Kang, Ying; Deng, Daming; Shen, Tao; Yan, Jianhua

    2015-01-01

    Abstract Total rupture of extraocular muscles is an infrequent clinical finding. Here we conducted this retrospective study to evaluate their causes of injury, clinical features, imaging, surgical management, and final outcomes in cases of isolated extraocular muscle rupture at a tertiary center in China. Thirty-six patients were identified (24 men and 12 women). Mean age was 34 years (range 2–60). The right eye was involved in 21 patients and the left 1 in 15. A sharp object or metal hook was the cause of this lesion in 16 patients, sinus surgery in 14 patients, traffic accident in 3 patients, orbital surgery in 2 patients, and conjunctive tumor surgery in 1 patient. The most commonly involved muscles were medial (18 patients) and inferior rectus muscles (13 patients). The function of the ruptured muscles revealed a scale of −3 to −4 defect of ocular motility and the amount of deviation in primary position varied from 10 to 140 PD (prism diopter). Computerized tomography (CT) confirmed the presence of ruptured muscles. An end-to-end muscle anastomosis was performed and 3 to 5 mm of muscle was resected in 23 patients. When the posterior border of the injured muscle could not be identified (13 patients), a partial tendon transposition was performed, together with recession of the antagonist in most patients, whereas a recession of the antagonist muscle plus a resection of the involved muscle with or without nasal periosteal fixation was performed in the remaining patients. After an average of 16.42 months of follow-up an excellent result was achieved in 23 patients and results of 13 patients were considered as a failure. In most patients, the posterior border of the ruptured muscle can be identified and an early surgery can be performed to restore function. Alternatively, a partial tendon transposition should be performed. When muscular rupture is suspected, an early orbital CT is required to confirm this possibility, which can then verify the necessity for

  6. Composite Overwrapped Pressure Vessels (COPV) Stress Rupture Test: Part 2. Part 2

    NASA Technical Reports Server (NTRS)

    Russell, Richard; Flynn, Howard; Forth, Scott; Greene, Nathanael; Kezirian, Michael; Varanauski, Don; Leifeste, Mark; Yoder, Tommy; Woodworth, Warren

    2010-01-01

    One of the major concerns for the aging Space Shuttle fleet is the stress rupture life of composite overwrapped pressure vessels (COPVs). Stress rupture life of a COPY has been defined as the minimum time during which the composite maintains structural integrity considering the combined effects of stress levels and time. To assist in the evaluation of the aging COPVs in the Orbiter fleet an analytical reliability model was developed. The actual data used to construct this model was from testing of COPVs constructed of similar, but not exactly same materials and pressure cycles as used on Orbiter vessels. Since no actual Orbiter COPV stress rupture data exists the Space Shuttle Program decided to run a stress rupture test to compare to model predictions. Due to availability of spares, the testing was unfortunately limited to one 40" vessel. The stress rupture test was performed at maximum operating pressure at an elevated temperature to accelerate aging. The test was performed in two phases. The first phase, 130 F, a moderately accelerated test designed to achieve the midpoint of the model predicted point reliability. A more aggressive second phase, performed at 160 F, was designed to determine if the test article will exceed the 95% confidence interval ofthe model. In phase 3, the vessel pressure was increased to above maximum operating pressure while maintaining the phase 2 temperature. After reaching enough effectives hours to reach the 99.99% confidence level of the model phase 4 testing began when the temperature was increased to greater than 170 F. The vessel was maintained at phase 4 conditions until it failed after over 3 million effect hours. This paper will discuss the results of this test, it's implications and possible follow-on testing.

  7. Rupture Process During the 2015 Illapel, Chile Earthquake: Zigzag-Along-Dip Rupture Episodes

    NASA Astrophysics Data System (ADS)

    Okuwaki, Ryo; Yagi, Yuji; Aránguiz, Rafael; González, Juan; González, Gabriel

    2016-04-01

    We constructed a seismic source model for the 2015 M W 8.3 Illapel, Chile earthquake, which was carried out with the kinematic waveform inversion method adopting a novel inversion formulation that takes into account the uncertainty in the Green's function, together with the hybrid backprojection method enabling us to track the spatiotemporal distribution of high-frequency (0.3-2.0 Hz) sources at high resolution by using globally observed teleseismic P-waveforms. A maximum slip amounted to 10.4 m in the shallow part of the seismic source region centered 72 km northwest of the epicenter and generated a following tsunami inundated along the coast. In a gross sense, the rupture front propagated almost unilaterally to northward from the hypocenter at <2 km/s, however, in detail the spatiotemporal slip distribution also showed a complex rupture propagation pattern: two up-dip rupture propagation episodes, and a secondary rupture episode may have been triggered by the strong high-frequency radiation event at the down-dip edge of the seismic source region. High-frequency sources tends to be distributed at deeper parts of the slip area, a pattern also documented in other subduction zone megathrust earthquakes that may reflect the heterogeneous distribution of fracture energy or stress drop along the fault. The weak excitation of high-frequency radiation at the termination of rupture may represent the gradual deceleration of rupture velocity at the transition zone of frictional property or stress state between the megathrust rupture zone and the swarm area.

  8. Stopping of earthquake ruptures at dilational fault jogs

    NASA Astrophysics Data System (ADS)

    Sibson, Richard H.

    1985-07-01

    Palaeoseismic studies over the past several years have indicated that segments of certain major faults tend to rupture at fairly regular intervals in characteristic earthquakes of about the same size1. This implies the presence of local structural controls which govern the nucleation and stopping of ruptures. Understanding rupture arrest is important, not only because it governs the size of characteristic earthquakes, but also because deceleration of ruptures results in the radiation of high-frequency energy leading to strong ground motion2. I show here that rapid opening of linking extensional fracture systems to allow passage of earthquake ruptures through dilational fault jogs in fluid-saturated crusts is opposed by transient suctional forces induced near the rupture tips3. Rupture arrest may then be followed by delayed slip transfer as fluid pressures re-equilibrate by diffusion.

  9. An unusual presentation of recurrent uterine rupture during pregnancy

    PubMed Central

    Tan, Shu Qi; Thia, Edwin Wee Hong; Tee, Chee Seng John; Yeo, George Seow Heong

    2015-01-01

    We describe a case of recurrent uterine rupture at the site of a previous rupture. Our patient had a history of right interstitial pregnancy with spontaneous uterine fundal rupture at 18 weeks of pregnancy. During her subsequent pregnancy, she was monitored closely by a senior consultant obstetrician. The patient presented at 34 weeks with right hypochondriac pain. She was clinically stable and fetal monitoring showed no signs of fetal distress. Ultrasonography revealed protrusion of the intact amniotic membranes in the abdominal cavity at the uterine fundus. Uterine rupture is a rare but hazardous obstetric complication. High levels of caution should be exercised in patients with a history of prior uterine rupture, as they may present with atypical symptoms. Ultrasonography could provide valuable information in such cases where there is an elevated risk of uterine rupture at the previous rupture site. PMID:26106245

  10. Brittle dynamic damage due to earthquake rupture

    NASA Astrophysics Data System (ADS)

    Bhat, Harsha; Thomas, Marion

    2016-04-01

    The micromechanical damage mechanics formulated by Ashby and Sammis, 1990, and generalized by Deshpande and Evans 2008 has been extended to allow for a more generalized stress state and to incorporate an experimentally motivated new crack growth (damage evolution) law that is valid over a wide range of loading rates. This law is sensitive to both the crack tip stress field and its time derivative. Incorporating this feature produces additional strain-rate sensitivity in the constitutive response. The model is also experimentally verified by predicting the failure strength of Dionysus-Pentelicon marble over wide range of strain rates. We then implement this constitutive response to understand the role of dynamic brittle off-fault damage on earthquake ruptures. We show that off-fault damage plays an important role in asymmetry of rupture propagation and is a source of high-frequency ground motion in the near source region.

  11. Recurrent spontaneous scleral rupture in Marfan's syndrome.

    PubMed

    Turaga, Kiranmaye; Senthil, Sirisha; Jalali, Subhadra

    2016-01-01

    The ocular manifestations of Marfan's syndrome (MS) range from ectopia lentis, microspherophakia, myopia, glaucoma and retinal detachment. Spontaneous scleral rupture is a rare complication and recurrent scleral perforation is extremely rare. We report a rare case of a 26-year-old male with MS who had sequential recurrent spontaneous scleral rupture which required surgical repair. He suffered from a similar problem 4 years later in both eyes in a different location, with overlying thin cystic blebs and hypotony maculopathy. Surgical repair with preserved scleral donor patch graft and conjunctival autograft in one eye, and conjunctival advancement in the other eye was performed. This helped stabilise the eyes, and resulted in complete visual recovery in both eyes. PMID:27199441

  12. Creep rupture behavior of Stirling engine materials

    NASA Technical Reports Server (NTRS)

    Titran, R. H.; Scheuerman, C. M.; Stephens, J. R.

    1985-01-01

    The automotive Stirling engine, being investigated jointly by the Department of Energy and NASA Lewis as an alternate to the internal combustion engine, uses high-pressure hydrogen as the working fluid. The long-term effects of hydrogen on the high temperature strength properties of materials is relatively unknown. This is especially true for the newly developed low-cost iron base alloy NASAUT 4G-A1. This iron-base alloy when tested in air has creep-rupture strengths in the directionally solidified condition comparable to the cobalt base alloy HS-31. The equiaxed (investment cast) NASAUT 4G-A1 has superior creep-rupture to the equiaxed iron-base alloy XF-818 both in air and 15 MPa hydrogen.

  13. Liquid salt environment stress-rupture testing

    DOEpatents

    Ren, Weiju; Holcomb, David E.; Muralidharan, Govindarajan; Wilson, Dane F.

    2016-03-22

    Disclosed herein are systems, devices and methods for stress-rupture testing selected materials within a high-temperature liquid salt environment. Exemplary testing systems include a load train for holding a test specimen within a heated inert gas vessel. A thermal break included in the load train can thermally insulate a load cell positioned along the load train within the inert gas vessel. The test specimen can include a cylindrical gage portion having an internal void filled with a molten salt during stress-rupture testing. The gage portion can have an inner surface area to volume ratio of greater than 20 to maximize the corrosive effect of the molten salt on the specimen material during testing. Also disclosed are methods of making a salt ingot for placement within the test specimen.

  14. Influence of flowing sodium on creep deformation and rupture behaviour of 316L(N) austenitic stainless steel

    NASA Astrophysics Data System (ADS)

    Ravi, S.; Laha, K.; Mathew, M. D.; Vijayaraghavan, S.; Shanmugavel, M.; Rajan, K. K.; Jayakumar, T.

    2012-08-01

    The influence of flowing sodium on creep deformation and rupture behaviour of AISI 316L(N) austenitic stainless steel has been investigated at 873 K over a stress range of 235-305 MPa. The results were compared with those obtained from testing in air environment. The steady state creep rates of the material were not influenced appreciably by the testing environments. The time to onset of tertiary stage of creep deformation was delayed in sodium environment. The creep-rupture lives of the material increased in sodium environment, which became more pronounced at lower applied stresses. The increase in rupture life of the material in flowing sodium was accompanied by an increase in rupture ductility. The creep damage on specimen surface as well as inside the specimen was less in specimen tested in sodium. SEM fractographic investigation revealed predominantly transgranular dimple failure for the specimen tested in sodium, whereas predominantly intergranular creep failure was observed in the air tested specimens. Almost no oxidation was observed in the specimens creep tested in the sodium environment. Absence of oxidation and less creep damage cavitation extended the secondary state in liquid sodium tests and lead to increase in creep rupture life and ductility of the material as compared to in air.

  15. Creep-rupture and fractographic analysis of Stirling engine superalloys tested in air and 15 MPa hydrogen

    NASA Technical Reports Server (NTRS)

    Bhattacharyya, S.; Titran, R. H.

    1986-01-01

    A brief comparative analytical and microstructural evaluation of creep-rupture performance of two iron-base superalloys in air and 15 MPa of hydrogen, is presented. Creep rupture data are presented for the sheet alloy 19-9DL and the cast alloy XF-818, including temperature, initial stress, rupture life, minimum creep rate, time to reach one percent creep strain, and total elongation. In 19-9DL, both rupture life and minimum creep rate are more sharply dependent on small stress changes than in XF-818 in the given environment, and 19-9DL appears to become a more creep-resistant material with increasing Q (apparent activation energy) while the opposite is noted for XF-818. There appears to be no environmental effect on minimum creep rate for 19-9DL, whereas Q becomes less negative for XF-818 for 15 MPa of H2. Multiple cracks leading to rupture are observed on the fracture surfaces, with sheet specimens showing many more cracks close to the fracture surface than cast specimens.

  16. Rupture of embolised coeliac artery pseudoaneurysm into the stomach: is coil embolisation an effective treatment for coeliac anastomotic pseudoaneurysm?

    PubMed

    Onohara, T; Okadome, K; Mii, S; Yasumori, K; Muto, Y; Sugimachi, K

    1992-05-01

    An elderly woman with an anastomotic pseudoaneurysm of the coeliac artery, after previous treatment of a thoraco-abdominal aortic aneurysm, was treated by stainless steel coil embolisation. One year later, the embolised pseudoaneurysm ruptured into the stomach and total gastrectomy and aneurysmorraphy was necessary. She is leading a normal life 6 months later. PMID:1592138

  17. Megakaryocyte rupture for acute platelet needs

    PubMed Central

    Stritt, Simon

    2015-01-01

    Circulating platelets were thought to arise solely from the protrusion and fragmentation of megakaryocyte cytoplasm. Now, Nishimura et al. (2015. J. Cell Biol. http://dx.doi.org/10.1083/jcb.201410052) show that platelet release from megakaryocytes can be induced by interleukin-1α (IL-1α) via a new rupture mechanism, which yields higher platelet numbers, occurs independently of the key regulator of megakaryopoiesis thrombopoietin, and may occur during situations of acute platelet need. PMID:25963815

  18. Megakaryocyte rupture for acute platelet needs.

    PubMed

    Nieswandt, Bernhard; Stritt, Simon

    2015-05-11

    Circulating platelets were thought to arise solely from the protrusion and fragmentation of megakaryocyte cytoplasm. Now, Nishimura et al. (2015. J. Cell Biol. http://dx.doi.org/10.1083/jcb.201410052) show that platelet release from megakaryocytes can be induced by interleukin-1α (IL-1α) via a new rupture mechanism, which yields higher platelet numbers, occurs independently of the key regulator of megakaryopoiesis thrombopoietin, and may occur during situations of acute platelet need. PMID:25963815

  19. Fan-structure waves in shear ruptures

    NASA Astrophysics Data System (ADS)

    Tarasov, Boris

    2016-04-01

    This presentation introduces a recently identified shear rupture mechanism providing a paradoxical feature of hard rocks - the possibility of shear rupture propagation through the highly confined intact rock mass at shear stress levels significantly less than frictional strength. According to the fan-mechanism the shear rupture propagation is associated with consecutive creation of small slabs in the fracture tip which, due to rotation caused by shear displacement of the fracture interfaces, form a fan-structure representing the fracture head. The fan-head combines such unique features as: extremely low shear resistance (below the frictional strength), self-sustaining stress intensification in the rupture tip (providing easy formation of new slabs), and self-unbalancing conditions in the fan-head (making the failure process inevitably spontaneous and violent). An important feature of the fan-mechanism is the fact that for the initial formation of the fan-structure an enhanced local shear stress is required, however, after completion of the fan-structure it can propagate as a dynamic wave through intact rock mass at shear stresses below the frictional strength. Paradoxically low shear strength of pristine rocks provided by the fan-mechanism determines the correspondingly low transient strength of the lithosphere, which favours generation of new earthquake faults in the intact rock mass adjoining pre-existing faults in preference to frictional stick-slip instability along these faults. The new approach reveals an alternative role of pre-existing faults in earthquake activity: they represent local stress concentrates in pristine rock adjoining the fault where special conditions for the fan-mechanism nucleation are created, while further dynamic propagation of the new fault (earthquake) occurs at low field stresses even below the frictional strength.

  20. Functional orthosis post pectoralis muscle rupture.

    PubMed

    Moore, Jodi

    2015-01-01

    This author described her success at fabricating a chest compression orthosis for a patient who underwent repair of a pectoralis major muscle rupture. The repair occurred nine months prior to orthotic fabrication, but the patient continued to experience weakness and pain which limited motion. The design of the orthotic allowed him increased mobility and functional use. - Victoria Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor. PMID:26043967

  1. An unusual presentation of bronchial rupture.

    PubMed

    Goktalay, Tugba; Yaldiz, Sadik; Ozgen Alpaydin, Aylin; Goktan, Cihan; Celik, Pinar

    2011-06-01

    Persistent hydropneumothorax was diagnosed in a 62-year-old female with a history of blunt trauma, although she was treated with chest tube and closed underwater seal drainage. Computed tomography and fiberoptic bronchoscopy findings were consistent with "fallen lung" syndrome. Fiberoptic bronchoscopy also found a cavitary lesion at the right tracheobronchial angle. Forceps biopsy of the cavitary lesion indicated bronchogenic carcinoma. Our final diagnosis was tracheobronchial complete rupture and fallen lung syndrome secondary to malignancy. PMID:21333086

  2. Wrapped Wire Detects Rupture Of Pressure Vessel

    NASA Technical Reports Server (NTRS)

    Hunt, James B.

    1990-01-01

    Simple, inexpensive technique helps protect against damage caused by continuing operation of equipment after rupture or burnout of pressure vessel. Wire wrapped over area on outside of vessel where breakthrough most likely. If wall breaks or burns, so does wire. Current passing through wire ceases, triggering cutoff mechanism stopping flow in vessel to prevent further damage. Applied in other situations in which pipes or vessels fail due to overpressure, overheating, or corrosion.

  3. Rupture directivity of moderate earthquakes in northern California

    USGS Publications Warehouse

    Seekins, Linda C.; Boatwright, John

    2010-01-01

    We invert peak ground velocity and acceleration (PGV and PGA) to estimate rupture direction and rupture velocity for 47 moderate earthquakes (3.5≥M≥5.4) in northern California. We correct sets of PGAs and PGVs recorded at stations less than 55–125 km, depending on source depth, for site amplification and source–receiver distance, then fit the residual peak motions to the unilateral directivity function of Ben-Menahem (1961). We independently invert PGA and PGV. The rupture direction can be determined using as few as seven peak motions if the station distribution is sufficient. The rupture velocity is unstable, however, if there are no takeoff angles within 30° of the rupture direction. Rupture velocities are generally subsonic (0.5β–0.9β); for stability, we limit the rupture velocity at v=0.92β, the Rayleigh wave speed. For 73 of 94 inversions, the rupture direction clearly identifies one of the nodal planes as the fault plane. The 35 strike-slip earthquakes have rupture directions that range from nearly horizontal (6 events) to directly updip (5 events); the other 24 rupture partly along strike and partly updip. Two strike-slip earthquakes rupture updip in one inversion and downdip in the other. All but 1 of the 11 thrust earthquakes rupture predominantly updip. We compare the rupture directions for 10 M≥4.0 earthquakes to the relative location of the mainshock and the first two weeks of aftershocks. Spatial distributions of 8 of 10 aftershock sequences agree well with the rupture directivity calculated for the mainshock.

  4. Single Event Gate Rupture in EMCCD technology

    NASA Astrophysics Data System (ADS)

    Evagora, A. M.; Murray, N. J.; Holland, A. D.; Burt, D.

    2012-12-01

    The high electric fields (typically 3 MV/cm2 interpoly field) utilised in Electron Multiplying Charged Coupled Devices (EMCCDs) reveal a potential vulnerability from Single Event Phenomena (SEP), in particular Single Event Gate Rupture (SEGR). SEGR is where a conduction path between two conductive areas of the CCD is produced, causing device failure. If EMCCDs are to be used for space applications the susceptibility to these events needs to be explored. A positive result from such an investigation can increase the technology readiness level of the device moving it another step closer to being used in space. Testing undertaken at the CYClotron of LOuvain la NEuve (CYCLONE), using the Heavy Ion Facility (HIF), conclusively showed EMCCD technology to have resilience to heavy ions that surpassed initial expectations. The simulations undertaken prior to experiment suggested gate rupture would occur at 20-40 MeV cm2/mg, however Linear Energy Transfers (LETs) greater than 100 MeV cm2/mg proved to not cause a rupture event. Within the radiation belts heavy ions with an LET greater than 60 MeV cm2/mg are not very common when compared to the fluxes used at the HIF. Possible reasons for this result are discussed in this work, leading to a conclusion that EMCCD technology is a secure choice for space flight.

  5. Carotid artery rupture and cervicofacial actinomycosis.

    PubMed

    Kummer, Anne; Lhermitte, Benoît; Ödman, Micaela; Grabherr, Silke; Mangin, Patrice; Palmiere, Cristian

    2012-11-01

    Cervicofacial actinomycosis is an uncommon, progressive infection caused by bacilli of the Actinomyces genus. Actinomyces are common commensal saprophytes in the oral cavity which may have medical importance as facultative pathogens. Subsequent to local injuries to the oral mucosa, they may penetrate the deep tissues and be responsible for suppurative or granulomatous infections. We herein report a case of a 65-year-old man who underwent surgery followed by chemotherapy and radiotherapy for a tonsillar carcinoma. An ulcerous lesion in the base of the tongue developed and spread to the carotid artery wall. The man died of a massive hemorrhage due to left carotid artery rupture. Postmortem computed tomography angiography performed prior to autopsy allowed the precise localization of the source of bleeding to be detected. Postmortem biochemical investigations confirmed the presence of inflammation associated with local bacterial infection. Histological investigations revealed the rupture of the left carotid artery surrounded by numerous colonies of Actinomyces. Acute and chronic inflammation with tissue necrosis as well as post-actinic, fibrotic changes were also found in the tissues surrounding the ruptured artery wall. PMID:22819527

  6. Rupture models with dynamically determined breakdown displacement

    USGS Publications Warehouse

    Andrews, D.J.

    2004-01-01

    The critical breakdown displacement, Dc, in which friction drops to its sliding value, can be made dependent on event size by specifying friction to be a function of variables other than slip. Two such friction laws are examined here. The first is designed to achieve accuracy and smoothness in discrete numerical calculations. Consistent resolution throughout an evolving rupture is achieved by specifying friction as a function of elapsed time after peak stress is reached. Such a time-weakening model produces Dc and fracture energy proportional to the square root of distance rupture has propagated in the case of uniform stress drop. The second friction law is more physically motivated. Energy loss in a damage zone outside the slip zone has the effect of increasing Dc and limiting peak slip velocity (Andrews, 1976). This article demonstrates a converse effect, that artificially limiting slip velocity on a fault in an elastic medium has a toughening effect, increasing fracture energy and Dc proportionally to rupture propagation distance in the case of uniform stress drop. Both the time-weakening and the velocity-toughening models can be used in calculations with heterogeneous stress drop.

  7. Ruptured aneurysms of sinuses of Valsalva

    PubMed Central

    Jugdutt, B. I.; Fraser, R. S.; Rossall, R. E.; Lee, S. J. K.

    1974-01-01

    At least one additional cardiac lesion was present in 18 consecutive patients with ruptured aneurysms of the sinuses of Valsalva who were investigated between 1956 and 1973 at the University of Alberta Hospital. Clinical diagnosis was made in 78% (14/18) of the patients. Confirmation at cardiac catheterization, operation or autopsy was obtained in all but one. The main sites of rupture were the right ventricle (seven cases), right atrium (five) and left ventricle (five). Fifty percent (9/18) are alive and well following prompt operative repair, an average of 8.2 years later (range, six months to 15 years). Replacement of the aortic valve was associated with a high mortality (50% early, 13% late, total 63%) which could be explained by the higher operative risk in this group of very ill patients. Eight patients (44.4%) had had bacterial endocarditis prior to presentation and this may have played a significant role in the rupture of the sinus of Valsalva aneurysm. ImagesFIG. 4FIG. 5 PMID:4278257

  8. Rupture of plasma membrane under tension.

    PubMed

    Tan, Samuel Chun Wei; Yang, Tianyi; Gong, Yingxue; Liao, Kin

    2011-04-29

    We present a study on the rupture behavior of single NIH 3T3 mouse fibroblasts under tension using micropipette aspiration. Membrane rupture was characterized by breaking and formation of an enclosed membrane linked to a tether at the cell apex. Three different rupture modes, namely: single break, initial multiple breaks, and continuous multiple breaks, were observed under similar loading condition. The measured mean tensile strengths of plasma membrane were 3.83 ± 1.94 and 3.98 ± 1.54mN/m for control cells and cells labeled with TubulinTracker, respectively. The tensile strength data was described by Weibull distribution. For the control cells, the Weibull modulus and characteristic strength were 1.86 and 4.40 mN/m, respectively; for cells labeled with TubulinTracker, the Weibull modulus and characteristic strength were 2.68 and 4.48 mN/m, respectively. Based on the experimental data, the estimated average transmembrane proteins-lipid cleavage strength was 2.64 ± 0.64 mN/m. From the random sampling of volume ratio of transmembrane proteins in cell membrane, we concluded that the Weibull characteristic of plasma membrane strength was likely to be originated from the variation in transmembrane proteins-lipid interactions. PMID:21288526

  9. [Traumatic rupture of the thoracic aorta].

    PubMed

    Glock, Y; Roux, D; Soula, P; Cerene, A; Fournial, G

    1996-01-01

    This is a retrospective analysis of 50 postraumatic aortic rupture (1968-1996, 39 males, mean age: 34.5). Group A is composed of 35 patients with an acute aortic rupture and a prompt diagnosis. Group B includes 13 patients with a chronic rupture. All patients from group A had a severe politraumatism with abdominal, cranial, extremities or hip fractures. Mediastinal thickening with or without hemothorax indicated an angiography or a transesophageal echocardiography lately. In group A, 36 patients have been operated on urgently (12-24 hours); cardiopulmonary bypass was performed on 20 patients; an aorto-aortical bypass was done in 27 cases and a direct suture in the remaining 9. In group B, cardiopulmonary bypass was performed on 9 patients; a aorto-aortical bypass was done in 11 cases and a direct suture in 2. Overall hospital mortality was 16%; 19% in group A and 7.6% in group B. Ischemic paraplejia appeared in 5 patients (10%), all from group A. No false aneurysm developed after 4.5 years of follow-up (3-135 months) in the 38 survivors. The usefulness of transesophageal echocardiography, the importance of medular protection and the utility of several interventionist radiologic techniques are discussed. PMID:9053930

  10. Iatrogenic post-intubation tracheal rupture treated conservatively without intubation: a case report

    PubMed Central

    Prunet, Bertrand; Lacroix, Guillaume; Asencio, Yves; Cathelinaud, Olivier; Avaro, Jean-Philippe; Goutorbe, Philippe

    2008-01-01

    Background Tracheal rupture is a rare but life-threatening complication that most commonly occurrs after blunt trauma to the chest, but which may also complicate tracheal intubation. We report a case of post-intubation tracheal rupture after cataract surgery under general anesthesia treated conservatively. Case presentation Four hours after extubation, a 67 year-old woman developed subcutaneous emphysema of the facial, bilateral laterocervical and upper anterior chest. Tracheobronchial fiberendoscopy showed a posterior tracheal transmural rupture 4 cm long located 2.5 cm above the carina that opened in inspiration. The location of the lesion and features of the patient favoured conservative treatment with antibiotic cover. The patient made a full and uncomplicated recovery and was discharged fourteen days after the original injury. Conclusion Two therapeutic strategies are currently employed for post-intubation tracheal rupture: a non-surgical strategy for small injuries and a surgical strategy for larger injuries. This case report presented the non-surgical therapeutic strategy of a large tracheal injury. PMID:18945364

  11. Blunt traumatic rupture of the heart and pericardium: a ten-year experience (1979-1989).

    PubMed

    Fulda, G; Brathwaite, C E; Rodriguez, A; Turney, S Z; Dunham, C M; Cowley, R A

    1991-02-01

    Blunt traumatic rupture of the heart and pericardium, rarely diagnosed preoperatively, carries a high mortality rate. From 1979 to 1989, more than 20,000 patients were admitted to a Level I trauma center. A retrospective review identified 59 patients requiring emergency surgery for this condition. Injuries resulted from vehicular accidents (68%), motorcycle crashes (10%), pedestrians being struck by vehicles (7%), falls (5%), crushing (7%), and being struck by a horse (2%) or crane (2%). Seventeen patients (29%) had isolated rupture of the pericardium; 37 (63%) had ruptures of one or more cardiac chambers. All patients had signs of life at the scene or during transportation, but only 29 (49%) had vital signs on admission: 15 with chamber injury, 12 with pericardial rupture, and two with combined injuries. Diagnosis was established by emergency thoracotomy in the 30 patients who arrived in cardiac arrest. In the remaining 29 patients, diagnosis was made by urgent thoracotomy (41%), by subxiphoid pericardial window (34%), during laparotomy (21%), or by chest radiography (3%). The overall mortality rate was 76% (45 patients), but only 52% for those with vital signs on admission. Rapid transportation and expeditious surgical treatment can save many patients with these injuries. PMID:1994075

  12. Intersonic and Supersonic ruptures in a model of dynamic rupture in a layered medium

    NASA Astrophysics Data System (ADS)

    Ma, X.; Elbanna, A. E.

    2014-12-01

    The velocity structure in the lithosphere is quite complex and is rarely homogeneous. Wave reflection, transmission, and diffraction from the boundaries of the different layers and inclusions are expected to lead to a rich dynamic response and significantly affect rupture propagation on embedded faults. Here, we report our work on modeling dynamic rupture in an elastic domain with an embedded soft (stiff) layer as a first step towards modeling rupture propagation in realistic velocity structures. We use the Finite Element method (Pylith) to simulate rupture on a 2D in-plane fault embedded in an elastic full space. The simulated domain is 30 km wide and 100km long. Absorbing boundary conditions are used around the edges of the domain to simulate an infinite extension in all directions. The fault operates under linear slip-weakening friction law. We initiate the rupture by artificially overstressing a localized region near the left edge of the fault. We consider embedded soft/stiff layers with 20% to 60% reduction/increase of wave velocity respectively. The embedded layers are placed at different distances from the fault surface. We observed that the existence of a soft layer significantly shortens the transition length to supershear propagation through the Burridge-Andrews mechanism. The higher the material contrast, the shorter the transition length to supershear propagation becomes. We also observe that supershear rupture could be generated at pretress values that are lower than what is theoretically predicted for a homogeneous medium. We find that the distance from the lower boundary of the soft layer to the fault surface has a stronger influence on the supershear transition length as opposed to the thickness of the soft layer. In the existence of an embedded stiffer layer we found that rupture could propagate faster than the fault zone P-wave speed. In this case, the propagating rupture generate two Mach cones; one is associated with the shear wave, and the

  13. Coupling geodynamic earthquake cycles and dynamic ruptures

    NASA Astrophysics Data System (ADS)

    van Zelst, Iris; van Dinther, Ylona; Gabriel, Alice-Agnes; Heuret, Arnauld

    2016-04-01

    Studying the seismicity in a subduction zone and its effects on tsunamis requires diverse modelling methods that span spatial and temporal scales. Hundreds of years are necessary to build the stresses and strengths on a fault, while consequent earthquake rupture propagation is determined by both these initial fault conditions and the feedback of seismic waves over periods of seconds up to minutes. This dynamic rupture displaces the sea floor, thereby causing tsunamis. The aim of the ASCETE (Advanced Simulations of Coupled Earthquake and Tsunami Events) project is to study all these aspects and their interactions. Here, we present preliminary results of the first aspects in this modelling chain: the coupling of a seismo-thermo-mechanical (STM) code to the dynamic rupture model SeisSol. STM models of earthquake cycles have the advantage of solving multiple earthquake events in a self-consistent manner concerning stress, strength and geometry. However, the drawback of these models is that they often lack in spatial or temporal resolution and do not include wave propagation. In contrast, dynamic rupture models solve for frictional failure coupled to seismic wave propagation. We use the software package SeisSol (www.seissol.org) based on an ADER-DG discretization allowing high-order accuracy in space and time as well as flexible tetrahedral meshing. However, such simulations require assumptions on the initial fault stresses and strengths and its geometry, which are hard to constrain due to the lack of near-field observations and the complexity of coseismic conditions. By adapting the geometry as well as the stress and strength properties of the self-consistently developing non-finite fault zones from the geodynamic models as initial conditions for the dynamic rupture models, the advantages of both methods are exploited and modelling results may be compared. Our results show that a dynamic rupture can be triggered spontaneously and that the propagating rupture is

  14. Design prediction for long term stress rupture service of composite pressure vessels

    NASA Technical Reports Server (NTRS)

    Robinson, Ernest Y.

    1992-01-01

    Extensive stress rupture studies on glass composites and Kevlar composites were conducted by the Lawrence Radiation Laboratory beginning in the late 1960's and extending to about 8 years in some cases. Some of the data from these studies published over the years were incomplete or were tainted by spurious failures, such as grip slippage. Updated data sets were defined for both fiberglass and Kevlar composite stand test specimens. These updated data are analyzed in this report by a convenient form of the bivariate Weibull distribution, to establish a consistent set of design prediction charts that may be used as a conservative basis for predicting the stress rupture life of composite pressure vessels. The updated glass composite data exhibit an invariant Weibull modulus with lifetime. The data are analyzed in terms of homologous service load (referenced to the observed median strength). The equations relating life, homologous load, and probability are given, and corresponding design prediction charts are presented. A similar approach is taken for Kevlar composites, where the updated stand data do show a turndown tendency at long life accompanied by a corresponding change (increase) of the Weibull modulus. The turndown characteristic is not present in stress rupture test data of Kevlar pressure vessels. A modification of the stress rupture equations is presented to incorporate a latent, but limited, strength drop, and design prediction charts are presented that incorporate such behavior. The methods presented utilize Cartesian plots of the probability distributions (which are a more natural display for the design engineer), based on median normalized data that are independent of statistical parameters and are readily defined for any set of test data.

  15. Bilateral patellar tendon rupture associated with statin use.

    PubMed

    Kearns, Marie C; Singh, Vinay K

    2016-01-01

    Patellar tendon rupture is an uncommon clinical presentation, which generally affects the under 40s who are active in sport. Bilateral rupture of both tendons is much rarer. It occurs most frequently in patients with predisposing factors such as corticosteroid use or systemic diseases. The authors present the case of a 56-year-old male on long-term statin therapy who sustained this injury following a fall on ice. He had no known risk factors for tendon rupture. Surgical treatment involved tendon repair using Krakow suture via bony tunnels in the patella. Statins have previously been associated with tendon ruptures at other sites but there have been no published cases of bilateral patellar tendon rupture linked to statin use. We review the literature regarding the association between statins and tendon rupture. PMID:27165749

  16. Bilateral patellar tendon rupture associated with statin use

    PubMed Central

    Kearns, Marie C.; Singh, Vinay K.

    2016-01-01

    Patellar tendon rupture is an uncommon clinical presentation, which generally affects the under 40s who are active in sport. Bilateral rupture of both tendons is much rarer. It occurs most frequently in patients with predisposing factors such as corticosteroid use or systemic diseases. The authors present the case of a 56-year-old male on long-term statin therapy who sustained this injury following a fall on ice. He had no known risk factors for tendon rupture. Surgical treatment involved tendon repair using Krakow suture via bony tunnels in the patella. Statins have previously been associated with tendon ruptures at other sites but there have been no published cases of bilateral patellar tendon rupture linked to statin use. We review the literature regarding the association between statins and tendon rupture. PMID:27165749

  17. Missed Iatrogenic Bladder Rupture Following Normal Vaginal Delivery

    PubMed Central

    Baheti, Vidyasagar H; Patwardhan, Sujata K

    2015-01-01

    Bladder rupture following caesarian section is well documented complications. Intraperitoneal bladder rupture following normal vaginal delivery is very rare. Hereby, we present a case report of intraperitoneal bladder rupture presented late following normal vaginal delivery. We report a case of spontaneous intraperitoneal urinary bladder rupture following uneventful outlet forceps delivery in a 22-year-old primi gravid woman with gestational diabetes mellitus and fetal macrosomia who presented with large urinary ascites, anuria and renal failure. Emergent exploratory laparotomy with repair of the intraperitoneal bladder rupture helped to prevent its potential complications. Postpartum patients who undergo episiotomy or perineal repair may land up in unnoticed urinary retention which may rarely terminate in spontaneous urinary bladder rupture. Awareness of its manifestations amongst emergency physician would help to initiate appropriate timely management. PMID:26557563

  18. Missed Iatrogenic Bladder Rupture Following Normal Vaginal Delivery.

    PubMed

    Baheti, Vidyasagar H; Wagaskar, Vinayak G; Patwardhan, Sujata K

    2015-10-01

    Bladder rupture following caesarian section is well documented complications. Intraperitoneal bladder rupture following normal vaginal delivery is very rare. Hereby, we present a case report of intraperitoneal bladder rupture presented late following normal vaginal delivery. We report a case of spontaneous intraperitoneal urinary bladder rupture following uneventful outlet forceps delivery in a 22-year-old primi gravid woman with gestational diabetes mellitus and fetal macrosomia who presented with large urinary ascites, anuria and renal failure. Emergent exploratory laparotomy with repair of the intraperitoneal bladder rupture helped to prevent its potential complications. Postpartum patients who undergo episiotomy or perineal repair may land up in unnoticed urinary retention which may rarely terminate in spontaneous urinary bladder rupture. Awareness of its manifestations amongst emergency physician would help to initiate appropriate timely management. PMID:26557563

  19. Spontaneous Rupture of an Ovarian Artery Aneurysm: A Rare Postpartum Complication.

    PubMed

    Enakpene, Christopher A; Stern, Toni; Barzallo Salazar, Marco J; Mukherjee, Pradip

    2016-01-01

    Background. Spontaneous rupture of an ovarian artery aneurysm is a rare but usually life-threatening event. It is most often associated with pregnancy or fibroids. Our case followed a normal vaginal delivery and then a delayed presentation with features similar to other less life-threatening postpartum conditions. The diagnosis could have been missed but for the meticulous and timely interventions which avoided catastrophic outcome. Case. This is a case of a multiparous woman with rupture of a left ovarian artery aneurysm, causing massive retroperitoneal hemorrhage and hematoma that required a combination of arterial embolization, percutaneous CT scan guided drainage, and surgical evacuation of the hematoma. Conclusion. Spontaneous rupture of ovarian artery should be considered as one of the differential diagnoses in the immediate postpartum period especially when the clinical symptoms do not correlate with the amount of blood loss. A high index of suspicion, prompt diagnosis, intervention, and a multidisciplinary approach in the management were the elements of a successful outcome in this case. PMID:27034862

  20. Spontaneous Rupture of an Ovarian Artery Aneurysm: A Rare Postpartum Complication

    PubMed Central

    Stern, Toni; Barzallo Salazar, Marco J.; Mukherjee, Pradip

    2016-01-01

    Background. Spontaneous rupture of an ovarian artery aneurysm is a rare but usually life-threatening event. It is most often associated with pregnancy or fibroids. Our case followed a normal vaginal delivery and then a delayed presentation with features similar to other less life-threatening postpartum conditions. The diagnosis could have been missed but for the meticulous and timely interventions which avoided catastrophic outcome. Case. This is a case of a multiparous woman with rupture of a left ovarian artery aneurysm, causing massive retroperitoneal hemorrhage and hematoma that required a combination of arterial embolization, percutaneous CT scan guided drainage, and surgical evacuation of the hematoma. Conclusion. Spontaneous rupture of ovarian artery should be considered as one of the differential diagnoses in the immediate postpartum period especially when the clinical symptoms do not correlate with the amount of blood loss. A high index of suspicion, prompt diagnosis, intervention, and a multidisciplinary approach in the management were the elements of a successful outcome in this case. PMID:27034862

  1. [SURGICAL TREATMENT OF PATIENTS WITH URETERAL RUPTURES].

    PubMed

    Komjakov, B K; Guliev, B G

    2015-01-01

    The aim of the study was to analyze the causes of ureteral ruptures and the types surgical procedures used for their management. Over the period from 2006 to 2014, 7 patients with ureteral ruptures underwent surgical treatment in the Mechnikov N-WSMU clinic. All of them were males aged 50 to 71 years. In all cases, the ureter was injured during ureteroscopy and contact lithotripsy. In two patients the right ureter was cut off at the border of the upper and middle third, in four--at 3-4 cm below pyeloureteral segment, one patient diagnosed with a complete separation of the ureter from the kidney pelvis. Patients, who have suffered a detachment of the ureter in other hospitals, previously underwent surgical exploration of the retroperitoneal space, drainage of the kidney by pyelonephrostomy (5) and ureterocutaneostomy (1). In a case of a patient with an injury that occurred in our clinic, laparoscopic nephrectomy with autologous renal transplantation was carried out. Five patients with extended ureter defects underwent ileo-ureteroplasty. The patient with left ureterocutaneostomy underwent nephrovesical bypass. Patency of the upper urinary tract and kidney function were restored in all patients, all of them were relieved from external drains. The duration of the intestinal plastic averaged 160 minutes, laparoscopic nephrectomy with autologous transplantation--210 min and nephrovesical bypass--110 min. Blood transfusion was required only in autologous graft patient. The ureteral rupture is a serious complication of ureteral endourological procedures in upper urinary tract. It requires such complicated reconstructive operations as autologous transplantation of the kidney or intestinal ureteroplasty. PMID:26390553

  2. Isolated unilateral rupture of the alar ligament.

    PubMed

    Wong, Sui-To; Ernest, Kimberly; Fan, Grace; Zovickian, John; Pang, Dachling

    2014-05-01

    Only 6 cases of isolated unilateral rupture of the alar ligament have been previously reported. The authors report a new case and review the literature, morbid anatomy, and pathogenesis of this rare injury. The patient in their case, a 9-year-old girl, fell head first from a height of 5 feet off the ground. She presented with neck pain, a leftward head tilt, and severe limitation of right rotation, extension, and right lateral flexion of the neck. Plain radiographs and CT revealed no fracture but a shift of the dens toward the right lateral mass of C-1. Magnetic resonance imaging of the cervical spine showed signal hyperintensity within the left dens-atlas space on both T1- and T2-weighted sequences and interruption of the expected dark signal representing the left alar ligament, suggestive of its rupture. After 12 weeks of immobilization in a Guilford brace, MRI showed lessened dens deviation, and the patient attained full and painless neck motion. Including the patient in this case, the 7 patients with this injury were between 5 and 21 years old, sustained the injury in traffic accidents or falls, presented with marked neck pain, and were treated with external immobilization. All patients had good clinical outcome. The mechanism of injury is hyperflexion with rotation. Isolated unilateral alar ligament rupture is a diagnosis made by excluding associated fracture, dislocation, or disruption of other major ligamentous structures in the craniovertebral junction. CT and MRI are essential in establishing the diagnosis. External immobilization is adequate treatment. PMID:24679079

  3. Treatment of Ruptured Vertebral Artery Dissecting Aneurysms

    PubMed Central

    Hamasaki, Osamu; Ikawa, Fusao; Hidaka, Toshikazu; Kurokawa, Yasuharu; Yonezawa, Ushio

    2014-01-01

    Summary We evaluated the outcomes of endovascular or surgical treatment of ruptured vertebral artery dissecting aneurysms (VADAs), and investigated the relations between treatment complications and the development and location of the posterior inferior cerebellar artery (PICA). We treated 14 patients (12 men, two women; mean age, 56.2 years) with ruptured VADAs between March 1999 and June 2012 at our hospital. Six and eight patients had Hunt and Hess grades 1-3 and 4-5, respectively. Twelve patients underwent internal endovascular trapping, one underwent proximal endovascular occlusion alone, and one underwent proximal endovascular occlusion in the acute stage and occipital artery (OA)-PICA anastomosis and surgical trapping in the chronic stage. The types of VADA based on their location relative to the ipsilateral PICA were distal, PICA-involved, and non-PICA in nine, two, and three patients, respectively. The types of PICA based on their development and location were bilateral anterior inferior cerebellar artery (AICA)-PICA, ipsilateral AICA-PICA, extradural, and intradural type in one, two, two, and nine patients, respectively. Two patients with high anatomical risk developed medullary infarction, but their midterm outcomes were better than in previous reports. The modified Rankin scale indicated grades 0-2, 3-5, and 6 in eight, three, and three patients, respectively. A good outcome is often obtained in the treatment of ruptured VADA using internal endovascular trapping, except in the PICA-involved type, even with high-grade subarachnoid hemorrhage. Treatment of the PICA-involved type is controversial. The anatomical location and development of PICA may be predicted by complications with postoperative medullary infarction. PMID:24976093

  4. Dynamic stress changes during earthquake rupture

    USGS Publications Warehouse

    Day, S.M.; Yu, G.; Wald, D.J.

    1998-01-01

    We assess two competing dynamic interpretations that have been proposed for the short slip durations characteristic of kinematic earthquake models derived by inversion of earthquake waveform and geodetic data. The first interpretation would require a fault constitutive relationship in which rapid dynamic restrengthening of the fault surface occurs after passage of the rupture front, a hypothesized mechanical behavior that has been referred to as "self-healing." The second interpretation would require sufficient spatial heterogeneity of stress drop to permit rapid equilibration of elastic stresses with the residual dynamic friction level, a condition we refer to as "geometrical constraint." These interpretations imply contrasting predictions for the time dependence of the fault-plane shear stresses. We compare these predictions with dynamic shear stress changes for the 1992 Landers (M 7.3), 1994 Northridge (M 6.7), and 1995 Kobe (M 6.9) earthquakes. Stress changes are computed from kinematic slip models of these earthquakes, using a finite-difference method. For each event, static stress drop is highly variable spatially, with high stress-drop patches embedded in a background of low, and largely negative, stress drop. The time histories of stress change show predominantly monotonic stress change after passage of the rupture front, settling to a residual level, without significant evidence for dynamic restrengthening. The stress change at the rupture front is usually gradual rather than abrupt, probably reflecting the limited resolution inherent in the underlying kinematic inversions. On the basis of this analysis, as well as recent similar results obtained independently for the Kobe and Morgan Hill earthquakes, we conclude that, at the present time, the self-healing hypothesis is unnecessary to explain earthquake kinematics.

  5. Kinetics of hole nucleation in biomembrane rupture

    NASA Astrophysics Data System (ADS)

    Evans, Evan; Smith, Benjamin A.

    2011-09-01

    The core component of a biological membrane is a fluid-lipid bilayer held together by interfacial-hydrophobic and van der Waals interactions, which are balanced for the most part by acyl chain entropy confinement. If biomembranes are subjected to persistent tensions, an unstable (nanoscale) hole will emerge at some time to cause rupture. Because of the large energy required to create a hole, thermal activation appears to be requisite for initiating a hole and the activation energy is expected to depend significantly on mechanical tension. Although models exist for the kinetic process of hole nucleation in tense membranes, studies of membrane survival have failed to cover the ranges of tension and lifetime needed to critically examine nucleation theory. Hence, rupturing giant (~20 μm) membrane vesicles ultra-slowly to ultra-quickly with slow to fast ramps of tension, we demonstrate a method to directly quantify kinetic rates at which unstable holes form in fluid membranes, at the same time providing a range of kinetic rates from <0.01 to >100 s-1. Measuring lifetimes of many hundreds of vesicles, each tensed by precision control of micropipette suction, we have determined the rates of failure for vesicles made from several synthetic phospholipids plus 1:1 mixtures of phospho- and sphingo-lipids with cholesterol, all of which represent prominent constituents of eukaryotic cell membranes. Plotted on a logarithmic scale, the failure rates for vesicles are found to rise dramatically with an increase in tension. Converting the experimental profiles of kinetic rates into changes of activation energy versus tension, we show that the results closely match expressions for thermal activation derived from a combination of meso-scale theory and molecular-scale simulations of hole formation. Moreover, we demonstrate a generic approach to transform analytical fits of activation energies obtained from rupture experiments into energy landscapes characterizing the process of hole

  6. Vascular changes in the ruptured Achilles tendon and paratenon.

    PubMed

    Kvist, M; Józsa, L; Järvinen, M

    1992-01-01

    Thirty patients with ruptures of the Achilles tendon were studied. There were 21 men and 9 women with an average age of 36 years. Specimens from the tendon and paratenon in 24 were examined histologically. Tissue samples of 20 were studied by electron microscopy. Marked degenerative, obliterative and/or inflammatory vascular changes were found in all the ruptured tendons and their paratenon. Our findings indicate that poor vascularity play a role in the aetiology of rupture of the Achilles tendon. PMID:1473893

  7. Cohesive Zone Length of Gabbro at Supershear Rupture Velocity

    NASA Astrophysics Data System (ADS)

    Fukuyama, E.; Xu, S.; Mizoguchi, K.; Yamashita, F.

    2014-12-01

    We investigated the shear strain field ahead of a supershear rupture. The strain data was obtained during large-scale biaxial friction experiments conducted at NIED in March 2013. We conducted friction experiments using a pair of meter-scale gabbro rock specimens whose simulated fault area was 1.5m x 0.1m. We applied 2.6MPa normal stress and loading velocity of 0.1mm/s. At the long side of the fault edge, which is parallel to the slip direction, 32 2-component semi-conductor strain gauges were installed at an interval of 50mm and 10mm off the fault. The data are conditioned by high frequency strain amplifiers (<0.5MHz) and continuously recorded at an interval of 1MHz with 16-bit resolution. Many stick slip events were observed and a unilateral rupture event was chosen in this analysis that propagated with supershear rupture velocity. One of the reasons for this selection was that the strain field ahead of the supershear rupture was not contaminated by elastic waves. Focusing on the rupture front, stress concentration was observed and sharp stress drop occurred immediately inside the rupture. We found that the stress concentration becomes mild as the rupture propagates and length of the stress concentration area becomes longer. This observation is quite interesting because in this experiment the rupture propagated at a constant speed close to root two times the shear wave velocity and thus a longer stress concentration region suggests more energy dissipation. We could speculate that such longer stress concentration area suggests longer plastic region ahead of the rupture (or longer cohesive distance). I.e. the cohesive zone length becomes longer as the rupture propagates to maintain constant rupture velocity propagation. We empirically obtained the relation Lc = 1.8x10^-5 L for 0.1ruptured length.

  8. A Rare Case of Adductor Longus Muscle Rupture

    PubMed Central

    van de Kimmenade, R. J. L. L.; van Bergen, C. J. A.; van Deurzen, P. J. E.; Verhagen, R. A. W.

    2015-01-01

    An adductor longus muscle rupture is a rare injury. This case report describes a 32-year-old patient with an adductor longus rupture. The trauma mechanism was a hyperabduction movement during a soccer game. Nonoperative treatment was initiated. After a follow-up of 4 years, the patient was without pain but a small swelling was still visible. This report describes the anatomy, pathophysiology, and evidence-based treatment of adductor longus rupture. PMID:25918663

  9. Rupture of non-communicating rudimentary uterine horn pregnancy.

    PubMed

    Dhar, Hansa

    2008-01-01

    Unicornuate uterus with rudimentary horn is a rare type of uterine malformation associated with obstetrical complications. Rupture of pregnant rudimentary horn is the usual presentation resulting in severe haemoperitoneum with increased maternal morbidity, and at times, mortality. A case of ruptured rudimentary horn pregnancy in a 24-year-old, second gravida, is reported. Exploratory laparotomy revealed a ruptured rudimentary horn pregnancy of 14 weeks gestation with haemoperitoneum. Excision of the rudimentary horn was done and an uneventful recovery followed. PMID:18452672

  10. Experimental observation of ruptures propagating on heterogeneous interfaces

    NASA Astrophysics Data System (ADS)

    Campillo, M.; Latour, S.; Voisin, C.; Catheline, S.; Renard, F.; Larose, E. F.

    2013-12-01

    We present experimental observations of a propagating rupture interacting with one or several mechanical heterogeneities. We developed a friction laboratory experiment where a soft elastic solid slides past a rigid flat plate. The system is coupled to an original medical imaging technique, ultrasound speckle interferometry, that allows observing the rupture dynamics along the interface as well as the emitted elastic shear wavefield into the solid body. We compare the dynamics of propagating rupture for an homogeneous flat interface and for three cases of heterogeneous sliding surfaces: 1) an interface with a single point-like barrier made of a small rock pebble, 2) an interface with a single linear barrier that joins the edges of the faults in a direction perpendicular to slip 3) an interface with multiple barriers disposed on half of its surface area, creating an heterogeneous zone. We obtain experimental observations of dynamic effects that have been predicted by numerical dynamic rupture simulations and provide experimental observations of the following phenomena: a barrier can stop or delay the rupture propagation; a linear single barrier can change the rupture velocity, increasing or decreasing it; we observe transition from subshear to supershear propagation due to the linear barrier; a large heterogeneous area slows down the rupture propagation. We observe a strong variability of the rupture dynamics occurring for identical frictional conditions, that we impute to memory effects caused by the heterogeneity of the stress field due to both the loading conditions and the remaining stress field due to previous rupture events. These experiments therefore confirm previously reported numerical simulations of ruptures along heterogeneous interfaces. When comparing with natural observations or earthquake ruptures, our data provide some phenomenological insights to explain the complexity of the rupture history inferred from the pattern of seismic radiations.

  11. A rare case of adductor longus muscle rupture.

    PubMed

    van de Kimmenade, R J L L; van Bergen, C J A; van Deurzen, P J E; Verhagen, R A W

    2015-01-01

    An adductor longus muscle rupture is a rare injury. This case report describes a 32-year-old patient with an adductor longus rupture. The trauma mechanism was a hyperabduction movement during a soccer game. Nonoperative treatment was initiated. After a follow-up of 4 years, the patient was without pain but a small swelling was still visible. This report describes the anatomy, pathophysiology, and evidence-based treatment of adductor longus rupture. PMID:25918663

  12. Anisotropy in rupture lines of paper sheets

    NASA Astrophysics Data System (ADS)

    Menezes-Sobrinho, I. L.; Couto, M. S.; Ribeiro, I. R. B.

    2005-06-01

    We have experimentally investigated the fracture process in paper samples submitted to a uniaxial force. Five types of paper sheets (newsprint, towel, sulfite, silk, and couche papers) were fractured along two orthogonal orientations. In order to characterize the rupture lines of the paper sheets we utilized the Hurst exponent. Our results indicate a dependence of the Hurst exponent on the orientation of the paper sheets for samples of newsprint and, probably, towel and silk papers. For the other types of paper the Hurst exponent does not depend on the direction of crack propagation.

  13. Complex earthquake rupture and local tsunamis

    USGS Publications Warehouse

    Geist, E.L.

    2002-01-01

    In contrast to far-field tsunami amplitudes that are fairly well predicted by the seismic moment of subduction zone earthquakes, there exists significant variation in the scaling of local tsunami amplitude with respect to seismic moment. From a global catalog of tsunami runup observations this variability is greatest for the most frequently occuring tsunamigenic subduction zone earthquakes in the magnitude range of 7 < Mw < 8.5. Variability in local tsunami runup scaling can be ascribed to tsunami source parameters that are independent of seismic moment: variations in the water depth in the source region, the combination of higher slip and lower shear modulus at shallow depth, and rupture complexity in the form of heterogeneous slip distribution patterns. The focus of this study is on the effect that rupture complexity has on the local tsunami wave field. A wide range of slip distribution patterns are generated using a stochastic, self-affine source model that is consistent with the falloff of far-field seismic displacement spectra at high frequencies. The synthetic slip distributions generated by the stochastic source model are discretized and the vertical displacement fields from point source elastic dislocation expressions are superimposed to compute the coseismic vertical displacement field. For shallow subduction zone earthquakes it is demonstrated that self-affine irregularities of the slip distribution result in significant variations in local tsunami amplitude. The effects of rupture complexity are less pronounced for earthquakes at greater depth or along faults with steep dip angles. For a test region along the Pacific coast of central Mexico, peak nearshore tsunami amplitude is calculated for a large number (N = 100) of synthetic slip distribution patterns, all with identical seismic moment (Mw = 8.1). Analysis of the results indicates that for earthquakes of a fixed location, geometry, and seismic moment, peak nearshore tsunami amplitude can vary by a

  14. Anisotropy in rupture lines of paper sheets.

    PubMed

    Menezes-Sobrinho, I L; Couto, M S; Ribeiro, I R B

    2005-06-01

    We have experimentally investigated the fracture process in paper samples submitted to a uniaxial force. Five types of paper sheets (newsprint, towel, sulfite, silk, and couche papers) were fractured along two orthogonal orientations. In order to characterize the rupture lines of the paper sheets we utilized the Hurst exponent. Our results indicate a dependence of the Hurst exponent on the orientation of the paper sheets for samples of newsprint and, probably, towel and silk papers. For the other types of paper the Hurst exponent does not depend on the direction of crack propagation. PMID:16089834

  15. Spontaneous rupture of a splenic hydatid cyst with anaphylaxis in a patient with multi-organ hydatid disease.

    PubMed

    Constantin, V; Popa, F; Socea, B; Carâp, A; Bălălău, C; Motofei, I; Banu, P; Costea, D

    2014-01-01

    Hidatid cysts of the spleen are a rare occurrence, the spleen being the third most common organ for the development of Echinococcus Granulosus. Splenic hydatid cysts are commonly part of multi-organ hydatid disease. Diagnosis is often established when investigating a splenomegaly or by chance during an unrelated consult. It can also be diagnosed after rupture, be it following trauma (the most common occurrence)or spontaneous. Splenic hydatid cyst rupture requires immediate action and is a life-threatening condition. It results, most often, in splenectomy. We present the case of a patient with multi-organ hydatid disease that presented with a ruptured splenic cyst and developed anaphylaxis. The case was resolved by splenectomy and recovered well. PMID:24956347

  16. Blunt traumatic rupture of the right ventricle, with intrapericardial rupture of the diaphragm: successful surgical repair.

    PubMed

    Le Treut, Y P; Herve, L; Cardon, J M; Boutboul, R; Bricot, R

    1981-07-01

    The authors report a case of chest injury causing rupture of the right ventricle and diaphragm, discovered during laparotomy for haemoperitoneum. This type of injury to the heart has rarely been cited in the literature since survival rates are low and the diagnosis often overlooked. PMID:7319634

  17. Tendon rupture associated with simvastatin/ezetimibe therapy.

    PubMed

    Pullatt, Raja C; Gadarla, Mamatha Reddy; Karas, Richard H; Alsheikh-Ali, Alawi A; Thompson, Paul D

    2007-07-01

    A case of spontaneous biceps tendon rupture in a physician during therapy with the combination of simvastatin and ezetimibe (Vytorin) is reported. Rechallenge produced tendinopathy in the contralateral biceps tendon that abated with drug discontinuation. Tendon rupture generally occurs in injured tendons. Physiological repair of an injured tendon requires degradation and remodeling of the extracellular matrix through matrix metalloproteinases (MMPs). Statins are known to inhibit MMPs. It was hypothesized that statins may increase the risk of tendon rupture by altering MMP activity. In conclusion, statins may increase the risk of tendon rupture by altering MMP activity. PMID:17599460

  18. Closed proximal muscle rupture of the biceps brachii in wakeboarders.

    PubMed

    Pascual-Garrido, Cecilia; Swanson, Britta L; Bannar, Stephen M

    2012-06-01

    Closed proximal muscle rupture of the biceps brachii is a rare injury. In this report, two cases of closed proximal muscle rupture of the biceps brachii after wakeboard traumas are described. Both patients presented with a swollen arm, weakness during flexion, and a mass in the affected forearm. Magnetic resonance imaging showed displacement of the biceps brachii into the forearm. The rupture was successfully treated with muscle removal in one case and muscle repair in the other. In patients with a wakeboard trauma and similar presentations, closed proximal muscle rupture of the biceps brachii should be suspected. PMID:21877295

  19. Creep Deformation and Rupture Behavior of Single- and Dual-Pass 316LN Stainless-Steel-Activated TIG Weld Joints

    NASA Astrophysics Data System (ADS)

    Vijayanand, V. D.; Vasudevan, M.; Ganesan, V.; Parameswaran, P.; Laha, K.; Bhaduri, A. K.

    2016-03-01

    Creep deformation and rupture behavior of single-pass and dual-pass 316LN stainless steel (SS) weld joints fabricated by an autogenous activated tungsten inert gas welding process have been assessed by performing metallography, hardness, and conventional and impression creep tests. The fusion zone of the single-pass joint consisted of columnar zones adjacent to base metals with a central equiaxed zone, which have been modified extensively by the thermal cycle of the second pass in the dual-pass joint. The equiaxed zone in the single-pass joint, as well as in the second pass of the dual-pass joint, displayed the lowest hardness in the joints. In the dual-pass joint, the equiaxed zone of the first pass had hardness comparable to the columnar zone. The hardness variations in the joints influenced the creep deformation. The equiaxed and columnar zone in the first pass of the dual-pass joint was more creep resistant than that of the second pass. Both joints possessed lower creep rupture life than the base metal. However, the creep rupture life of the dual-pass joint was about twofolds more than that of the single-pass joint. Creep failure in the single-pass joint occurred in the central equiaxed fusion zone, whereas creep cavitation that originated in the second pass was blocked at the weld pass interface. The additional interface and strength variation between two passes in the dual-pass joint provides more restraint to creep deformation and crack propagation in the fusion zone, resulting in an increase in the creep rupture life of the dual-pass joint over the single-pass joint. Furthermore, the differences in content, morphology, and distribution of delta ferrite in the fusion zone of the joints favors more creep cavitation resistance in the dual-pass joint over the single-pass joint with the enhancement of creep rupture life.

  20. Creep Deformation and Rupture Behavior of Single- and Dual-Pass 316LN Stainless-Steel-Activated TIG Weld Joints

    NASA Astrophysics Data System (ADS)

    Vijayanand, V. D.; Vasudevan, M.; Ganesan, V.; Parameswaran, P.; Laha, K.; Bhaduri, A. K.

    2016-06-01

    Creep deformation and rupture behavior of single-pass and dual-pass 316LN stainless steel (SS) weld joints fabricated by an autogenous activated tungsten inert gas welding process have been assessed by performing metallography, hardness, and conventional and impression creep tests. The fusion zone of the single-pass joint consisted of columnar zones adjacent to base metals with a central equiaxed zone, which have been modified extensively by the thermal cycle of the second pass in the dual-pass joint. The equiaxed zone in the single-pass joint, as well as in the second pass of the dual-pass joint, displayed the lowest hardness in the joints. In the dual-pass joint, the equiaxed zone of the first pass had hardness comparable to the columnar zone. The hardness variations in the joints influenced the creep deformation. The equiaxed and columnar zone in the first pass of the dual-pass joint was more creep resistant than that of the second pass. Both joints possessed lower creep rupture life than the base metal. However, the creep rupture life of the dual-pass joint was about twofolds more than that of the single-pass joint. Creep failure in the single-pass joint occurred in the central equiaxed fusion zone, whereas creep cavitation that originated in the second pass was blocked at the weld pass interface. The additional interface and strength variation between two passes in the dual-pass joint provides more restraint to creep deformation and crack propagation in the fusion zone, resulting in an increase in the creep rupture life of the dual-pass joint over the single-pass joint. Furthermore, the differences in content, morphology, and distribution of delta ferrite in the fusion zone of the joints favors more creep cavitation resistance in the dual-pass joint over the single-pass joint with the enhancement of creep rupture life.

  1. Pathologic rupture of the spleen as the initial manifestation in acute lymphoblastic leukemia.

    PubMed

    Bernat, S; García Boyero, R; Guinot, M; López, F; Gozalbo, T; Cañigral, G

    1998-08-01

    Pathologic splenic rupture is a rare and life-threatening complication of acute leukemia. It is even more uncommon as the initial manifestation, and only a few cases has been reported in the literature. Early recognition of this complication is vital because the prognosis is fatal without immediate treatment by splenectomy. We report the case of a spontaneous spleen rupture irreversibly complicating the onset of acute lymphoblastic leukemia in a 19-year-old man, in spite of splenectomy. In our case abdominal ultrasound was a good, non-invasive diagnostic test. Therefore, we believe that the course of the underlying disease and the physical condition of the patient dramatically influenced the disease evolution. PMID:9793269

  2. Anaphylaxis due to spontaneous rupture of primary isolated splenic hydatid cyst.

    PubMed

    Ozkan, Fuat; Yesilkaya, Yakup; Peker, Onur; Yuksel, Murvet

    2013-04-01

    Echinococcosis is a helminthic zoonosis mainly caused by Echinococcus granulosus and commonly encountered in endemic areas. The liver and lung are the most frequently involved organs. A primary isolated hydatid cyst of spleen is an extremely rare disease even in endemic areas. Anaphylactic reaction is a known complication of cystic hydatid disease, a parasitic infestation caused by the larval/cyst stage of E. granulosus that usually occurs after trauma or during interventions. To the best of our knowledge, anaphylaxis with spontaneous rupture of primary isolated splenic hydatidoses had not been reported previously. The main purpose of this report is to highlight life-threatening complications such as anaphylactic shock that should be considered due to primary isolated splenic cyst hydatid rupture in especially endemic regions. PMID:23961460

  3. Rupture of giant vertebrobasilar aneurysm following flow diversion: mechanical stretch as a potential mechanism for early aneurysm rupture.

    PubMed

    Fox, Benjamin; Humphries, William Edward; Doss, Vinodh T; Hoit, Daniel; Elijovich, Lucas; Arthur, Adam S

    2014-01-01

    A patient with a giant symptomatic vertebrobasilar aneurysm was treated by endoscopic third ventriculostomy for obstructive hydrocephalus followed by treatment of the aneurysm by flow diversion using a Pipeline Embolization Device. After an uneventful procedure and initial periprocedural period, the patient experienced an unexpected fatal subarachnoid hemorrhage 1 week later. Autopsy demonstrated extensive subarachnoid hemorrhage and aneurysm rupture (linear whole wall rupture). The patent Pipeline Embolization Device was in its intended location, as was the persistent coil occlusion of the distal left vertebral artery. The aneurysm appeared to rupture in a linear manner and contained a thick large expansile clot that seemed to disrupt or rupture the thin aneurysm wall directly opposite the basilar artery/Pipeline Embolization Device. We feel the pattern of aneurysm rupture in our patient supports the idea that the combination of flow diversion and the resulting growing intra-aneurysmal thrombus can create a mechanical force with the potential to cause aneurysm rupture. PMID:25355741

  4. Rupture of giant vertebrobasilar aneurysm following flow diversion: mechanical stretch as a potential mechanism for early aneurysm rupture.

    PubMed

    Fox, Benjamin; Humphries, William Edward; Doss, Vinodh T; Hoit, Daniel; Elijovich, Lucas; Arthur, Adam S

    2015-11-01

    A patient with a giant symptomatic vertebrobasilar aneurysm was treated by endoscopic third ventriculostomy for obstructive hydrocephalus followed by treatment of the aneurysm by flow diversion using a Pipeline Embolization Device. After an uneventful procedure and initial periprocedural period, the patient experienced an unexpected fatal subarachnoid hemorrhage 1 week later. Autopsy demonstrated extensive subarachnoid hemorrhage and aneurysm rupture (linear whole wall rupture). The patent Pipeline Embolization Device was in its intended location, as was the persistent coil occlusion of the distal left vertebral artery. The aneurysm appeared to rupture in a linear manner and contained a thick large expansile clot that seemed to disrupt or rupture the thin aneurysm wall directly opposite the basilar artery/Pipeline Embolization Device. We feel the pattern of aneurysm rupture in our patient supports the idea that the combination of flow diversion and the resulting growing intra-aneurysmal thrombus can create a mechanical force with the potential to cause aneurysm rupture. PMID:25361560

  5. Analysis of available creep and creep-rupture data for commercially heat-treated alloy 718

    SciTech Connect

    Booker, M.K.; Booker, B.L.P.

    1980-03-01

    The Ni-Cr-Fe-Nb alloy 718 is a widely used material in elevated- temperature applications. Currently, it is approved by the American Society of Mechanical Engineers ASME Boiler and Pressure Vessel Code only as a bolting material for elevated-temperature nuclear service. This report presents analyses of available creep and creep-rupture data for commercially heat-treated alloy 718 toward the development of allowable stress levels for this material in general elevated-temperature nuclear service. Available data came from 14 heats of bar, plate, and forging material over the temperature range from 538 to 704{degrees}C. The longest rupture time encompassed by the data was almost 87,000 h. Generalized regression analyses were performed to yield an analytical expression for rupture life as a function of stress and temperature. Heat-to-heat variations were accounted for by lot-centering'' the data. Effects of different solution heat treatment temperatures (T{sub s}) were accounted for by normalizing the creep stresses to the data for T{sub s} = 954{degrees}C. Thus, the results are strictly applicable only for material with this solution treatment. Time and strain to tertiary creep were predicted as functions of rupture life. Creep strain-time data were represented by normalization to the time and strain to tertiary creep and development of master creep curves.'' The results allow estimation of time-dependent allowable stress per American Society of Mechanical Engineers Code Class N-47, and the creep strain-time relationships can be used to develop isochronous stress-strain curves. 29 refs., 44 figs., 14 tabs.

  6. [Right atrium rupture due to blunt trauma].

    PubMed

    Suzuki, Kazuhiro; Thuboi, H; Okada, H

    2008-03-01

    We report 2 cases of surgical treatment of blunt cardiac trauma. The postoperative course was uneventful in either case. Pericardial drainage in patients with cardiac rupture should be performed with preparation for thoracotomy. Case 1: A 34-year-old male, hit in the chest by a collapsing 700-kg steel rod, was transported to our hospital via ambulance. The patient was diagnosed as having a cardiac rupture by echocardiography and underwent emergency thoracotomy. The right atrium near the inferior vena cava (IVC) was damaged, though bleeding from the wound had already ceased. No suture hemostusis was needed. Case 2: A 63-year-old female was hit by a car and transported to our hospital due to blunt trauma to the chest. Low blood pressure and chest computed tomography demonstrated cardiac tamponade, and subxiphoid pericardial drainage was performed. Blood pressure was recovered, but persistent hemorrhage necessitated emergency thoracotomy, which revealed a laceration at the right atrium near IVC. The injury was sutured to achieve complete hemostasis. PMID:18323181

  7. The repetition of large-earthquake ruptures.

    PubMed Central

    Sieh, K

    1996-01-01

    This survey of well-documented repeated fault rupture confirms that some faults have exhibited a "characteristic" behavior during repeated large earthquakes--that is, the magnitude, distribution, and style of slip on the fault has repeated during two or more consecutive events. In two cases faults exhibit slip functions that vary little from earthquake to earthquake. In one other well-documented case, however, fault lengths contrast markedly for two consecutive ruptures, but the amount of offset at individual sites was similar. Adjacent individual patches, 10 km or more in length, failed singly during one event and in tandem during the other. More complex cases of repetition may also represent the failure of several distinct patches. The faults of the 1992 Landers earthquake provide an instructive example of such complexity. Together, these examples suggest that large earthquakes commonly result from the failure of one or more patches, each characterized by a slip function that is roughly invariant through consecutive earthquake cycles. The persistence of these slip-patches through two or more large earthquakes indicates that some quasi-invariant physical property controls the pattern and magnitude of slip. These data seem incompatible with theoretical models that produce slip distributions that are highly variable in consecutive large events. Images Fig. 3 Fig. 7 Fig. 9 PMID:11607662

  8. Probability of rupture of multiple fault segments

    USGS Publications Warehouse

    Andrews, D.J.; Schwerer, E.

    2000-01-01

    Fault segments identified from geologic and historic evidence have sometimes been adopted as features limiting the likely extends of earthquake ruptures. There is no doubt that individual segments can sometimes join together to produce larger earthquakes. This work is a trial of an objective method to determine the probability of multisegment ruptures. The frequency of occurrence of events on all conjectured combinations of adjacent segments in northern California is found by fitting to both geologic slip rates and to an assumed distribution of event sizes for the region as a whole. Uncertainty in the shape of the distribution near the maximum magnitude has a large effect on the solution. Frequencies of individual events cannot be determined, but it is possible to find a set of frequencies to fit a model closely. A robust conclusion for the San Francisco Bay region is that large multisegment events occur on the San Andreas and San Gregorio faults, but single-segment events predominate on the extended Hayward and Calaveras strands of segments.

  9. How is a stick slip rupture initiated?

    NASA Astrophysics Data System (ADS)

    Fukuyama, E.; Mizoguchi, K.; Yamashita, F.; Kawakata, H.; Takizawa, S.

    2013-12-01

    We investigated the initiation process of stick slip events that occurred during large scale rock friction experiments conducted on the large scale shaking table at NIED (Fukuyama et al., 2012, AGU Fall meeting). We used a pair of Indian gabbro rock samples stacked vertically and applied normal and shear forces. The sliding area between the samples is 1.5m in length and 0.1m in width. We conducted a sequence of experiments using the same rock sample, and before each experiment we removed gouge particles created during the previous experiment by a brush and a cleaner. Here, we show the experiments under constant slip velocity of 0.1mm/s with constant normal stress of 2.7MPa (LB04-003) or 6.7MPa (LB04-005); the final displacement reached 0.04m. We used 44 acoustic sensors (PZT, vertical mode, 0.5MHz resonance frequency), 32 2-comp strain gouges (SGs) for shear strain and 16 1-comp SGs for normal strain measurements, with 48 0.5MHz dynamic SG amplifiers. We also used a 2MN load cell for shear force measurement and three 0.4MN load cells for vertical forces. Data are recorded continuously at an interval of 10MHz for PZT and 1MHz for other sensors. Just after the shear force applied, many stick slip events (SEs) occurred at an interval of a few seconds. By looking carefully at the PZT and SG array data during an SE, we found that one SE consists of many micro stick slip events (MSEs), which can be grouped into two (the former and the latter). These two groups correspond to the acceleration and deceleration stage of the SE. In LB04-005 (6.7MPa normal stress), a clear nucleation phase can be detected that initiated at a narrow area, propagate slowly (~20m/s) and accelerated. Then, a seismic rupture started to propagate at a velocity of ~3km/s (subshear) or ~6.5km/s (supershear). Detailed features are shown in Mizoguchi et al. (this meeting). It should be noted that this seismic rupture initiated at a narrow area inside the nucleation zone and sometimes after a certain

  10. [Therapeutic strategies for postinfarction left ventricular free wall rupture].

    PubMed

    Koyanagi, Toshiya; Shimokawa, T; Ida, T; Kasegawa, H; Tobaru, T; Sumiyoshi, T

    2005-04-01

    We treated 93 patients who developed left ventricular free wall rupture after acute myocardial infarction. Medical management including pericardial drainage was performed in 78 patients (84%), but 67 of them died. All 11 surviving patients showed an oozing type rupture. Surgical repair was performed in 15 patients (16%). As a result, 9 patients died and 6 survived. All but 1 of the patients who died presented with a blow-out rupture. Blow-out type rupture occurred in 3 and oozing type rupture in 3 of the surviving patients. One patient with blow-out type rupture underwent implantation of a left ventricular assist device following percutaneous cardiopulmonary support (PCPS), because of low output syndrome after the operation. The device was successfully removed 7 days after implantation. In all of the 3 patients with oozing type rupture, sutureless technique was successfully performed using fibrin-glue or fibrin-glue sheet fixation. After a mean follow-up period of 7 years after operation, 5 of 6 are still alive. To improve the clinical outcome of left ventricular free wall rupture, it is important for surgeons to closely liaise with physicians, to perform surgical repair as soon as possible, and to utilize a circulatory support system after operation. Therefore, we developed a new PCPS system compatible with emergency cardiac surgery and a new left ventricular assist system draining via the left ventricle. PMID:15828243

  11. An Epigastric Heteropagus Twin with Ruptured Giant Omphalocele

    PubMed Central

    Dar, Sajid Hameed; Iqbal, Javaid; Latif, Tariq; Iqbal, Asif

    2014-01-01

    We present a case of heteropagus twins attached to the epigastric region. The neonate also had ruptured giant omphalocoele with most of gut and liver lying outside the abdominal cavity. Patient had uneventful surgery for separation of twins and repair of ruptured omphalocoele. PMID:26023494

  12. Ultrasound Diagnosis of Bilateral Quadriceps Tendon Rupture After Statin Use

    PubMed Central

    Nesselroade, Ryan D.; Nickels, Leslie Connor

    2010-01-01

    Simultaneous bilateral quadriceps tendon rupture is a rare injury. We report the case of bilateral quadriceps tendon rupture sustained with minimal force while refereeing a football game. The injury was suspected to be associated with statin use as the patient had no other identifiable risk factors. The diagnosis was confirmed using bedside ultrasound. PMID:21079697

  13. Ruptured bicornuate uterus mimicking ectopic pregnancy: A case report.

    PubMed

    Singh, Nisha; Singh, Uma; Verma, Manju Lata

    2013-01-01

    Ruptured uterus presenting in first trimester of pregnancy is extremely uncommon and should raise the suspicion of uterine malformations. We report a case of a 24-year-old primigravida with 10 weeks of gestation presenting with acute abdomen and hemoperitoneum. Laparotomy revealed bicornuate uterus with ruptured rudimentary horn. The incidence, diagnosis and management of such cases is discussed. PMID:22691311

  14. Simultaneous bilateral quadriceps tendon rupture while playing basketball.

    PubMed

    Shah, M; Jooma, N

    2002-04-01

    Simultaneous bilateral quadriceps tendon rupture is an uncommon injury in healthy people and only a few cases have been reported in athletes. This is the first report of a patient with simultaneous bilateral quadriceps tendon rupture incurred while playing basketball. The injury was surgically repaired and the patient had a good functional outcome. PMID:11916903

  15. Late rupture of extensor pollicis longus after wrist arthroscopy.

    PubMed

    Fortems, Y; Mawhinney, I; Lawrence, T; Trial, I A; Stanley, J K

    1995-06-01

    The first cases of impending rupture of the extensor pollicis longus after wrist arthroscopy are reported and the etiology is compared with extensor pollicis longus ruptures after nondisplaced or minimally displaced Colles fractures. Both cases were treated with extensor indices proprius to extensor pollicis longus transfer with good clinical results. PMID:7632309

  16. The Resolution of Ruptures in the Therapeutic Alliance.

    ERIC Educational Resources Information Center

    Safran, Jeremy D.; Muran, J. Christopher

    1996-01-01

    A rupture in the therapeutic alliance is a deterioration in the quality of the relationship between patient and therapist; it is an interpersonal marker that indicates an opportunity for exploring and understanding the processes that maintain a maladaptive interpersonal schema. Outlines features of a research program on ruptures in the therapeutic…

  17. Diverse rupture processes in the 2015 Peru deep earthquake doublet

    PubMed Central

    Ye, Lingling; Lay, Thorne; Kanamori, Hiroo; Zhan, Zhongwen; Duputel, Zacharie

    2016-01-01

    Earthquakes in deeply subducted oceanic lithosphere can involve either brittle or dissipative ruptures. On 24 November 2015, two deep (606 and 622 km) magnitude 7.5 and 7.6 earthquakes occurred 316 s and 55 km apart. The first event (E1) was a brittle rupture with a sequence of comparable-size subevents extending unilaterally ~50 km southward with a rupture speed of ~4.5 km/s. This earthquake triggered several aftershocks to the north along with the other major event (E2), which had 40% larger seismic moment and the same duration (~20 s), but much smaller rupture area and lower rupture speed than E1, indicating a more dissipative rupture. A minor energy release ~12 s after E1 near the E2 hypocenter, possibly initiated by the S wave from E1, and a clear aftershock ~165 s after E1 also near the E2 hypocenter, suggest that E2 was likely dynamically triggered. Differences in deep earthquake rupture behavior are commonly attributed to variations in thermal state between subduction zones. However, the marked difference in rupture behavior of the nearby Peru doublet events suggests that local variations of stress state and material properties significantly contribute to diverse behavior of deep earthquakes. PMID:27386585

  18. Diverse rupture processes in the 2015 Peru deep earthquake doublet.

    PubMed

    Ye, Lingling; Lay, Thorne; Kanamori, Hiroo; Zhan, Zhongwen; Duputel, Zacharie

    2016-06-01

    Earthquakes in deeply subducted oceanic lithosphere can involve either brittle or dissipative ruptures. On 24 November 2015, two deep (606 and 622 km) magnitude 7.5 and 7.6 earthquakes occurred 316 s and 55 km apart. The first event (E1) was a brittle rupture with a sequence of comparable-size subevents extending unilaterally ~50 km southward with a rupture speed of ~4.5 km/s. This earthquake triggered several aftershocks to the north along with the other major event (E2), which had 40% larger seismic moment and the same duration (~20 s), but much smaller rupture area and lower rupture speed than E1, indicating a more dissipative rupture. A minor energy release ~12 s after E1 near the E2 hypocenter, possibly initiated by the S wave from E1, and a clear aftershock ~165 s after E1 also near the E2 hypocenter, suggest that E2 was likely dynamically triggered. Differences in deep earthquake rupture behavior are commonly attributed to variations in thermal state between subduction zones. However, the marked difference in rupture behavior of the nearby Peru doublet events suggests that local variations of stress state and material properties significantly contribute to diverse behavior of deep earthquakes. PMID:27386585

  19. Rupture of Right Hepatic Duct into Hydatid Cyst

    PubMed Central

    Laskou, Styliani; Papavramidis, Theodossis S.; Pliakos, Ioannis; Kotidis, Eustathios; Kesisoglou, Isaak; Papavramidis, Spiros T.

    2012-01-01

    Echinococcal disease can develop anywhere in the human body. The liver represents its most frequent location. Hepatic hydatid cysts may rupture into the biliary tract, thorax, peritoneum, viscera, digestive tract or skin. We report a rare case with rupture of the right hepatic duct into a hydatid cyst in a woman with known hydatid disease and choledocholithiasis. The increased intra-luminal pressure in the biliary tree caused the rupture into the adjacent hydatid cyst. The creation of the fistula between the right hepatic duct and the hydatid cyst decompressed the biliary tree, decreased the bilirubin levels and offered a temporary resolution of the obstructive jaundice. Rupture of a hydatid cyst into the biliary tree usually leads to biliary colic, cholangitis and jaundice. However, in case of obstructive jaundice due to choledocholithiasis, it is possible that the cyst may rupture by other way around while offering the patient a temporary relief from his symptoms. PMID:22876065

  20. Material contrast does not predict earthquake rupture propagation direction

    USGS Publications Warehouse

    Harris, R.A.; Day, S.M.

    2005-01-01

    Earthquakes often occur on faults that juxtapose different rocks. The result is rupture behavior that differs from that of an earthquake occurring on a fault in a homogeneous material. Previous 2D numerical simulations have studied simple cases of earthquake rupture propagation where there is a material contrast across a fault and have come to two different conclusions: 1) earthquake rupture propagation direction can be predicted from the material contrast, and 2) earthquake rupture propagation direction cannot be predicted from the material contrast. In this paper we provide observational evidence from 70 years of earthquakes at Parkfield, CA, and new 3D numerical simulations. Both the observations and the numerical simulations demonstrate that earthquake rupture propagation direction is unlikely to be predictable on the basis of a material contrast. Copyright 2005 by the American Geophysical Union.

  1. [Missed traumatic diaphragmatic rupture--a legal insurance problem].

    PubMed

    Fabian, W; Reimer, H

    1991-08-01

    Even nowadays traumatic ruptures of the diaphragm cause diagnostic difficulties. Especially diaphragmatic ruptures of the so-called "late-type" are accompanied by uncharacteristic abdominal or cardio-respiratory complaints. These complaints depend on the type and the volume of the prolapsed organs. By hearing the classic previous history and symptoms the expert has to consider the diagnosis. Beside the previous history, the clinical evidents, the thoracic as well as the abdominal survey radiography, further informations can be given by Gastrointestinal passage with Gastrographin, by Colon contrast fluid enema and by abdominal CT. If there are no general contraindications, diaphragmatic ruptures have to be treated by surgery. There after patients are usually without complaints. Insurance-law-problems are unnecessarily created by "not identifying" fresh diaphragmatic ruptures and by "not considering" the possibility of "late-type" ruptures. PMID:1949474

  2. Effect of brace design on patients with ACL-ruptures.

    PubMed

    Strutzenberger, G; Braig, M; Sell, S; Boes, K; Schwameder, H

    2012-11-01

    Different designs of functional knee braces for ACL-injury rehabilitation exist. In addition to the mechanical stabilization provided by rigid shell braces, sleeve braces also address proprioceptive mechanisms, but little is known if this leads to benefits for ACL-deficient subjects. Therefore the aim of this study was to investigate the effect of 2 different functional brace designs (shell and sleeve brace) on functional achievements in ACL-deficient patients. 28 subjects with ACL-ruptured knees performed tests for knee joint laxity, joint position sense, static and dynamic balance and isometric and dynamic lower limb extension strength in non-braced, sleeve braced and shell braced condition. The results showed a significant decrease in knee joint laxity for sleeve (33%; p<0.001) and rigid shell bracing (14%, p=0.039). The sleeve brace revealed a significant increase in dynamic balance after perturbation (20%; p=0.024) and a significant increase in dynamic lower limb peak rate of force development (17%; p=0.015) compared to the non-braced condition. The effects might be caused by the flexible area of support and the incorporated mechanisms to address proprioceptive aspects. Braces might not be needed in simple daily life tasks, but could provide beneficial support in more dynamic settings when patients return to sporting activities after an ACL-injury. PMID:22706937

  3. New developments in the treatment of ruptured AAA.

    PubMed

    Tsilimparis, Nikolaos; Saleptsis, Vasileios; Rohlffs, Fiona; Wipper, Sabine; Debus, Eike S; Kölbel, Tilo

    2016-04-01

    Ruptured Abdominal Aortic Aneurysms (rAAA) represent the most common abdominal aortic emergency with an incidence of 6.3 per 100,000 inhabitants whereas the incidence of rAAA in the population over 65 years was 35.5/100.000 inhabitants. Early suspicion and diagnosis of rAAA is essential for good outcomes and over the past decades a great variety of perioperative management concepts, techniques and materials have been implemented to further improve the outcomes of this acute and life-threatening disease. Corner-stones for the improvement of outcomes include the introduction of management protocols for rAAA, the principle of hypotensive hemostasis and the introduction of endovascular techniques as well as the improved anesthesia and postoperative intensive care therapy with early identification and management of devastating complications such as the abdominal compartment syndrome. While the role of endovascular aortic repair in rAAA is not yet answered, it appears to be very promising especially in the presence of new techniques that could resolve a number of the problems restricting success of EVAR in rAAAs. PMID:26784556

  4. Management of distal biceps and triceps ruptures.

    PubMed

    Blackmore, Susan M; Jander, Ryan M; Culp, Randall W

    2006-01-01

    The management of distal biceps and triceps ruptures is reviewed. Epidemiology, clinical presentation, evaluation, surgical management, nonoperative management, and rehabilitation rationale and techniques are presented. Although various surgical repair techniques are used, none has been shown to produce superior clinical outcomes. The literature is lacking information to provide evidence-based decisions regarding rehabilitation strategies. Prospective studies comparing types and timing of repairs and timing and techniques for a postoperative program are needed. As that information is not yet available, the rehabilitation plan outlined in this article is based on timetables for healing tissue, strength of repair, prevention of complications, consideration of patient's medical history and injury history, and review of the literature. Familiarity with the different treatment options assists the surgeon and therapist tailor a therapy program that is optimal for each individual patient. PMID:16713863

  5. Endovascular approach for ruptured abdominal aortic aneursyms.

    PubMed

    Setacci, F; Sirignano, P; De Donato, G; Chisci, E; Galzerano, G; Cappelli, A; Palasciano, G; Setacci, C

    2010-06-01

    The rupture of an abdominal aortic aneurysm (rAAA) causes about 15000 deaths/year in the USA alone. Even though over the last 50 years progress in surgical techniques and in postoperative intensive care have been outstanding, the analysis of registries has shown either no decrease in the mortality rate for surgically treated rAAAs. Some reports asserted better out come for endovascular repair (EVAR) compared with surgery in case of rAAA. Despite this evidence, EVAR for rAAA remains prerogative of few centers worldwide. In conclusion only larger study or registry could assest the real role of EVAR in the management of rAAA. PMID:20523280

  6. Can Severe Kyphoscoliosis Lead to Aorta Rupture?

    PubMed

    Kotopoulos, Constantinos; Karakasi, Maria Valeria; Kapetanakis, Stylianos; Pavlidis, Pavlos

    2016-09-01

    Neurofibromatosis type 1 is a polysystemic disease presenting with a multifaceted clinical picture. Clinical manifestations may present in the skin, as well as in the skeletal and cardiovascular system. The present study aims to describe and examine the case of a 46-year-old woman, who suffered from neurofibromatosis type 1 and died abruptly in the emergency room. The forensic examination attributed her death to traumatic rupture of the thoracic aorta resulting from an acute angulation that her vertebral column formed in the thoracic region (severe kyphosis). Outspread cutaneous neurofibromas, severe scoliosis, and osteoporosis (brittle bones) were observed during the autopsy. No atherosclerotic lesions were detected in the aortic lumen. To the authors' knowledge, no similar case has been reported throughout relevant literature. PMID:27323279

  7. Bacterial DNA findings in ruptured and unruptured intracranial aneurysms.

    PubMed

    Pyysalo, Mikko J; Pyysalo, Liisa M; Pessi, Tanja; Karhunen, Pekka J; Lehtimäki, Terho; Oksala, Niku; Öhman, Juha E

    2016-05-01

    Objective Chronic inflammation has earlier been detected in ruptured intracranial aneurysms. A previous study detected both dental bacterial DNA and bacterial-driven inflammation in ruptured intracranial aneurysm walls. The aim of this study was to compare the presence of oral and pharyngeal bacterial DNA in ruptured and unruptured intracranial aneurysms. The hypothesis was that oral bacterial DNA findings would be more common and the amount of bacterial DNA would be higher in ruptured aneurysm walls than in unruptured aneurysm walls. Materials and methods A total of 70 ruptured (n = 42) and unruptured (n = 28) intracranial aneurysm specimens were obtained perioperatively in aneurysm clipping operations. Aneurysmal sac tissue was analysed using a real-time quantitative polymerase chain reaction to detect bacterial DNA from several oral species. Both histologically non-atherosclerotic healthy vessel wall obtained from cardiac by-pass operations (LITA) and arterial blood samples obtained from each aneurysm patient were used as control samples. Results Bacterial DNA was detected in 49/70 (70%) of the specimens. A total of 29/42 (69%) of the ruptured and 20/28 (71%) of the unruptured aneurysm samples contained bacterial DNA of oral origin. Both ruptured and unruptured aneurysm tissue samples contained significantly more bacterial DNA than the LITA control samples (p-values 0.003 and 0.001, respectively). There was no significant difference in the amount of bacterial DNA between the ruptured and unruptured samples. Conclusion Dental bacterial DNA can be found using a quantitative polymerase chain reaction in both ruptured and unruptured aneurysm walls, suggesting that bacterial DNA plays a role in the pathogenesis of cerebral aneurysms in general, rather than only in ruptured aneurysms. PMID:26777430

  8. [Tendinosis and ruptures of the Achilles tendon].

    PubMed

    Amlang, M H; Zwipp, H

    2012-02-01

    Tendinosis of the Achilles tendon is a degenerative-reparative structural change of the tendon with microdefects, increases in cross-section due to cicatricial tendon regeneration, neoangiogenesis and reduction of elasticity. The previously used term tendinitis is only rarely used for the chronic form since signs of inflammation such as redness and hyperthermia or elevated levels of inflammatory parameters on laboratory testing are generally absent. Duplex sonography with visualization of the neovascularization has become a valuable supplement not only for diagnostics but also for therapy planning. The classic, conservative therapy for painful tendinosis consists of oral anti-inflammatory drugs, pain-adapted load reduction, raising the heel, stretching the calf musculature, and various physiotherapeutic interventions. When conservative treatment over a period of 4 - 6 months fails to produce any or non-adequate pain relief, an indication for surgical treatment should be considered. In the therapy for fresh ruptures of the Achilles tendon further developments in minimally invasive techniques have led to a worldwide paradigm change over the past 10 years. The decisive advantage of minimally invasive surgical techniques is the lower risk of wound infection as compared to the sutures of the open technique. When compared with conservative functional therapy the minimally invasive repair has the advantage of being less dependent on the compliance of the patient since, in the early phase of tendon healing the suture prevents a separation of the tendon ends upon controlled movements. However, not every patient with a ruptured Achilles tendon should be treated with a minimally invasive repair. Open tendon reconstruction and functional conservative therapy are still justified when the correct indication is given. PMID:22344862

  9. Effect of multiaxial stresses on the high-temperature behavior and rupture of advanced alloys

    NASA Astrophysics Data System (ADS)

    Johnson, Nancy Louise

    1998-05-01

    The evolution and effect of multiaxial stress states on the high temperature deformation and rupture behavior of materials with non-uniform microstructures has been investigated. Through a detailed description of the role that multiaxial stresses play on damage evolution and rupture, the abundant existing data for uniaxial rupture can be used to more successfully design for the life of high temperature components. Three dimensional finite element calculations of primary creep deformation were performed for particulate reinforced metal matrix composites under a variety of multiaxial loading conditions. A quasi-steady state stress distribution develops during primary creep for each of the conditions considered. The results indicate that higher stresses exist in regions above and below the particles and accommodate the development of creep damage. The nature of the stress state within these regions is not significantly altered by the presence of the particles. The strain fields show a distribution similar to the stress fields. Despite significantly large regions of enhanced stress, the overall creep strain rates for all models are decreased by the presence of the particles. The applied effective stress does not have a unique relationship with overall effective strain rate for particulate reinforced composites under different applied stress states. The failure of sections of turbine rotor disks formed from the superalloy V-57 which operate under highly multiaxial stresses has been investigated. Optical microscopy of a turbine rotor disk removed from service after 30,000 hrs showed an intergranular crack that initiated at the root of a fir-tree turbine rotor blade attachment. Transmission electron microscopy studies showed heavy grain boundary oxidation that could account for the cracking and failure of the rotor disks. Heat treatments of a TiAl alloy have been established for producing a microstructure suitable for high temperature multiaxial rupture testing. The

  10. Creep and rupture of an ODS alloy with high stress rupture ductility. [Oxide Dispersion Strengthened

    NASA Technical Reports Server (NTRS)

    Mcalarney, M. E.; Arsons, R. M.; Howson, T. E.; Tien, J. K.; Baranow, S.

    1982-01-01

    The creep and stress rupture properties of an oxide (Y2O3) dispersion strengthened nickel-base alloy, which also is strengthened by gamma-prime precipitates, was studied at 760 and 1093 C. At both temperatures, the alloy YDNiCrAl exhibits unusually high stress rupture ductility as measured by both elongation and reduction in area. Failure was transgranular, and different modes of failure were observed including crystallographic fracture at intermediate temperatures and tearing or necking almost to a chisel point at higher temperatures. While the rupture ductility was high, the creep strength of the alloy was low relative to conventional gamma prime strengthened superalloys in the intermediate temperature range and to ODS alloys in the higher temperature range. These findings are discussed with respect to the alloy composition; the strengthening oxide phases, which are inhomogeneously dispersed; the grain morphology, which is coarse and elongated and exhibits many included grains; and the second phase inclusion particles occurring at grain boundaries and in the matrix. The creep properties, in particular the high stress dependencies and high creep activation energies measured, are discussed with respect to the resisting stress model of creep in particle strengthened alloys.

  11. Shear rupture of a directionally solidified eutectic gamma/gamma prime - alpha (Mo) alloy

    NASA Technical Reports Server (NTRS)

    Harf, F. H.

    1978-01-01

    Directionally solidified Mo alloys are evaluated to determine the shear rupture strength and to possibly improve it by microstructural and heat treatment variations. Bars of the alloy containing nominally 5.7% Al and 33.5% Mo by weight with balance Ni were directionally solidified at rates between 10 and 100 mm per hour in furnaces with thermal gradients at the liquid-solid interface of 250 or 100 C per cm. A limited number of longitudinal shear rupture tests were conducted at 760 C and 207 MPa in the as - solidified and in several heat treated conditions. It is shown that shear rupture failures are partly transgranular and that resistance to failure is prompted by good fiber alignment and a matrix structure consisting mainly of gamma prime. Well aligned as - solidified specimens sustained the shear stress for an average of 81 hours. A simulated coating heat treatment appeared to increase the transformation of gamma to gamma prime and raised the average shear life of aligned specimens to 111 hours. However, heat treatments at 1245 C and especially at 1190 C appeared to be detrimental by causing partial solutioning of the gamma prime, and reducing lives to 47 and 10 hours, respectively.

  12. A rare case of first-trimester ruptured bicornuate uterus in a primigravida

    PubMed Central

    Hefny, Ashraf F.; Kunhivalappil, Fathima T.; Nambiar, Ritu; Bashir, Masoud O.

    2015-01-01

    Introduction Bicornuate uterus (BU) is a rare uterine anomaly result from incomplete fusion of the two Müllerian ducts during embryogenesis. BU very rarely can lead to rupture of the uterus during the early pregnancy with high mortality and morbidity rates. Presentation Of Case A primigravida in the first trimester (9 weeks) presented complaining of epigastric pain and vomiting for one day. Ultrasound scan was performed at the 7th week of pregnancy and showed a BU with single intrauterine gestational sac in the right horn. On presentation, the patient was pale and irritable. Urgent ultrasound scan showed viable fetus in the right horn, free fluids in Morrison’s pouch. Laparotomy showed BU with pregnancy in the ruptured right horn. The defect in the uterus was repaired. Postoperatively, the patient was advised to use contraceptive pills for one year. Discussion Our patient has a sonographic diagnosis of BU at the 7th gestational week. At that stage, nothing was done except close follow up of the pregnancy. When she developed severe epigastric pain, initially, we thought of peptic ulcer disease complications. Even after deterioration of the patients’ condition, the diagnosis was not clear as the urgent ultrasound showed a viable fetus. Blood and fluid replacement therapy, and exploratory laparotomy were essential to save the patient’s life. Conclusion This case highlights the fact that uterine rupture can occur in early pregnancy when associated with uterine anomaly. Early sonographic diagnosis has a major contribution in evaluation and management. PMID:26255004

  13. Laser welding of ruptured intestinal tissue using plasmonic polypeptide nanocomposite solders.

    PubMed

    Huang, Huang-Chiao; Walker, Candace Rae; Nanda, Alisha; Rege, Kaushal

    2013-04-23

    Approximately 1.5 million people suffer from colorectal cancer and inflammatory bowel disease in the United States. Occurrence of leakage following standard surgical anastomosis in intestinal and colorectal surgery is common and can cause infection leading to life-threatening consequences. In this report, we demonstrate that plasmonic nanocomposites, generated from elastin-like polypeptides (ELPs) cross-linked with gold nanorods, can be used to weld ruptured intestinal tissue upon exposure to near-infrared (NIR) laser irradiation. Mechanical properties of these nanocomposites can be modulated based on the concentration of gold nanorods embedded within the ELP matrix. We employed photostable, NIR-absorbing cellularized and noncellularized GNR-ELP nanocomposites for ex vivo laser welding of ruptured porcine small intestines. Laser welding using the nanocomposites significantly enhanced the tensile strength, leakage pressure, and bursting pressure of ruptured intestinal tissue. This, in turn, provided a liquid-tight seal against leakage of luminal liquid from the intestine and resulting bacterial infection. This study demonstrates the utility of laser tissue welding using plasmonic polypeptide nanocomposites and indicates the translational potential of these materials in intestinal and colorectal repair. PMID:23530530

  14. Spontaneous Spleen Rupture in a Teenager: An Uncommon Cause of Acute Abdomen

    PubMed Central

    Maria, Verroiotou; Saad, Al Mogrampi; Fardellas, Ioannis

    2013-01-01

    Spontaneous spleen rupture is a rare complication of infectious diseases and it can become a potentially life-threatening condition if not diagnosed in time. A 17-year-old Greek female presented to the ER due to acute abdominal pain, mainly of the left upper quadrant. She had no recent report of trauma. The patient was pale, her blood pressure was 90/70 mmHg, and her pulse was 120 b/min. Clinical examination of the abdomen revealed muscle contraction and resistance. The patient was submitted to an ultrasound of the upper abdomen and to a CT scanning of the abdomen that revealed an extended intraperitoneal hemorrhage due to spleen rupture. Due to the patient's hemodynamic instability, she was taken to the operation room and splenectomy was performed. Following a series of laboratory examinations, the patient was diagnosed to be positive for current cytomegalovirus infection. The postoperative course was uneventful, and in a two year follow-up the patient is symptom-free. Spontaneous spleen rupture due to Cytomegalovirus infection is a rare clinical entity, described in few case reports in the world literature and should always be taken into consideration in differential diagnosis of acute abdomen, especially in adolescents with no recent report of trauma. PMID:23710190

  15. Long-Term Creep and Creep Rupture Behavior of Woven Ceramic Matrix Composites

    NASA Technical Reports Server (NTRS)

    Haque, A.; Rahman, M.; Mach, A.; Jeelani, S.; Verrilli, Michael J. (Technical Monitor)

    2001-01-01

    Tensile creep behavior of SiC/SiNC ceramic matrix composites at elevated temperatures and at various stress levels have been investigated for turbine engine applications. The objective of this research is to present creep behavior of SiC/SiCN composites at stress levels above and below the monotonic proportional limit strength and predict the life at creep rupture conditions. Tensile creep-rupture tests were performed on an Instron 8502 servohydraulic testing machine at constant load conditions up to a temperature limit of 1000 C. Individual creep curves indicate three stages such as primary, secondary, and tertiary. The creep rate increased linearly at an early stage and then gradually became exponential at higher strains. The stress exponent and activation energy were also obtained at 700 and 1000 C. The specimen lifetime was observed to be 55 hrs at 121 MPa and at 700 C. The life span reduced to 35 hrs at 143 MPa and at 1000 C. Scanning electron microscopy observations revealed significant changes in the crystalline phases and creep damage development. Creep failures were accompanied by extensive fiber pullout, matrix cracking, and debonding along with fiber fracture. The creep data was applied to Time-Temperature-Stress superposition model and the Manson-Haferd parametric model for long-time life prediction.

  16. Dynamics of a pre-lens tear film after a blink: Model, evolution, and rupture

    NASA Astrophysics Data System (ADS)

    Usha, R.; Anjalaiah, Sanyasiraju, Y. V. S. S.

    2013-11-01

    A mathematical model is developed to investigate the dynamics and rupture of a pre-lens tear film on a contact lens. The contact lens is modeled as a saturated porous medium of constant, finite thickness and is described by the Darcy-Brinkman equations with stress-jump condition at the interface. The model incorporates the influence of capillarity, gravitational drainage, contact lens properties such as the permeability, the porosity, and the thickness of the contact lens on the evolution and rupture of a pre-lens tear film, when the eyelid has opened after a blink. Two models are derived for the evolution of a pre-lens tear film thickness using lubrication theory and are solved numerically; the first uses shear-free surface condition and the second, the tangentially immobile free surface condition. The results reveal that life span of a pre-lens tear film is longer on a thinner contact lens for all values of permeability and porosity parameter considered. An increase in permeability of contact lens, porosity or stress-jump parameter increases the rate of thinning of the film and advances the rupture time. The viscous-viscous interaction between the porous contact lens and the pre-lens tear film increases the resistance offered by the frictional forces to the rate of thinning of pre-lens tear film. This slows down the thinning process and hence delays the rupture of the film as compared to that predicted by the models of Nong and Anderson [SIAM. J. Appl. Math. 70, 2771-2795 (2010)] derived in the framework of Darcy model.

  17. Analysis of Creep Rupture Behavior of Cr-Mo Ferritic Steels in the Presence of Notch

    NASA Astrophysics Data System (ADS)

    Goyal, Sunil; Laha, K.; Das, C. R.; Mathew, M. D.

    2015-01-01

    Effect of notch on creep rupture behavior of 2.25Cr-1Mo, 9Cr-1Mo, and modified 9Cr-1Mo ferritic steels has been assessed. Creep tests were carried out on smooth and notched specimens of the steels in the stress ranging 90 to 300 MPa at 873 K (600 °C). Creep rupture lives of the steels increased in the presence of notch over those of smooth specimens, thus exhibiting notch strengthening. The strengthening was comparable for the 9Cr-1Mo and 2.25Cr-1Mo steels and appreciably more in modified 9Cr-1Mo steel. The strengthening effect was found to decrease with the decrease in applied stress and increase in rupture life for all the steels. The presence of notch decreased the creep rupture ductility of the steels significantly and the 2.25Cr-1Mo steel suffered more reduction than in the other two 9Cr-steels. Finite element analysis of stress distribution across the notch was carried out to understand the notch strengthening and its variation in the steels. The variation in fracture appearance has also been corroborated based on finite element analysis. Reduction in von-Mises stress across the notch throat plane resulted in strengthening in the steels. Higher reduction in von-Mises stress in modified 9Cr-1Mo steel than that in 2.25Cr-1Mo and 9Cr-1Mo steels induced more strengthening in modified 9Cr-1Mo steel under multiaxial state of stress.

  18. Graded exercise in three cases of heart rupture after acute myocardial infarction.

    PubMed

    Mineo, K; Takizawa, A; Shimamoto, M; Yamazaki, F; Kimura, A; Chino, N; Izumi, S

    1995-01-01

    Despite advances in the study of exercise for acute myocardial infarction (AMI) patients, few studies on exercise for post-AMI heart rupture patients have been reported. We assessed three cases of heart rupture (of the left ventricular free wall in two cases and of the ventricular septum in one case) in post-AMI patients who underwent three-graded exercise. Two of the three patients were operated on, whereas one patient was managed conservatively for heart rupture. Two of the three cases had also suffered cerebral infarction post-AMI. The exercise program was composed of three grades, slow level walking (grade 1), mild reconditioning and activities of daily living (ADL) exercises (grade 2), and optional endurance training using machines below 75% of predicted maximal heart rate (grade 3). Electrocardiograms and blood pressure were monitored during all exercises. All patients had muscle weakness, poor endurance capacity, as well as low cardiac function (28-47% of left ventricular ejection fraction). Two patients underwent grades 1 and 2 exercise programs, and the other performed grades 1, 2, and 3 exercise programs over a 3- to 10-wk period. We observed improvement in the double product, work capacity, and ADL without congestive heart failure, ischemic attack, or serious arrhythmias. However, the youngest patient, who underwent the grade 3 exercise program, died from a cardiac event 10 mo after onset of AMI. We conclude that post-AMI heart rupture patients should undergo delayed, gradual, low-level graded exercise (4-6 metabolic equivalents), with monitoring of blood pressure and electrocardiograms to improve work capacity, ADL, and the quality of life. However, daily activity and exercise intensity should be promptly supervised for those with severely deteriorated cardiac functions to prevent sudden cardiac event. PMID:8534391

  19. Milking-Like Effect as the First Clue of Left Ventricular Free Wall Rupture.

    PubMed

    Bastante, Teresa; Rivero, Fernando; Cuesta, Javier; Aguilera, María Cruz; Rodríguez, Daniel; Benedicto, Amparo; Alfonso, Fernando

    2016-08-01

    Left ventricular free wall rupture (FWR) is a rare but dreadful complication after acute myocardial infarction (AMI). A coronary "milking-like" effect has been previously related to ventricular pseudoaneurysm or true aneurysm but not yet with other mechanical complications such as left ventricular FWR. We describe 2 patients with AMI showing a coronary milking-like effect in the infarct-related artery at the time of primary percutaneous coronary intervention. Left ventricular FWR eventually developed and the patients died. We propose that a coronary milking-like effect in the infarct-related artery is a marker of patients at high risk for this life-threatening mechanical complication. PMID:27084073

  20. Major ischaemic stroke caused by an air embolism from a ruptured giant pulmonary bulla.

    PubMed

    Gudmundsdottir, Johanna F; Geirsson, Arnar; Hannesson, Petur; Gudbjartsson, Tomas

    2015-01-01

    We report an extremely rare complication of a major ischaemic cerebral event caused by an air embolism due to spontaneous rupture of a giant pulmonary bulla that occurred during an airline flight. Shortly after take-off, the patient experienced sudden right-sided hemiplegia and dyspnoea. Following an emergency landing in Reykjavik, a CT scan of the brain showed minute air bubbles consistent with air emboli within the left-sided intracerebral arteries, and MRI showed signs of acute ischaemic cerebral infarction in the left hemisphere. The patient later underwent a pulmonary lobectomy and survived this life-threatening complication with relatively mild neurological sequelae. PMID:25743863

  1. Gastric rupture in horses: 50 cases (1979-1987).

    PubMed

    Kiper, M L; Traub-Dargatz, J; Curtis, C R

    1990-01-15

    A computer-based search was conducted of medical and necropsy records of horses admitted to the teaching hospital from Jan 1, 1979, to Dec 31, 1987, to obtain the records of all horses admitted to the hospital for colic and subsequently found to have gastric rupture. Fifty cases of gastric rupture were found. The records were reviewed to obtain data regarding peritoneal fluid analysis. Cell counts of these samples were often erroneous because debris and clumps of bacteria were counted when most WBC were lysed. A cross-sectional study of gastric rupture cases versus all other colic cases regarding season of admission revealed that there was no association between season and the occurrence of gastric rupture. There was also no increased risk associated with age, gender, breed, and the occurrence of gastric rupture. One hundred colic cases, matched with the gastric rupture cases by year of admission, were randomly selected via a table of random numbers. A questionnaire regarding age, breed, gender, use of the horse, housing, diet, water source, deworming schedule, and medical history was completed from the medical records and phone conversations with the horse owners. The results indicated that horses on a diet of grass hay or grass/alfalfa hay only or those that drank water from a bucket, stream, or pond were at increased risk for having gastric rupture. In contrast, horses fed grain had a reduced risk. PMID:2298661

  2. Perianeurysmal edema as a predictive sign of aneurysmal rupture.

    PubMed

    Pahl, Felix Hendrik; de Oliveira, Matheus Fernandes; Ferreira, Nelson Paes Fortes Diniz; de Macedo, Leonardo Lopes; Brock, Roger Schmidt; de Souza, Valéria Cardoso

    2014-11-01

    Subarachnoid hemorrhage following intracranial aneurysmal rupture is a major cause of morbidity and mortality. Several factors may affect the probability of rupture, such as tobacco and alcohol use; size, shape, and location of the aneurysm; presence of intraluminal thrombus; and even the sex of the patient. However, few data correlate such findings with the timing of aneurysmal rupture. The authors report 2 cases of middle-age women with headache and MRI findings of incidental aneurysms. Magnetic resonance imaging showed evidence of surrounding parenchymal edema, and in one case there was a clear increase in edema during follow-up, suggesting a progressive inflammatory process that culminated with rupture. These findings raise the possibility that bleb formation and an enlargement of a cerebral aneurysm might be associated with an inflammatory reaction of the aneurysm wall resulting in perianeurysmal edema and subsequent aneurysmal rupture. There may be a temporal link between higher degree of edema and higher risk for rupture, including risk for immediate rupture. PMID:25036206

  3. Patient specific stress and rupture analysis of ascending thoracic aneurysms.

    PubMed

    Trabelsi, Olfa; Davis, Frances M; Rodriguez-Matas, Jose F; Duprey, Ambroise; Avril, Stéphane

    2015-07-16

    An ascending thoracic aortic aneurysm (ATAA) is a serious medical condition which, more often than not, requires surgery. Aneurysm diameter is the primary clinical criterion for determining when surgical intervention is necessary but, biomechanical studies have suggested that the diameter criterion is insufficient. This manuscript presents a method for obtaining the patient specific wall stress distribution of the ATAA and the retrospective rupture risk for each patient. Five human ATAAs and the preoperative dynamic CT scans were obtained during elective surgeries to replace each patient's aneurysm with a synthetic graft. The material properties and rupture stress for each tissue sample were identified using bulge inflation tests. The dynamic CT scans were used to generate patient specific geometries for a finite element (FE) model of each patient's aneurysm. The material properties from the bulge inflation tests were implemented in the FE model and the wall stress distribution at four different pressures was estimated. Three different rupture risk assessments were compared: the maximum diameter, the rupture risk index, and the overpressure index. The peak wall stress values for the patients ranged from 28% to 94% of the ATAA's failure stress. The rupture risk and overpressure indices were both only weakly correlated with diameter (ρ=-0.29, both cases). In the future, we plan to conduct a large experimental and computational study that includes asymptomatic patients under surveillance, patients undergoing elective surgery, and patients who have experienced rupture or dissection to determine if the rupture risk index or maximum diameter can meaningfully differentiate between the groups. PMID:25979384

  4. Blunt traumatic cardiac rupture. A 5-year experience.

    PubMed

    Brathwaite, C E; Rodriguez, A; Turney, S Z; Dunham, C M; Cowley, R

    1990-12-01

    Blunt traumatic cardiac rupture is associated with a high rate of mortality. A review of the computerized trauma registry (1983 to 1988) identified 32 patients with this injury (ages 19 to 65 years; mean age, 39.5 years; 21 men and 11 women). Twenty-one patients (65.6%) were injured in vehicular crashes, 3 (9.4%) in pedestrian accidents, 3 (9.4%) in motorcycle accidents; 3 (9.4%) sustained crush injury; 1 (3.1%) was injured by a fall; and 1 (3.1%) was kicked in the chest by a horse. Anatomic injuries included right atrial rupture (13[40.6%]), left atrial rupture (8 [25%]), right ventricular rupture (10[31.3%]), left ventricular rupture (4[12.5%]), and rupture of two cardiac chambers (3 [9.4%]). Diagnosis was made by thoracotomy in all 20 patients presenting in cardiac arrest. In the remaining 12 patients, the diagnosis was established in seven by emergency left anterolateral thoracotomy and in five by subxyphoid pericardial window. Seven of these 12 patients (58.3%) had clinical cardiac tamponade and significant upper torso cyanosis. The mean Injury Severity Score (ISS), Trauma Score (TS), and Glasgow Coma Scale (GCS) score were 33.8, 13.2, and 14.3, respectively, among survivors and 51.5, 8.3, and 7.0 for nonsurvivors. The overall mortality rate was 81.3% (26 of 32 patients), the only survivors being those presenting with vital signs (6 of 12 patients [50%]). All patients with rupture of two cardiac chambers or with ventricular rupture died. The mortality rate from myocardial rupture is very high. Rapid prehospital transportation, a high index of suspicion, and prompt surgical intervention contribute to survival in these patients. PMID:2256761

  5. Rupture Synchronicity in Complex Fault Systems

    NASA Astrophysics Data System (ADS)

    Milner, K. R.; Jordan, T. H.

    2013-12-01

    While most investigators would agree that the timing of large earthquakes within a fault system depends on stress-mediated interactions among its elements, much of the debate relevant to time-dependent forecasting has been centered on single-fault concepts, such as characteristic earthquake behavior. We propose to broaden this discussion by quantifying the multi-fault concept of rupture synchronicity. We consider a finite set of small, fault-spanning volumes {Vk} within a fault system of arbitrary (fractal) complexity. We let Ck be the catalog of length tmax comprising Nk discrete times {ti(k)} that mark when the kth volume participates in a rupture of magnitude > M. The main object of our analysis is the complete set of event time differences {τij(kk') = ti(k) - tj(k')}, which we take to be a random process with an expected density function ρkk'(t). When k = k', we call this function the auto-catalog density function (ACDF); when k ≠ k', we call it the cross-catalog density function (CCDF). The roles of the ACDF and CCDF in synchronicity theory are similar to those of autocorrelation and cross-correlation functions in time-series analysis. For a renewal process, the ACDF can be written in terms of convolutions of the interevent-time distribution, and many of its properties (e.g., large-t asymptote) can be derived analytically. The interesting information in the CCDF, like that in the ACDF, is concentrated near t = 0. If two catalogs are completely asynchronous, the CCDF collapses to an asymptote given by the harmonic mean of the ACDF asymptotes. Synchronicity can therefore be characterized by the variability of the CCDF about this asymptote. The brevity of instrumental catalogs makes the identification of synchronicity at large M difficult, but we will illustrate potentially interesting behaviors through the analysis of a million-year California catalog generated by the earthquake simulator, RSQSim (Deiterich & Richards-Dinger, 2010), which we sampled at a

  6. Ruptured ileocolic artery aneurysm: an unusual cause of hemoperitoneum.

    PubMed

    Siddiqui, Zakaur R; Yousif, Omer F; Halliday, Mark W; Hubaishah, Nasser A; Adam, Khalid A

    2012-01-01

    Ruptured aneurysm of a branch of ileocolic artery is a rare finding and is an unusual cause of haemoperitoneum. Rapid diagnosis, and surgical or endovascular intervention are necessary to avoid devastating consequences and high mortality rates following an emergency operation after rupture. Resection is a good choice for surgical intervention for some aneurysms that are not suitable for endovascular repair. This report describes the case of a middle-aged man with a ruptured superior mesenteric artery branch aneurysm and his subsequent surgical management. PMID:23006464

  7. Ruptured Ileocolic Artery Aneurysm: An Unusual Cause of Hemoperitoneum

    PubMed Central

    Siddiqui, Zakaur R.; Yousif, Omer F.; Halliday, Mark W.; Hubaishah, Nasser A.; Adam, Khalid A.

    2012-01-01

    Ruptured aneurysm of a branch of ileocolic artery is a rare finding and is an unusual cause of haemoperitoneum. Rapid diagnosis, and surgical or endovascular intervention are necessary to avoid devastating consequences and high mortality rates following an emergency operation after rupture. Resection is a good choice for surgical intervention for some aneurysms that are not suitable for endovascular repair. This report describes the case of a middle-aged man with a ruptured superior mesenteric artery branch aneurysm and his subsequent surgical management. PMID:23006464

  8. Rupture of the triceps tendon - A case series.

    PubMed

    Jaiswal, Atin; Kacchap, Naiman-Deep; Tanwar, Yashwant-Singh; Kumar, Devendra; Kumar, Birendra

    2016-08-01

    Triceps rupture is the least common among all tendon injuries. The usual mechanism of injury is a fall on an outstretched hand, although direct contact injuries have also been reported to cause this injury. The diagnosis of acute triceps tendon rupture may be missed, which can result in prolonged disability and delayed operative management. We presented three cases of acute triceps tendon rupture each at different site showing the spectrum of injury to the muscle and mechanism of injury and management were also discussed. PMID:27578383

  9. Infective splenic rupture presenting with symptoms of a pulmonary embolism.

    PubMed

    Shah, M; Muquit, S; Azam, B

    2008-12-01

    Splenic rupture following infectious mononucleosis is rare. The case history is presented of a man who presented with sudden onset pleuritic left chest pain. An ultrasound scan of the abdomen showed an enlarged spleen with an abnormal echo pattern and a CT scan of the abdomen showed severe splenic rupture. The patient remembered that he had been unwell 2 weeks earlier with flu-like symptoms and enlarged cervical lymph nodes. Serological examination was positive for Ebstein-Barr virus, confirming the diagnosis of splenic rupture following splenomegaly due to infectious mononucleosis. Management was initially conservative but he became haemodynamically unstable and an emergency splenectomy was performed. PMID:19033515

  10. Frictional melting during the rupture of the 1994 bolivian earthquake

    PubMed

    Kanamori; Anderson; Heaton

    1998-02-01

    The source parameters of the 1994 Bolivian earthquake (magnitude Mw = 8.3) suggest that the maximum seismic efficiency eta was 0.036 and the minimum frictional stress was 550 bars. Thus, the source process was dissipative, which is consistent with the observed slow rupture speed, only 20% of the local S-wave velocity. The amount of nonradiated energy produced during the Bolivian rupture was comparable to, or larger than, the thermal energy of the 1980 Mount St. Helens eruption and was sufficient to have melted a layer as thick as 31 centimeters. Once rupture was initiated, melting could occur, which reduces friction and promotes fault slip. PMID:9452378

  11. The rupture of a single liquid aluminium alloy film.

    PubMed

    Heim, K; García-Moreno, F; Vinod Kumar, G S; Rack, A; Banhart, J

    2014-07-14

    The present study is based on the idea of understanding the rupture of films in metal foams by studying free standing metallic films as a model system. Liquid dynamics, the velocity of the rupturing material as well as the behaviour of ceramic particles inside the melt were analysed optically ex situ and by synchrotron X-ray radiography in situ. It was found that the resistance of films to rupture is mainly based on the interaction between solid particles and an immobile oxide skin, the formation of which depends on the oxygen content of the surrounding atmosphere and the presence of magnesium. PMID:24854899

  12. Spontaneous Uterine Rupture in the First Trimester: A Case Report

    PubMed Central

    Ryu, Ki-Young; Lee, Jong-In; Park, Moon-Il

    2005-01-01

    Uterine rupture is one of the most feared obstetric complications affecting the pregnant woman and fetus. Most of the cases have various risk factors and mainly occur during the second or third trimester. However, spontaneous uterine rupture during the first trimester is extremely rare. We experienced a case of spontaneous uterine rupture in a 36-yr-old multiparous woman without definite risk factors. The initial impression was a hemoperitoneum of an unknown origin with normal early pregnancy. Intensive surgical method would be needed for accurate diagnosis and immediate management in bad situation by hemoperitoneum even though a patient was early pregnancy. PMID:16361828

  13. Spontaneous Splenic Rupture Following Intravenous Thrombolysis with Alteplase Applied as Stroke Therapy – Case Report and Review of Literature

    PubMed Central

    Aleksic-Shihabi, Anka; Jadrijevic, Eni; Milekic, Nina; Bulicic, Ana Repic; Titlic, Marina; Suljic, Enra

    2016-01-01

    Introduction: Stroke is a medical emergency in neurology, and is one of the leading causes of death nowadays. At a recent time, a therapeutic method used in adequate conditions is thrombolysis, a treatment of an emerging clot in the brain vascular system by alteplase. The application of alteplase also has a high risk of life threatening conditions. Case report: This is a brief report of a case with thrombolysis complication which manifested as a spleen rupture. PMID:26980937

  14. Coronary artery dissection with rupture of aortic valve commissure following type A aortic dissection: the role of 64-slice MDCT.

    PubMed

    Das, K M; Abdou, Sayed M; El-Menyar, Ayman; Ayman, El Menyar; Khulaifi, A A; Nabti, A L

    2008-01-01

    A rare case of bilateral coronary artery dissection with rupture of aortic valve commissure following type A aortic dissection is described. 64-slice multidetector computed tomography (MDCT) was able to demonstrate both this findings along with involvement of other neck vessels. TEE demonstrated the severity and mechanisms of aortic valve damage and assisted the surgeon in valve repair. MDCT has played an invaluable role in the diagnosis of the abnormal details of such life-threatening vascular complications. PMID:18384568

  15. Intermediate Temperature Stress Rupture of Woven SiC Fiber, BN Interphase, SiC Matrix Composites in Air

    NASA Technical Reports Server (NTRS)

    Morscher, Gregory N.; Levine, Stanley (Technical Monitor)

    2000-01-01

    Tensile stress-rupture experiments were performed on woven Hi-Nicalon reinforced SiC matrix composites with BN interphases in air. Modal acoustic emission (AE) was used to monitor the damage accumulation in the composites during the tests and microstructural analysis was performed to determine the amount of matrix cracking that occurred for each sample. Fiber fractograph), was also performed for individual fiber failures at the specimen fracture surface to determine the strengths at which fibers failed. The rupture strengths were significantly worse than what would have been expected front the inherent degradation of the fibers themselves when subjected to similar rupture conditions. At higher applied stresses the rate of rupture "?as larger than at lower applied stresses. It was observed that the change in rupture rate corresponded to the onset of through-thickness cracking in the composites themselves. The primary cause of the sen,ere degradation was the ease with which fibers would bond to one another at their closest separation distances, less than 100 nanometers, when exposed to the environment. The near fiber-to-fiber contact in the woven tows enabled premature fiber failure over large areas of matrix cracks due to the stress-concentrations created b), fibers bonded to one another after one or a few fibers fail. i.e. the loss of global load sharing. An@, improvement in fiber-to-fiber separation of this composite system should result in improved stress- rupture properties. A model was den,eloped in order to predict the rupture life-time for these composites based on the probabilistic nature of indin,idual fiber failure at temperature. the matrix cracking state during the rupture test, and the rate of oxidation into a matrix crack. Also incorporated into the model were estimates of the stress-concentration that would occur between the outer rim of fibers in a load-bearing bundle and the unbridged region of a matrix crack after Xia et al. For the lower stresses

  16. Bulkhead rupture disc for solid propellant missiles

    SciTech Connect

    Hibler, D.R. Sr.; Sigle, S.P. Jr.

    1988-04-19

    A missile bulkhead rupture disc assembly for disposition between a first stage of propellant and a second stage of propellant and for enabling release of the second stage of propellant subsequent to release of the first stage of propellant is described comprising: a generally circular element comprised of a frangible material and having a first burst pattern with a line of weakness completely circumscribing a central portion of the element. The central portion of the element having structure defines an aperture. The element has a second burst pattern comprising lines of weakness each extending in a substantially radial direction outwardly from the line of weakness of the first burst pattern. Each adjacent pair of the lines of weakness of the second burst pattern is spaced from each other and defines generally sector-shaped segments of the elements. The frangible material of the element has a tensile strength of a certain, first value in the vicinity of the line of weakness of the first burst pattern, and the frangible material of the element has a tensile strength in the vicinity of the lines of weakness of the second burst pattern of a second value which is higher than the first certain value.

  17. Stress-rupture strength of alloy 718

    SciTech Connect

    Kennedy, R.L.; Cao, W.D.; Thomas, W.M.

    1996-03-01

    Alloy 718 is the most widely used of the nickel-base superalloys in aerospace applications such as compressor and turbine disks, cases, compressor blades and fasteners in aircraft gas-turbine engines. Since the development of the superalloy by Inco Alloys International over 30 years ago, researchers have made many slight modifications in chemical composition, and have refined process techniques to achieve further improvements in performance. Relatively little information on the effects of phosphorus has been published, and the available information is contradictory. However, phosphorus in superalloys is generally considered detrimental, and by specification is controlled to a low maximum value (0.015% max, for example, in AMS5662 E). This lack of data is the basis of a study by Teledyne Allvac to determine the effects of the interaction of phosphorus, boron, and carbon on the mechanical properties, processing characteristics, and microstructure of Allvac 718. Results show that a significant improvement in stress-rupture properties over those of a commercial Alloy 718 material is possible by optimizing phosphorus, boron, and carbon additions.

  18. Extracellular Matrix Dynamics and Fetal Membrane Rupture

    PubMed Central

    Strauss,, Jerome F.

    2013-01-01

    The extracellular matrix (ECM) plays an important role in determining cell and organ function: (1) it is an organizing substrate that provides tissue tensile strength; (2) it anchors cells and influences cell morphology and function via interaction with cell surface receptors; and (3) it is a reservoir for growth factors. Alterations in the content and the composition of the ECM determine its physical and biological properties, including strength and susceptibility to degradation. The ECM components themselves also harbor cryptic matrikines, which when exposed by conformational change or proteolysis have potent effects on cell function, including stimulating the production of cytokines and matrix metalloproteinases (MMPs). Collectively, these properties of the ECM reflect a dynamic tissue component that influences both tissue form and function. This review illustrates how defects in ECM synthesis and metabolism and the physiological process of ECM turnover contribute to changes in the fetal membranes that precede normal parturition and contribute to the pathological events leading to preterm premature rupture of membranes (PPROM). PMID:22267536

  19. Extracellular matrix dynamics and fetal membrane rupture.

    PubMed

    Strauss, Jerome F

    2013-02-01

    The extracellular matrix (ECM) plays an important role in determining cell and organ function: (1) it is an organizing substrate that provides tissue tensile strength; (2) it anchors cells and influences cell morphology and function via interaction with cell surface receptors; and (3) it is a reservoir for growth factors. Alterations in the content and the composition of the ECM determine its physical and biological properties, including strength and susceptibility to degradation. The ECM components themselves also harbor cryptic matrikines, which when exposed by conformational change or proteolysis have potent effects on cell function, including stimulating the production of cytokines and matrix metalloproteinases (MMPs). Collectively, these properties of the ECM reflect a dynamic tissue component that influences both tissue form and function. This review illustrates how defects in ECM synthesis and metabolism and the physiological process of ECM turnover contribute to changes in the fetal membranes that precede normal parturition and contribute to the pathological events leading to preterm premature rupture of membranes (PPROM). PMID:22267536

  20. [Bronchial rupture in blunt thoracic trauma].

    PubMed

    López Espadas, F; Zabalo, M; Encinas, M; Díaz Regañón, G; Pagola, M A; González Fernández, C

    2000-12-01

    In closed chest trauma, bronchial rupture is an unusual but potentially serious complication, with an associated mortality rate of 30%. Recent decades have seen an increase in incidence parallel to greater use of transport. Eighty percent of injuries are located 2.5 cm from the carina. Diagnosis is based on clinical signs, imaging and bronchoscopy. Subcutaneous emphysema and respiratory insufficiency are the most common findings. Images show the presence of pneumothorax, pneumomediastinum or both. Bronchoscopy is the diagnostic method of choice and must be performed early. Treatment consists of reestablishing anatomical continuity of the tracheobronchial tree by surgical repair if the lesion affects more than a third of the circumference and/or pneumothorax is not resolved after two chest drainages. This type of injury should be recognized and treated early, both to restore lung function and to prevent associated complications caused by delay. However, initial findings are seldom specific, requiring the physician to display a high degree of suspicion and explaining why diagnosis often comes late. PMID:11171438

  1. Co-existence of a rare dyspnea with pericardial diaphragmatic rupture and pericardial rupture: a case report.

    PubMed

    Öz, Necdet; Kargı, Ahmet Bülent; Zeybek, Arife

    2015-06-01

    Pericardial-diaphragmatic rupture is a rare condition which occurs after blunt trauma and involves the herniation of abdominal organs into the pericardium. A 77-year-old female patient presenting with complaints of palpitation and difficulty in breathing was admitted to the emergency room. Left lateral thoracotomy revealed the herniation of abdominal organs into the thorax. A pericardial-diaphragmatic rupture and a pericardial rupture were found to co-exist. The diaphragm and the pericardium were repaired primarily. The case is presented here because herniation of abdominal organs into the pleural cavity through the pericardium is a rare condition. PMID:26336505

  2. Co-existence of a rare dyspnea with pericardial diaphragmatic rupture and pericardial rupture: a case report

    PubMed Central

    Kargı, Ahmet Bülent; Zeybek, Arife

    2015-01-01

    Pericardial-diaphragmatic rupture is a rare condition which occurs after blunt trauma and involves the herniation of abdominal organs into the pericardium. A 77-year-old female patient presenting with complaints of palpitation and difficulty in breathing was admitted to the emergency room. Left lateral thoracotomy revealed the herniation of abdominal organs into the thorax. A pericardial-diaphragmatic rupture and a pericardial rupture were found to co-exist. The diaphragm and the pericardium were repaired primarily. The case is presented here because herniation of abdominal organs into the pleural cavity through the pericardium is a rare condition. PMID:26336505

  3. Multi-Canister overpack necessity of the rupture disk

    SciTech Connect

    SMITH, K.E.

    1998-11-03

    The Multi-Canister Overpack (MCO) rupture disk precludes the MCO from pressurization above the design limit during transport from the K Basins to the Cold Vacuum Drying (CVD) Facility and prior to connection of the CVD process piping. Removal of the rupture disk from the MCO design would: (a) result in unacceptable dose consequences in the event a thermal runaway accident occurred; (b) increase residual risk; and (c) remove a degree of specificity from the dose calculations. The potential cost savings of removing the rupture disk from the MCO design is offset by the cost of design modifications, changes to hazard analyses and safety analyses, and changes to existing documentation. Retaining the rupture disk mitigates the consequences of MCO overpressurization, and considering the overall economic impacts to the SNF Project, is the most cost effective approach.

  4. Splenic rupture as a presenting feature of endocarditis.

    PubMed

    Winearls, James Roger; McGloughlin, Steven; Fraser, John F

    2009-04-01

    We describe the first case of infective endocarditis presenting with spontaneous splenic rupture. Our patient, a known intravenous drug user presented with hypovolaemic shock secondary to splenic rupture. The patient was resuscitated and underwent an emergency splenectomy. Subsequent clinical examination revealed a systolic murmur and a diagnosis of mitral valve infective endocarditis was made after echocardiography. Splenic tissue, blood cultures and mitral valve tissue all cultured Enterococcus faecalis. The patient had a successful mitral valve replacement and was discharged home after 44 days. To our knowledge this is the first reported case of enterococcal endocarditis presenting with splenic rupture. This case highlights the need to consider endocarditis in spontaneous splenic rupture particularly in those patients in a high risk group, such as IV drug users, especially if they lack a clear history of trauma. PMID:19217796

  5. Delayed aortic rupture resulting from postoperative superficial sternal wound infection

    PubMed Central

    Kim, Su Wan; Chang, Jee Won

    2016-01-01

    While deep sternal wound infection (DSWI) after cardiac surgery is a significant contributor to patient morbidity and mortality, superficial sternal wound infection (SSWI) mostly has a benign course. We report a mortality case of aortic rupture resulting from SSWI after cardiac surgery. A 50-year-old male underwent an aortic valve replacement (AVR). Three months after the valve operation, he presented with severe dyspnea, which had never before been observed, and chest computed tomography revealed an ascending aortic rupture with large hematoma compressing the main pulmonary artery. We performed an emergent operation for aortic rupture that possibly originated from the SSWI. Postoperatively, the patient died of hypovolemic shock due to recurrent aortic rupture despite efforts to resuscitate him. PMID:27499988

  6. Subacute cardiac rupture complicating myocardial infarction. A case report.

    PubMed

    Rosato, G; Santomauro, M; Stanco, G; Petillo, F; Sauro, R; Chiariello, M; Spampinato, N; Rotiroti, D

    1996-02-01

    The authors have focused this study on the emergence of subacute ventricular free wall rupture in a seventy-six-year-old patient admitted to hospital for inferior acute myocardial infarction. After six days he showed clinical signs of bradycardia and hypotension evolving to electromechanical dissociation. Given an adequate pharmacologic therapy, the patient was submitted to echocardiography, which was believed to be consistent with myocardial rupture, showing a moderate to large pericardial effusion. Pericardiocentesis of 150 mL of bloody fluid resulted in a further improvement in his hemodynamics. The patient underwent cardiac surgery with repair of the myocardial rupture through a large diaphragmatic infarction by a Dacron polyester fiber graft and pacemaker placement. In conclusion the authors confirm the relevant role of clinical data such as persistent chest pain and hemodynamic instability and the value of echocardiography in identifying subacute myocardial free wall rupture after an episode of acute myocardial infarction. PMID:8595015

  7. Acute Bilateral Traumatic Achilles Tendon Rupture – A Rare Presentation

    PubMed Central

    Jhaveri, Maulik; Golwala, Paresh; Merh, Aditya; Patel, Amit

    2016-01-01

    The Achilles tendon is the strongest tendon in the body, which is commonly ruptured in male athletes. Bilateral rupture of the Achilles tendon is a rare condition with very few reported cases in the literature. It poses a challenge in management, and hence, we report a case with traumatic bilateral Achilles tendon rupture in a young male patient and its management. One side was treated conservatively as the rupture was partial and the other side, which had a complete tear, was operated. At nine months follow-up, the patient has had a satisfactory result and is now bearing full weight without any problems. We suggest this method of treatment to be worthwhile for this unusual entity. PMID:27588227

  8. Endobronchial Cartilage Rupture: A Rare Cause of Lobar Collapse.

    PubMed

    Dasa, Osama; Siddiqui, Nauman; Ruzieh, Mohammed; Javaid, Toseef

    2016-01-01

    Endobronchial cartilage rupture is a rare clinical condition, which can present in patients with severe emphysema with sudden onset shortness of breath. We present a case of a 62-year-old male who presented to our emergency department with sudden onset shortness of breath. Chest X-ray showed lung hyperinflation and a right lung field vague small density. Chest Computed Tomography confirmed the presence of right middle lobe collapse. Bronchoscopy revealed partial right middle lobe atelectasis and an endobronchial cartilage rupture. Endobronchial cartilage rupture is a rare condition that can present as sudden onset shortness of breath due to lobar collapse in patients with emphysema and can be triggered by cough. Bronchoscopic findings include finding a collapsed lung lobe and a visible ruptured endobronchial cartilage. A high index of suspicion, chest imaging, and early bronchoscopy can aid in the diagnosis and help prevent complications. PMID:27525149

  9. Neglected bilateral rupture of the patellar tendon: A case report.

    PubMed

    Cherrad, Taoufik; Louaste, Jamal; Kasmaoui, El Houcine; Bousbaä, Hicham; Rachid, Khaled

    2015-12-01

    Simultaneous bilateral rupture of the patellar tendon (PT) is extremely rare and is generally associated to some chronic diseases. When the rupture becomes chronic, it is more difficult to repair that as it remained untreated. The diagnosis, which is clinical, is often delayed, guided by standard radiography and confirmed by ultrasound or MRI. The management of a bilateral neglected, chronic patellar tendon rupture must address some serious difficulties: the proximally retracted patella, the reconstruction of the patellar tendon, finally, the temporary protection of this repair. We report a case of neglected bilateral rupture of the patellar tendon in a chronic hemodialysis patient, treated with a plastic surgery of the ipsilateral quadriceps tendon. PMID:26566349

  10. Spontaneous Posterior Uterine Rupture in Twin-Twin Transfusion Syndrome

    PubMed Central

    Smid, Marcela C.; Waltner-Toews, Rebecca; Goodnight, William

    2015-01-01

    Background The maternal and fetal risks of uterine distension in rapidly progressive twin-twin transfusion syndrome (TTTS) in the setting of prior uterine scar are poorly characterized. Case We present the case of a 42-year-old woman, G4P1201, at 21 weeks gestation with stage-1 TTTS who developed a spontaneous posterior uterine rupture necessitating emergent laparotomy and delivery of previable fetuses, possibly due to prior uterine scar from a displaced intrauterine device. Conclusion TTTS may be a risk factor for uterine rupture, including uterine rupture in atypical anatomic locations. Prior unrecognized uterine scars, including perforations, may magnify the risk for atypical uterine rupture in the setting of excessive uterine distension. PMID:26929874

  11. Endobronchial Cartilage Rupture: A Rare Cause of Lobar Collapse

    PubMed Central

    Siddiqui, Nauman; Javaid, Toseef

    2016-01-01

    Endobronchial cartilage rupture is a rare clinical condition, which can present in patients with severe emphysema with sudden onset shortness of breath. We present a case of a 62-year-old male who presented to our emergency department with sudden onset shortness of breath. Chest X-ray showed lung hyperinflation and a right lung field vague small density. Chest Computed Tomography confirmed the presence of right middle lobe collapse. Bronchoscopy revealed partial right middle lobe atelectasis and an endobronchial cartilage rupture. Endobronchial cartilage rupture is a rare condition that can present as sudden onset shortness of breath due to lobar collapse in patients with emphysema and can be triggered by cough. Bronchoscopic findings include finding a collapsed lung lobe and a visible ruptured endobronchial cartilage. A high index of suspicion, chest imaging, and early bronchoscopy can aid in the diagnosis and help prevent complications. PMID:27525149

  12. CT of ruptured aneurysm of aberrant right subclavian artery.

    PubMed

    Vega, A; Ortíz, A; Longo, J M; Pagola, M A

    1987-01-01

    This paper presents the first description of a ruptured aneurysm of an aberrant right subclavian artery. CT clearly demonstrated the vascular malformation as well as the existence of a bilateral hemothorax. PMID:3102065

  13. Acute Patellar Tendon Rupture after Total Knee Arthroplasty Revision

    PubMed Central

    Rhee, Seung Joon; Pham, The Hien

    2015-01-01

    Patellar tendon rupture is a catastrophic complication following total knee arthroplasty (TKA). Though revision TKA has been suspected of being a predisposing factor for the occurrence of patellar tendon rupture, there are few reports on patellar tendon rupture after revision TKA. Here, we present a case of acute patellar tendon rupture that occurred after TKA revision. In the patient, the patellar tendon was so thin and could not be repaired, and accordingly was sutured end to end. We used the anterior tibialis tendon allograft to augment the poor quality patellar tendon tissue. Fixation of the allograft was done by using the bone tunnel created through tibial tuberosity and suturing the allograft to the patellar tendon and quadriceps tendon. The patient was instructed to wear a full extension knee splint and was kept non-weight bearing for 6 weeks after operation. Full knee extension could be achieved 6 weeks postoperatively. PMID:26060612

  14. Successful management of a ruptured mycotic pseudoaneurysm following pancreas transplantation using bovine pericardial patch: a case report.

    PubMed

    Yiannoullou, P; van Dellen, D; Khambalia, H; Forgacs, B; Tavakoli, A; Murray, D; Augustine, T

    2014-01-01

    Arterial mycotic pseudoaneurysms are a rare complication of pancreas transplantation. Rupture results in catastrophic hemorrhage with a high risk of mortality. Definitive management is complicated by an extensive arterial defect within a contaminated surgical field. Synthetic vascular grafts often fail due to subsequent graft infection whereas primary repair often results in arterial stenosis. Arterial ligation may be required to prevent exsanguination. A 41-year-old man, type 1 diabetic with associated renal failure, underwent successful simultaneous pancreas and kidney transplantation. He presented, 9 months following transplantation, with life-threatening rectal bleeding secondary to a ruptured mycotic pseudoaneurysm. This was successfully managed with a bovine pericardial patch (BPP) repair of the arterial defect and enteric diversion following graft pancreatectomy. He remains well with no vascular insufficiency 18 months following the procedure. A ruptured mycotic pseudoaneurysm following transplantation carries a significant risk of mortality and represents a surgical challenge as conventional techniques using synthetic materials often fail due to the contaminated field. A BPP offers good handling characteristics, excellent hemostatic properties and a favorable profile of infection risk in comparison with synthetic grafts. This case highlights its use as a treatment for a post-transplantation ruptured mycotic pseudoaneurysm. PMID:25131098

  15. Neuraminidase of Influenza A Virus Binds Lysosome-Associated Membrane Proteins Directly and Induces Lysosome Rupture

    PubMed Central

    Ju, Xiangwu; Yan, Yiwu; Liu, Qiang; Li, Ning; Sheng, Miaomiao; Zhang, Lifang; Li, Xiao; Liang, Zhu; Huang, Fengming; Liu, Kangtai; Zhao, Yan; Zhang, Yanxu; Zou, Zhen; Du, Jianchao; Zhong, Ying; Zhou, Huandi; Yang, Peng; Lu, Huijun; Tian, Mingyao; Li, Dangsheng; Zhang, Jianming

    2015-01-01

    ABSTRACT As a recycling center, lysosomes are filled with numerous acid hydrolase enzymes that break down waste materials and invading pathogens. Recently, lysosomal cell death has been defined as “lysosomal membrane permeabilization and the consequent leakage of lysosome contents into cytosol.” Here, we show that the neuraminidase (NA) of H5N1 influenza A virus markedly deglycosylates and degrades lysosome-associated membrane proteins (LAMPs; the most abundant membrane proteins of lysosome), which induces lysosomal rupture, and finally leads to cell death of alveolar epithelial carcinoma A549 cells and human tracheal epithelial cells. The NA inhibitors peramivir and zanamivir could effectively block the deglycosylation of LAMPs, inhibit the virus cell entry, and prevent cell death induced by the H5N1 influenza virus. The NA of seasonal H1N1 virus, however, does not share these characteristics. Our findings not only reveal a novel role of NA in the early stage of the H5N1 influenza virus life cycle but also elucidate the molecular mechanism of lysosomal rupture crucial for influenza virus induced cell death. IMPORTANCE The integrity of lysosomes is vital for maintaining cell homeostasis, cellular defense and clearance of invading pathogens. This study shows that the H5N1 influenza virus could induce lysosomal rupture through deglycosylating lysosome-associated membrane proteins (LAMPs) mediated by the neuraminidase activity of NA protein. NA inhibitors such as peramivir and zanamivir could inhibit the deglycosylation of LAMPs and protect lysosomes, which also further interferes with the H5N1 influenza virus infection at early stage of life cycle. This work is significant because it presents new concepts for NA's function, as well as for influenza inhibitors' mechanism of action, and could partially explain the high mortality and high viral load after H5N1 virus infection in human beings and why NA inhibitors have more potent therapeutic effects for lethal avian

  16. Retrograde approach for closure of ruptured sinus of Valsalva.

    PubMed

    Jayaranganath, M; Subramanian, Anand; Manjunath, Cholenahally Nanjappa

    2010-07-01

    Though ruptured sinuses of Valsalva have been traditionally managed surgically, they are amenable to transcatheter closure. Various devices have been used for closure of these defects. We describe a novel technique of closure of a ruptured right sinus of Valsalva into the right ventricular outflow tract. A muscular ventricular septal defect occluder was deployed retrogradely, without resorting to the usual antegrade technique involving formation of an arteriovenous loop. PMID:20603510

  17. A support-operator method for 3-D rupture dynamics

    NASA Astrophysics Data System (ADS)

    Ely, Geoffrey P.; Day, Steven M.; Minster, Jean-Bernard

    2009-06-01

    We present a numerical method to simulate spontaneous shear crack propagation within a heterogeneous, 3-D, viscoelastic medium. Wave motions are computed on a logically rectangular hexahedral mesh, using the generalized finite-difference method of Support Operators (SOM). This approach enables modelling of non-planar surfaces and non-planar fault ruptures. Our implementation, the Support Operator Rupture Dynamics (SORD) code, is highly scalable, enabling large-scale, multiprocessors calculations. The fault surface is modelled by coupled double nodes, where rupture occurs as dictated by the local stress conditions and a frictional failure law. The method successfully performs test problems developed for the Southern California Earthquake Center (SCEC)/U.S. Geological Survey (USGS) dynamic earthquake rupture code validation exercise, showing good agreement with semi-analytical boundary integral method results. We undertake further dynamic rupture tests to quantify numerical errors introduced by shear deformations to the hexahedral mesh. We generate a family of meshes distorted by simple shearing, in the along-strike direction, up to a maximum of 73°. For SCEC/USGS validation problem number 3, grid-induced errors increase with mesh shear angle, with the logarithm of error approximately proportional to angle over the range tested. At 73°, rms misfits are about 10 per cent for peak slip rate, and 0.5 per cent for both rupture time and total slip, indicating that the method (which, up to now, we have applied mainly to near-vertical strike-slip faulting) is also capable of handling geometries appropriate to low-angle surface-rupturing thrust earthquakes. Additionally, we demonstrate non-planar rupture effects, by modifying the test geometry to include, respectively, cylindrical curvature and sharp kinks.

  18. First report of splenic rupture following deep enteroscopy.

    PubMed

    Girelli, Carlo Maria; Pometta, Roberta; Facciotto, Corinna; Mella, Roberto; Bernasconi, Giordano

    2016-05-10

    Splenic rupture is a rare complication of diagnostic and therapeutic gastrointestinal endoscopy procedures. Herein, we report for the first time a case of splenic rupture following therapeutic retrograde double-balloon enteroscopy, which occurred in an 85-year-old man who was treated for recurrent mid-intestinal bleeding that resulted from ileal angioectasia. This patient promptly underwent an operation and eventually recovered. PMID:27170840

  19. First report of splenic rupture following deep enteroscopy

    PubMed Central

    Girelli, Carlo Maria; Pometta, Roberta; Facciotto, Corinna; Mella, Roberto; Bernasconi, Giordano

    2016-01-01

    Splenic rupture is a rare complication of diagnostic and therapeutic gastrointestinal endoscopy procedures. Herein, we report for the first time a case of splenic rupture following therapeutic retrograde double-balloon enteroscopy, which occurred in an 85-year-old man who was treated for recurrent mid-intestinal bleeding that resulted from ileal angioectasia. This patient promptly underwent an operation and eventually recovered. PMID:27170840

  20. Traumatic rupture of arachnoid cyst with subdural hygroma.

    PubMed

    Rajesh, A; Bramhaprasad, V; Purohit, A K

    2012-01-01

    Intracranial arachnoid cysts developing in relation to the cerebral hemispheres and middle cranial fossa are usually incidental or asymptomatic. However, most of the clinically active cysts present with seizures because of chronic compression. Presentation as raised intracranial pressure due to cyst rupture into the subdural space is a rare clinical entity. We herein present a case of an asymptomatic arachnoid cyst with rupture into the subdural space bilaterally and presenting as raised intracranial pressure. PMID:22837775

  1. A Tuboovarian Abscess Associated with a Ruptured Spleen

    PubMed Central

    Li, Jennifer S.; Sheele, Johnathan Michael

    2016-01-01

    We report the first case of a tuboovarian abscess complicated by a ruptured spleen. Our patient was a 27-year-old female with human immunodeficiency virus (HIV) who presented to the emergency department (ED) with complaints of urinary symptoms and diarrhea. After being diagnosed with a tuboovarian abscess (TOA), she received antibiotics and was admitted to the gynecology service. Shortly thereafter she developed hemorrhagic shock, necessitating a splenectomy and salpingooophorectomy from a ruptured spleen. PMID:26904315

  2. Spontaneous splenic rupture: A rare presentation of dengue fever.

    PubMed

    Mukhopadhyay, Mainak; Chatterjee, Nandini; Maity, Pranab; Patar, Kartik

    2014-02-01

    Spontaneous rupture of the spleen with hemoperitoneum is a very rare, but serious manifestation of dengue fever (DF). We report a case of a young female who was presented with atraumatic abdominal pain, hypovolemic shock, anemia, ascites and hepatosplenomegaly with a recent history of a febrile illness. Subsequent investigations proved the presence of hemoperitoneum with spontaneous splenic rupture with seropositivity for DF. Early diagnosis and conservative management in this case resulted in a favorable outcome. PMID:24678156

  3. Rupture of the stomach following mouth-to-mouth respiration

    PubMed Central

    Solowiejczyk, M.; Wapnick, S.; Koren, E.; Mandelbaum, J.

    1974-01-01

    Successful repair and survival after rupture of the stomach in a patient who received mouth-to-mouth respiration is presented. We were able to find only one report in the literature where rupture of the stomach occurred following this manoeuvre—the patient did not survive. The possible aetiological factors and measures designed to avoid this complication are discussed. ImagesFig. 1 PMID:4469046

  4. Cohesive zone length of metagabbro at supershear rupture velocity

    NASA Astrophysics Data System (ADS)

    Fukuyama, Eiichi; Xu, Shiqing; Yamashita, Futoshi; Mizoguchi, Kazuo

    2016-06-01

    We investigated the shear strain field ahead of a supershear rupture. The strain array data along the sliding fault surfaces were obtained during the large-scale biaxial friction experiments at the National Research Institute for Earth Science and Disaster Resilience. These friction experiments were done using a pair of meter-scale metagabbro rock specimens whose simulated fault area was 1.5 m × 0.1 m. A 2.6-MPa normal stress was applied with loading velocity of 0.1 mm/s. Near-fault strain was measured by 32 two-component semiconductor strain gauges installed at an interval of 50 mm and 10 mm off the fault and recorded at an interval of 1 MHz. Many stick-slip events were observed in the experiments. We chose ten unilateral rupture events that propagated with supershear rupture velocity without preceding foreshocks. Focusing on the rupture front, stress concentration was observed and sharp stress drop occurred immediately inside the ruptured area. The temporal variation of strain array data is converted to the spatial variation of strain assuming a constant rupture velocity. We picked up the peak strain and zero-crossing strain locations to measure the cohesive zone length. By compiling the stick-slip event data, the cohesive zone length is about 50 mm although it scattered among the events. We could not see any systematic variation at the location but some dependence on the rupture velocity. The cohesive zone length decreases as the rupture velocity increases, especially larger than √{2} times the shear wave velocity. This feature is consistent with the theoretical prediction.

  5. Quadricuspid aortic valve with ruptured sinus of Valsalva.

    PubMed

    Akerem Khan, Shamruz Khan; Tamin, Syahidah Syed; Burkhart, Harold M; Araoz, Philip A; Young, Phillip M

    2013-02-01

    We present a case of a 24-year-old woman who was diagnosed with quadricuspid aortic valve with ruptured sinus of Valsalva. Quadricuspid aortic valve is a rare congenital cardiac anomaly. The recognition of quadricuspid aortic valve has clinical significance as it causes aortic valve dysfunction, and is often associated with other congenital cardiac abnormalities. We showed the important role of multimodality imaging in diagnosing a quadricuspid aortic valve associated with ruptured sinus of Valsalva. PMID:22874066

  6. Atraumatic splenic rupture secondary to chronic HIV infection.

    PubMed

    Martin, Thomas C S; Martin, Natasha K; Naresh, Kikkeri N; Nelson, Mark

    2013-12-01

    As patients infected with HIV live longer due to effective anti-retroviral therapy, new disease manifestations are becoming apparent. We describe the case of a 59-year-old patient who presented to our unit with atraumatic splenic rupture secondary to chronic HIV infection. Given the high mortality associated with atraumatic splenic rupture, we believe it should be included in the differential diagnosis of HIV-positive patients presenting with acute abdominal pain. PMID:23970617

  7. Softball injury causing haemoperitoneum due to ruptured Meckel's mesodiverticular band.

    PubMed

    Woodfield, Julie; Barnett, Mark; Shapkov, Peter

    2011-10-14

    A 16-year-old male sustained an intra-abdominal haemorrhage after diving for last base during a softball game. At laparotomy a ruptured patent mesodiverticular band supplying a large Meckel's diverticulum was found. Traumatic rupture of a mesodiverticular band leading to massive intra-abdominal haemorrhage is a rare event, and has never been reported as a single injury or in the context of a sport's injury. PMID:22016169

  8. Fast rupture propagation for large strike-slip earthquakes

    NASA Astrophysics Data System (ADS)

    Wang, Dun; Mori, Jim; Koketsu, Kazuki

    2016-04-01

    Studying rupture speeds of shallow earthquakes is of broad interest because it has a large effect on the strong near-field shaking that causes damage during earthquakes, and it is an important parameter that reflects stress levels and energy on a slipping fault. However, resolving rupture speed is difficult in standard waveform inversion methods due to limited near-field observations and the tradeoff between rupture speed and fault size for teleseismic observations. Here we applied back-projection methods to estimate the rupture speeds of 15 Mw ≥ 7.8 dip-slip and 8 Mw ≥ 7.5 strike-slip earthquakes for which direct P waves are well recorded in Japan on Hi-net, or in North America on USArray. We found that all strike-slip events had very fast average rupture speeds of 3.0-5.0 km/s, which are near or greater than the local shear wave velocity (supershear). These values are faster than for thrust and normal faulting earthquakes that generally rupture with speeds of 1.0-3.0 km/s.

  9. Ground-motion signature of dynamic ruptures on rough faults

    NASA Astrophysics Data System (ADS)

    Mai, P. Martin; Galis, Martin; Thingbaijam, Kiran K. S.; Vyas, Jagdish C.

    2016-04-01

    Natural earthquakes occur on faults characterized by large-scale segmentation and small-scale roughness. This multi-scale geometrical complexity controls the dynamic rupture process, and hence strongly affects the radiated seismic waves and near-field shaking. For a fault system with given segmentation, the question arises what are the conditions for producing large-magnitude multi-segment ruptures, as opposed to smaller single-segment events. Similarly, for variable degrees of roughness, ruptures may be arrested prematurely or may break the entire fault. In addition, fault roughness induces rupture incoherence that determines the level of high-frequency radiation. Using HPC-enabled dynamic-rupture simulations, we generate physically self-consistent rough-fault earthquake scenarios (M~6.8) and their associated near-source seismic radiation. Because these computations are too expensive to be conducted routinely for simulation-based seismic hazard assessment, we thrive to develop an effective pseudo-dynamic source characterization that produces (almost) the same ground-motion characteristics. Therefore, we examine how variable degrees of fault roughness affect rupture properties and the seismic wavefield, and develop a planar-fault kinematic source representation that emulates the observed dynamic behaviour. We propose an effective workflow for improved pseudo-dynamic source modelling that incorporates rough-fault effects and its associated high-frequency radiation in broadband ground-motion computation for simulation-based seismic hazard assessment.

  10. Sexual intercourse and cerebral aneurysmal rupture: potential mechanisms and precipitants.

    PubMed

    Reynolds, Matthew R; Willie, Jon T; Zipfel, Gregory J; Dacey, Ralph G

    2011-04-01

    Aneurysmal subarachnoid hemorrhage (SAH) is a significant cause of death in young and middle-aged individuals and causes tremendous morbidity in affected patients. Despite the identification of various risk factors, the series of events leading to the formation, growth, and rupture of intracranial aneurysms is poorly understood. Cerebral aneurysm rupture has been associated with sexual intercourse and other forms of physical exercise. In fact, multiple case series reported that coitus was the immediate preceding activity in 3.8-14.5% of patients suffering from aneurysmal SAH. This may be related to the large elevations in mean arterial blood pressure that occur in both males and females during sexual intercourse (130-175 and 125-160 mm Hg, respectively). While coitus and physical exercise share important physiological similarities, each may differentially affect the probability that a preformed aneurysm will rupture. In this literature review and synthesis, the authors analyze the physiological human response to sexual intercourse in an effort to delineate those factors that may precipitate aneurysmal rupture. The authors' analysis is based on the original data collected by Masters and Johnson. To the authors' knowledge, this is the first review to address the link between sexual intercourse and intracranial aneurysmal rupture. While actual measurements of the physiological variables relevant to SAH were not performed in this article, the authors make reasonable assumptions based on the available data to help elucidate the mechanism of sexually induced aneurysmal rupture. PMID:20540599

  11. The temporal distribution of seismic radiation during deep earthquake rupture

    USGS Publications Warehouse

    Houston, H.; Vidale, J.E.

    1994-01-01

    The time history of energy release during earthquakes illuminates the process of failure, which remains enigmatic for events deeper than about 100 kilometers. Stacks of teleseismic records from regional arrays for 122 intermediate (depths of 100 to 350 kilometers) and deep (depths of 350 to 700 kilometers) earthquakes show that the temporal pattern of short-period seismic radiation has a systematic variation with depth. On average, for intermediate depth events more radiation is released toward the beginning of the rupture than near the end, whereas for deep events radiation is released symmetrically over the duration of the event, with an abrupt beginning and end of rupture. These findings suggest a variation in the style of rupture related to decreasing fault heterogeneity with depth.The time history of energy release during earthquakes illuminates the process of failure, which remains enigmatic for events deeper than about 100 kilometers. Stacks of teleseismic records from regional arrays for 122 intermediate (depths of 100 to 350 kilometers) and deep (depths of 350 to 700 kilometers) earthquakes show that the temporal pattern of short-period seismic radiation has a systematic variation with depth. On average, for intermediate depth events more radiation is released toward the beginning of the rupture than near the end, whereas for deep events radiation is released symmetrically over the duration of the event, with an abrupt beginning and end of rupture. These findings suggest a variation in the style of rupture related to decreasing fault heterogeneity with depth.

  12. Shear rupture under constant normal stiffness boundary conditions

    NASA Astrophysics Data System (ADS)

    Bewick, R. P.; Kaiser, P. K.; Bawden, W. F.

    2014-11-01

    A grain based Distinct Element Method and its embedded Grain Based Method are used to simulate the fracturing processes leading to shear rupture zone creation in a calibrated massive (non-jointed) brittle rock specimen deformed in direct shear under constant normal stiffness boundary conditions. Under these boundary conditions, shear rupture zone creation relative to the shear stress versus applied horizontal displacement (load-displacement) curve occurs pre-peak, before the maximum peak shear strength is reached. This is found to be the result of a normal stress feedback process caused by the imposed shear displacement which couples increases in normal stress, due to rupture zone dilation, with shear stress, producing a complex normal-shear stress-path that reaches and then follows the rock's yield (strength) envelope. While the yield envelope is followed, the shear strength increases further and shear stress oscillations (repeated stress drops followed by re-strengthening periods) in the load-displacement curves occur due to fracture creation as the rupture zone geometry smoothens. Once the maximum peak strength is reached (after a series of shear stress oscillations) the largest stress drops occur as the ultimate or residual shear strength is approached. The simulation results provide insight into the fracturing process during rupture zone creation and improve the understanding of the shear stress versus applied horizontal displacement response, as well as the stick-slip behaviour of shear rupture zones that are being created under constant normal stiffness boundary conditions.

  13. [Ligament ruptures of the lower extremity in the elderly].

    PubMed

    Herbort, M; Raschke, M J

    2011-08-01

    There is an increasing incidence of ligament ruptures of the lower extremities in older patients. This higher incidence is caused by the typical current demographic changes in the population and the higher level of activity and athletic motivation of the older people in our society. In this review we address the most important ligament ruptures of the lower extremity in the old patient. Quadriceps tendon and Achilles tendon ruptures are mostly the result of degenerative and abrasion changes. The ACL rupture on the other hand occurs spontaneously after adequate trauma and without former degenerative changes especially in highly active patients. For a differentiated treatment of the older patient with tendon ruptures, secondary diseases, an increased risk and complication profile and a potentially decreased compliance during rehabilitation must be taken into consideration before indicating operative or conservative therapy. There are no strict age-related limitations for indication of an operative treatment of tendon ruptures in the older patient. In this patient group a differentiated treatment decision is recommended. PMID:21766204

  14. Rupture of a biomembrane under dynamic surface tension

    NASA Astrophysics Data System (ADS)

    Bicout, D. J.; Kats, E.

    2012-03-01

    How long will a fluid membrane vesicle stressed with a steady ramp of micropipette last before rupture? Or conversely, how high should the surface tension be to rupture such a membrane? To answer these challenging questions we developed a theoretical framework that allows for the description and reproduction of dynamic tension spectroscopy (DTS) observations. The kinetics of the membrane rupture under ramps of surface tension is described as a succession of an initial pore formation followed by the Brownian process of the pore radius crossing the time-dependent energy barrier. We present the formalism and a derive (formal) analytical expression of the survival probability describing the fate of the membrane under DTS conditions. Using numerical simulations for the membrane prepared in an initial state with a given distribution of times for pore nucleation, we study the membrane lifetime (or inverse of rupture rate) and distribution of membrane surface tension at rupture as a function of membrane characteristics like pore nucleation rate, the energy barrier to failure, and tension loading rate. It is found that simulations reproduce the main features of DTS experiments, particularly the pore nucleation and pore-size diffusion-controlled limits of membrane rupture dynamics. This approach can be adapted and applied to processes of permeation and pore opening in membranes (electroporation, membrane disruption by antimicrobial peptides, vesicle fusion).

  15. Limitations of rupture forecasting exposed by instantaneously triggered earthquake doublet

    NASA Astrophysics Data System (ADS)

    Nissen, E.; Elliott, J. R.; Sloan, R. A.; Craig, T. J.; Funning, G. J.; Hutko, A.; Parsons, B. E.; Wright, T. J.

    2016-04-01

    Earthquake hazard assessments and rupture forecasts are based on the potential length of seismic rupture and whether or not slip is arrested at fault segment boundaries. Such forecasts do not generally consider that one earthquake can trigger a second large event, near-instantaneously, at distances greater than a few kilometres. Here we present a geodetic and seismological analysis of a magnitude 7.1 intracontinental earthquake that occurred in Pakistan in 1997. We find that the earthquake, rather than a single event as hitherto assumed, was in fact an earthquake doublet: initial rupture on a shallow, blind reverse fault was followed just 19 s later by a second rupture on a separate reverse fault 50 km away. Slip on the second fault increased the total seismic moment by half, and doubled both the combined event duration and the area of maximum ground shaking. We infer that static Coulomb stresses at the initiation location of the second earthquake were probably reduced as a result of the first. Instead, we suggest that a dynamic triggering mechanism is likely, although the responsible seismic wave phase is unclear. Our results expose a flaw in earthquake rupture forecasts that disregard cascading, multiple-fault ruptures of this type.

  16. Self-healing pulse-like shear ruptures in the laboratory.

    PubMed

    Lykotrafitis, George; Rosakis, Ares J; Ravichandran, Guruswami

    2006-09-22

    Models predict that dynamic shear ruptures during earthquake faulting occur as either sliding cracks, where a large section of the interface slides behind a fast-moving rupture front, or self-healing slip pulses, where the fault relocks shortly behind the rupture front. We report experimental visualizations of crack-like, pulse-like, and mixed rupture modes propagating along frictionally held, "incoherent" interfaces separating identical solids, and we describe the conditions under which those modes develop. A combination of simultaneously performed measurements via dynamic photoelasticity and laser interferometry reveals the rupture mode type, the exact point of rupture initiation, the sliding velocity history, and the rupture propagation speed. PMID:16990544

  17. Right ventricular free wall dissection as a rupture tract in left ventricular rupture during acute myocardial infarction.

    PubMed

    Takada, Aya; Saito, Kazuyuki; Murai, Tatsuya; Kurosaki, Kunihiko; Kurihara, Katsuyoshi; Hamamatsu, Akihiko

    2015-11-01

    Three rare cases of cardiac rupture with right ventricular wall dissection during acute myocardial infarction (AMI) were reported. The cases comprised 2% among our 148 previously reported postinfarction cardiac ruptures with sudden death. The dissections occurred in hearts with biventricular inferior wall AMI and developed between the superficial layers and the deeper layers of inferior wall of the right ventricle. All had an endocardial tear at the basal septum where it meets the inferior free wall of the left ventricle, and had an epicardial tear on the middle inferior wall of the right ventricle. Based on the evidence of the ages of the thrombi of the rupture tracts, delayed epicardial rupture was found besides that soon after the right ventricular dissection. PMID:26594003

  18. [Blunt traumatic rupture of the right ventricle, with intrapericardial rupture of the diaphragm. Successful surgical repair (author's transl)].

    PubMed

    Le Treut, Y P; Herve, L; Boutboul, R; Cardon, J M; Bricot, R

    1980-12-01

    The authors report a case of blunt traumatic rupture of the right ventricle, diagnosed during a laparotomy. Similar cases were seldom met: too short a time of spontaneous survival, and difficult challenging diagnosis explain it. PMID:7462357

  19. Composite Stress Rupture: A New Reliability Model Based on Strength Decay

    NASA Technical Reports Server (NTRS)

    Reeder, James R.

    2012-01-01

    A model is proposed to estimate reliability for stress rupture of composite overwrap pressure vessels (COPVs) and similar composite structures. This new reliability model is generated by assuming a strength degradation (or decay) over time. The model suggests that most of the strength decay occurs late in life. The strength decay model will be shown to predict a response similar to that predicted by a traditional reliability model for stress rupture based on tests at a single stress level. In addition, the model predicts that even though there is strength decay due to proof loading, a significant overall increase in reliability is gained by eliminating any weak vessels, which would fail early. The model predicts that there should be significant periods of safe life following proof loading, because time is required for the strength to decay from the proof stress level to the subsequent loading level. Suggestions for testing the strength decay reliability model have been made. If the strength decay reliability model predictions are shown through testing to be accurate, COPVs may be designed to carry a higher level of stress than is currently allowed, which will enable the production of lighter structures

  20. Life prediction methodology for ceramic components of advanced heat engines. Phase 1: Volume 1, Final report

    SciTech Connect

    Cuccio, J.C.; Brehm, P.; Fang, H.T.

    1995-03-01

    Emphasis of this program is to develop and demonstrate ceramics life prediction methods, including fast fracture, stress rupture, creep, oxidation, and nondestructive evaluation. Significant advancements were made in these methods and their predictive capabilities successfully demonstrated.

  1. [Immunological aspects in spleen ruptures surgery due to closed abdominal trauma].

    PubMed

    Khripun, A I; Alimov, A N; Priamikov, A D; Alimov, V A

    2015-01-01

    The remote results of immunity investigation in 30 patients after organ-preserving surgery and in 30 patients after splenectomy forspleen rupture are presented in the article. Indexes of cellular and humoral immunity were normal and life quality did not differ from that in healthy individuals after organ-preserving operations with splenic artery ligation. Splenectomy leads to deterioration of life quality and disorders in cellular immunity including decrease of T-helpers/inductors cells (CD4), immunoregulatory index (CD3/CD4) and general number of T-lymphocytes (CD3) in some cases on background of compensatory increase of normal killers (CD16). It was observed significant decrease of IgG and IgM levels. Values of IgA and cytokines IL-1, IL-2, IL-6 and TNF remained normal. Level of immunosuppression is reduced due to development of splenosis. PMID:26031956

  2. Vortex dynamics in ruptured and unruptured intracranial aneurysms

    NASA Astrophysics Data System (ADS)

    Trylesinski, Gabriel

    Intracranial aneurysms (IAs) are a potentially devastating pathological dilation of brain arteries that affect 1.5-5 % of the population. Causing around 500 000 deaths per year worldwide, their detection and treatment to prevent rupture is critical. Multiple recent studies have tried to find a hemodynamics predictor of aneurysm rupture, but concluded with distinct opposite trends using Wall Shear Stress (WSS) based parameters in different clinical datasets. Nevertheless, several research groups tend to converge for now on the fact that the flow patterns and flow dynamics of the ruptured aneurysms are complex and unstable. Following this idea, we investigated the vortex properties of both unruptured and ruptured cerebral aneurysms. A brief comparison of two Eulerian vortex visualization methods (Q-criterion and lambda 2 method) showed that these approaches gave similar results in our complex aneurysm geometries. We were then able to apply either one of them to a large dataset of 74 patient specific cases of intracranial aneurysms. Those real cases were obtained by 3D angiography, numerical reconstruction of the geometry, and then pulsatile CFD simulation before post-processing with the mentioned vortex visualization tools. First we tested the two Eulerian methods on a few cases to verify their implementation we made as well as compare them with each other. After that, the Q-criterion was selected as method of choice for its more obvious physical meaning (it shows the balance between two characteristics of the flow, its swirling and deformation). Using iso-surfaces of Q, we started by categorizing the patient-specific aneurysms based on the gross topology of the aneurysmal vortices. This approach being unfruitful, we found a new vortex-based characteristic property of ruptured aneurysms to stratify the rupture risk of IAs that we called the Wall-Kissing Vortices, or WKV. We observed that most ruptured aneurysms had a large amount of WKV, which appears to agree with

  3. Dynamic rupture in a damage-breakage rheology model

    NASA Astrophysics Data System (ADS)

    Lyakhovsky, Vladimir; Ben-Zion, Yehuda; Ilchev, Assen; Mendecki, Aleksander

    2016-05-01

    We present a thermodynamically-based formulation for modeling dynamic rupture processes in the brittle crust using a continuum damage-breakage rheology. The model combines aspects of a continuum viscoelastic damage framework for brittle solids with a continuum breakage mechanics for granular flow within dynamically generated slip zones. The formulation accounts for the density of distributed cracking and other internal flaws in damaged rocks with a scalar damage parameter, and addresses the grain size distribution of a granular phase in the slip zone with a breakage parameter. A dynamic brittle instability is associated with a critical level of damage in the solid, leading to loss of convexity of the solid strain energy, localization, and transition to a granular phase associated with lower energy level. The continuum damage-breakage rheology model treats the localization to a slip zone at the onset of dynamic rupture and post-failure recovery process as phase transitions between solid and granular states. The model generates sub- and super-shear rupture velocities and pulse-type ruptures seen also in frictional models, and additional important features such as strong dynamic changes of volumetric strain near the rupture front and diversity of nucleation mechanisms. The propagation of rupture front and slip accumulation at a point are correlated with sharp dynamic dilation followed by a gradual decay to a level associated with the final volumetric change associated with the granular phase transition in the slipping zone. The local brittle failure process associated with the solid-granular transition is expected to produce isotropic radiation in addition to the deviatoric terms. The framework significantly extends the ability to model brittle processes in complex geometrical structures and allows analyzing the roles of gouge thickness and other parameters on nucleation, rupture and radiation characteristics.

  4. Dynamic rupture in a damage-breakage rheology model

    NASA Astrophysics Data System (ADS)

    Lyakhovsky, Vladimir; Ben-Zion, Yehuda; Ilchev, Assen; Mendecki, Aleksander

    2016-08-01

    We present a thermodynamically based formulation for modelling dynamic rupture processes in the brittle crust using a continuum damage-breakage rheology. The model combines aspects of a continuum viscoelastic damage framework for brittle solids with a continuum breakage mechanics for granular flow within dynamically generated slip zones. The formulation accounts for the density of distributed cracking and other internal flaws in damaged rocks with a scalar damage parameter, and addresses the grain size distribution of a granular phase in the slip zone with a breakage parameter. A dynamic brittle instability is associated with a critical level of damage in the solid, leading to loss of convexity of the solid strain energy, localization and transition to a granular phase associated with lower energy level. The continuum damage-breakage rheology model treats the localization to a slip zone at the onset of dynamic rupture and post-failure recovery process as phase transitions between solid and granular states. The model generates sub- and supershear rupture velocities and pulse-type ruptures seen also in frictional models, and additional important features such as strong dynamic changes of volumetric strain near the rupture front and diversity of nucleation mechanisms. The propagation of rupture front and slip accumulation at a point are correlated with sharp dynamic dilation followed by a gradual decay to a level associated with the final volumetric change associated with the granular phase transition in the slipping zone. The local brittle failure process associated with the solid-granular transition is expected to produce isotropic radiation in addition to the deviatoric terms. The framework significantly extends the ability to model brittle processes in complex geometrical structures and allows analysing the roles of gouge thickness and other parameters on nucleation, rupture and radiation characteristics.

  5. Using Dynamic Rupture Models to Explore Physical Controls on the 2011 Mw 9.0 Tohoku-Oki Earthquake Rupture

    NASA Astrophysics Data System (ADS)

    Duan, B.

    2011-12-01

    Seismic and geodetic recordings are routinely used to invert for kinematic source models of large earthquakes, which provide us with detailed images of slip distribution and rupture evolution on causative faults. To gain insight into physical conditions that allow a fault to slip and a rupture to propagate in the way they did, we can resort to dynamic source models that obey physical laws in continuum mechanics and rock friction. Published kinematic models of the 2011 Mw 9.0 Tohoku-Oki earthquake reveal several features of the rupture. These features include 1) high static stress drop with large amounts of slip in a small area, 2) a weak initial phase, down-dip rupture for the first 40 seconds, extensive shallow rupture during 60 to 70 seconds, and continuing deeper rupture lasting more than 100 seconds, and 3) systematically down-dip high-frequency radiation with respect to the hypocenter. In this study, we use spontaneous rupture models to explore what physical conditions, including the initial stress state and friction properties on the subducting fault, can reproduce these features, so that we can gain some physical insights into controls on this megathrust earthquake. Dynamic rupture simulations of this shallow dipping megathrust faulting at reasonable spatial and temporal resolutions require parallel computing on supercomputers. Our newly parallelized finite element method algorithm EQdyna allows us to simulate a large suite of spontaneous rupture models to examine the questions. In model setup, we use depth-dependence principal stresses and take into account variations in pore fluid pressure and frictional properties associated with subducted seafloor features such as seamounts. Our preliminary results suggest followings. First, a high strength and high stress drop patch (probably a subducted seamount or seamout chain) just above the hypocenter on the fault plane can delay up-dip rupture and result in a concentrated large slip area. Second, significantly

  6. Increased 18F-FDG Uptake Is Predictive of Rupture in a Novel Rat Abdominal Aortic Aneurysm Rupture Model

    PubMed Central

    English, Sean J.; Piert, Morand R.; Diaz, Jose A.; Gordon, David; Ghosh, Abhijit; D'Alecy, Louis G.; Whitesall, Steven E.; Sharma, Ashish K.; DeRoo, Elise P.; Watt, Tessa; Su, Gang; Henke, Peter K.; Eliason, Jonathan L.; Ailawadi, Gorav; Upchurch, Gilbert R.

    2015-01-01

    Objective To determine whether 18F-fluorodeoxyglucose (18F-FDG) micro–positron emission tomography (micro-PET) can predict abdominal aortic aneurysm (AAA) rupture. Background An infrarenal AAA model is needed to study inflammatory mechanisms that drive rupture. 18F-FDG PET can detect vascular inflammation in animal models and patients. Methods After exposing Sprague-Dawley rats to intra-aortic porcine pancreatic elastase (PPE) (12 U/mL), AAA rupture was induced by daily, subcutaneous, β-aminopropionitrile (BAPN, 300 mg/kg, N = 24) administration. Negative control AAA animals (N = 15) underwent daily saline subcutaneous injection after PPE exposure. BAPN-exposed animals that did not rupture served as positive controls [nonruptured AAA (NRAAA) 14d, N = 9]. Rupture was witnessed using radiotelemetry. Maximum standard uptakes for 18F-FDG micro-PET studies were determined. Aortic wall PAI-1, uPA, and tPA concentrations were determined by western blot analyses. Interleukin (IL)-1β, IL-6, IL-10, and MIP-2 were determined by Bio-Plex bead array. Neutrophil and macrophage populations per high-power field were quantified. Matrix metalloproteinase (MMP) activities were determined by zymography. Results When comparing ruptured AAA (RAAA) to NRAAA 14d animals, increased focal 18F-FDG uptakes were detected at subsequent sites of rupture (P = 0.03). PAI-1 expression was significantly less in RAAA tissue (P = 0.01), with comparable uPA and decreased tPA levels (P = 0.02). IL-1β (P = 0.04), IL-6 (P = 0.001), IL-10 (P = 0.04), and MIP-2 (P = 0.02)expression, neutrophil (P = 0.02) and macrophage presence (P = 0.002), and MMP9 (P < 0.0001) activity were increased in RAAA tissue. Conclusions With this AAA rupture model, increased prerupture 18F-FDG uptake on micro-PET imaging was associated with increased inflammation in the ruptured AAA wall. 18F-FDG PET imaging may be used to monitor inflammatory changes before AAA rupture. PMID:24651130

  7. Earthquake Rupture Complexity Evidence from Field Observations (Invited)

    NASA Astrophysics Data System (ADS)

    Hudnut, K. W.; Fletcher, J. M.; Rockwell, T. K.; Gonzalez-Garcia, J. J.; Teran, O.; Akciz, S. O.

    2010-12-01

    Field observations provide strong evidence for four intriguing aspects of rupture process complexity for the 4 April 2010 El Mayor - Cucapah - Indiviso earthquake. First, the southern “fork” of the rupture exhibits two splays just to the northwest of the event epicenter, both with nearly pure right-lateral faulting. Teleseismic source modeling by others indicates normal slip on deep fault surface preceded the shallow strike-slip faulting, and our field observations from the fork area indicate that the earliest phase of strike-slip faulting did not involve a significant normal faulting component. Second, as rupture propagated to the northwest along the Pescadores fault, slip ended abruptly on this fault and transferred across a complex zone to the Borrego fault (although the Pescadores fault continues farther and would have seemed an easier route to follow). This stepover is called the Puerta Accommodation Zone (PAZ) which extends 11 km along-strike within an elevated portion of the Cucapah massif and accommodates a left step (transpressional) that measures less than 2 km across-strike. Though partly obscured by rockfalls in the steep terrain here, only discontinuous faulting of up to one meter reached the ground surface, yet imagery differencing by others indicates several meters of continuous subsurface slip throughout this section. This 11 km region of reduced and discontinuous slip is one of the longest surface rupture jumps ever observed, with lengthy and continuous surface faulting on either side. The SE end of the stepover coincides spatially with the Canon Rojo embayment where the M7.2 1892 surface rupture propagated onto a second fault forming an abrupt corner in its surface trace. Hence, the surface rupture and slip distribution pattern in 2010 appears to have been influenced by stress changes induced by the 1892 event. Thirdly, from the NW end of the transition section, the Borrego fault continues to the NNW with strong east-down slip obliquity. Along

  8. Radiographic Risk Factors for Contralateral Rupture in Dogs with Unilateral Cranial Cruciate Ligament Rupture

    PubMed Central

    Chuang, Connie; Ramaker, Megan A.; Kaur, Sirjaut; Csomos, Rebecca A.; Kroner, Kevin T.; Bleedorn, Jason A.; Schaefer, Susan L.; Muir, Peter

    2014-01-01

    Background Complete cranial cruciate ligament rupture (CR) is a common cause of pelvic limb lameness in dogs. Dogs with unilateral CR often develop contralateral CR over time. Although radiographic signs of contralateral stifle joint osteoarthritis (OA) influence risk of subsequent contralateral CR, this risk has not been studied in detail. Methodology/Principal Findings We conducted a retrospective longitudinal cohort study of client-owned dogs with unilateral CR to determine how severity of radiographic stifle synovial effusion and osteophytosis influence risk of contralateral CR over time. Detailed survival analysis was performed for a cohort of 85 dogs after case filtering of an initial sample population of 513 dogs. This population was stratified based on radiographic severity of synovial effusion (graded on a scale of 0, 1, and 2) and severity of osteophytosis (graded on a scale of 0, 1, 2, and 3) of both index and contralateral stifle joints using a reproducible scoring method. Severity of osteophytosis in the index and contralateral stifles was significantly correlated. Rupture of the contralateral cranial cruciate ligament was significantly influenced by radiographic OA in both the index and contralateral stifles at diagnosis. Odds ratio for development of contralateral CR in dogs with severe contralateral radiographic stifle effusion was 13.4 at one year after diagnosis and 11.4 at two years. Odds ratio for development of contralateral CR in dogs with severe contralateral osteophytosis was 9.9 at one year after diagnosis. These odds ratios were associated with decreased time to contralateral CR. Breed, age, body weight, gender, and tibial plateau angle did not significantly influence time to contralateral CR. Conclusion Subsequent contralateral CR is significantly influenced by severity of radiographic stifle effusion and osteophytosis in the contralateral stifle, suggesting that synovitis and arthritic joint degeneration are significant factors in the

  9. Investigating rupture process of Parkfield seismicity

    NASA Astrophysics Data System (ADS)

    Kim, Ah Yi

    In this dissertation the result of four studies regarding earthquake source parameter determination, and three-dimensional (3D) wave propagation are presented. I have developed finite-source models for the September 28, 2004 M6 Parkfield earthquake using GPS and InSAR geodetic data, and seismic strong motion waveform data inverted both separately and jointly. The preferred model from the joint inversion shows that the rupture is predominantly unilateral to the NW with a small component to the SE. There are two primary high slip asperities one around the hypocenter and the other between 10 and 23 km to the NW both within the depth range of 5--13 km. The results from detailed sensitivity analyses indicate that the developed finite-source slip model is stable and the kinematic parameters are well resolved. I also examined the effect of the assumed velocity structure and corresponding Green's functions on the finite source inversion for the 2004 Parkfield earthquake using near-fault strong motion data with 1D and 3D velocity models. Using either the 1D or 3D velocity structures produce similar results, however there are significant differences in detail, where slip using 3D Green's functions is more compact, and the peak slip occurs in the hypocentral asperity in contrast to the 1D case where peak slip is located in the NW asperity. A comparison of seismic waveform derived slip models reveals that the 3D Green's function model predicts the GPS data significantly better. Both 1D and 3D Green's function models failed to model the strong motion waveform data from stations located very close to or within the fault-zone. Forward modeling revealed that accounting for a narrow low-velocity zone improves the fit to the data from these near-fault sites. Synthetic tests show that the influence of such fault-zone structure decreases rapidly with distance suggesting that excluding fault-zone stations from inversions and focusing on data from more distant stations may lead to less

  10. Rupture Directivity in a Foam Rubber Physical Model

    NASA Astrophysics Data System (ADS)

    Anooshehpoor, R.; Brune, J. N.

    2003-12-01

    Understanding earthquake rupture dynamics, especially forward rupture directivity (focusing of seismic energy in the direction of rupture propagation), is crucial in determining the seismic hazard for critical structures located near major active faults. We use foam rubber modeling experiments to provide constraints on parameters that control rupture dynamics, and consequently, forward directivity effects. Numerical models currently in use have too many unconstrained parameters to allow confidence in predictions, and may not even be realistic from a physical point of view. The foam rubber model allows us to develop a deep physical understanding of an actual physical model. This in turn will allow us to better specify which physical parameters used in numerical models are critical, and establish a realistic range for their values, and to better understand and qualify particular numerical models. Three-dimensional numerical simulations of earlier experiments with excellent results provided incentive for additional funding from PEER to increase the number of recording channels in the model from 32 to 76. In particular, we have increased the number of recording sites on the fault plane from 12 to 35 to provide a better picture of the slip distribution on the fault during rupture. At the time of meeting we will present waveforms for selected events.

  11. Spectral Element Simulations of Rupture Dynamics along kinked faults

    NASA Astrophysics Data System (ADS)

    Vilotte, J.; Festa, G.; Madariaga, R.

    2005-12-01

    Numerical simulation of earthquake source dynamics provides key elements for ground-motion prediction and insights into the physics of dynamic rupture propagation. Faulting is controlled by non-linear frictional interactions and damage within the fault zone. Important features of the earthquakes dynamics, such as rupture velocity, arrest phase and high-frequency radiation are believed to be strongly influenced by the geometry of the faults (kinks, jogs and forks). Data analysis as well as kinematic inversions have pointed out potential links between super-shear and geometry, as in the case of the Denali and Izmit earthquakes. Finally, recent laboratory experiments of sub- and super-shear rupture propagation along kink interfaces have shed new lights on these phenomena. We present here spectral element simulations of the dynamic rupture propagation along kinked and curved fault interfaces, a problem that has been experimentally investigated by Rousseau and Rosakis (2003). Depending on the state of the initial stress, we numerically analyze the mechanics of the dynamical fault branching for sub- and super-shear rupture propagation. Special interest is devoted to source directivity effects and high frequency generation related to the branching process. Implications for strong motion analysis will be discussed. This work was supported by the SPICE - Research and Training project

  12. Relaxation creep rupture of heterogeneous material under constant strain.

    PubMed

    Hao, Sheng-Wang; Zhang, Bao-Ju; Tian, Ji-Feng

    2012-01-01

    We focus on a system consisting of an elastic part and a damageable part in series, to study the relaxation creep rupture of a heterogeneous system subjected to a uniaxial constant strain applied instantaneously. The viscoelastic behavior of the damageable part is modeled by a fiber bundle model consisting of Kelvin-Voigt elements and global load sharing is assumed for the redistribution of load following fiber breaking in the damageable part. Analytical and numerical calculations show that the global relaxation creep rupture appears if the elastic energy stored in the elastic part exceeded the fracture energy of the damageable part. The lifetime of the system strongly depends on the values of the applied external strain and the initial stiffness ratio k between the elastic part and the damageable part. We show that a higher stiffness ratio implies a more brittle system. Prior to complete failure, relaxation creep rupture exhibits a sequence of three stages, similar to creep rupture under constant stress, and the nominal force rate presents a power law singularity with a power index -1/2 near the global rupture time. PMID:22400604

  13. Direct visualization of microalgae rupture by ultrasound-driven bubbles

    NASA Astrophysics Data System (ADS)

    Pommella, Angelo; Harun, Irina; Pouliopoulos, Antonis; Choi, James J.; Hellgardt, Klaus; Garbin, Valeria

    2015-11-01

    Cell rupture induced by ultrasound is central to applications in biotechnology. For instance, cell disruption is required in the production of biofuels from microalgae (unicellular species of algae). Ultrasound-induced cavitation, bubble collapse and jetting are exploited to induce sufficiently large viscous stresses to cause rupture of the cell membranes. It has recently been shown that seeding the flow with bubbles that act as cavitation nuclei significantly reduces the energy cost for cell processing. However, a fundamental understanding of the conditions for rupture of microalgae in the complex flow fields generated by ultrasound-driven bubbles is currently lacking. We perform high-speed video microscopy to visualize the miscroscale details of the interaction of Chlamydomonas reinhardtii , microalgae of about 10 μm in size, with ultrasound-driven microbubbles of 2-200 μm in diameter. We investigate the efficiency of cell rupture depending on ultrasound frequency and pressure amplitude (from 10 kPa up to 1 MPa), and the resulting bubble dynamics regimes. In particular we compare the efficiency of membrane rupture in the acoustic microstreaming flow induced by linear oscillations, with the case of violent bubble collapse and jetting. V.G. acknowledges partial support from the European Commission (FP7-PEOPLE-2013-CIG), Grant No. 618333.

  14. Creep Rupture Properties of Welded Joints of Heat Resistant Steels

    NASA Astrophysics Data System (ADS)

    Yamazaki, Masayoshi; Watanabe, Takashi; Hongo, Hiromichi; Tabuchi, Masaaki

    In this study, the high-temperature mechanical and creep rupture properties of Grade 91/Grade 91 (Mod. 9Cr-Mo) similar welded joints and Grade 91/Inconel 82/SUS304 dissimilar welded joints were examined. The effects of temperature and stress on the failure location in the joints were also investigated. Creep rupture tests were conducted at 823, 873, and 923 K; the applied stress ranges were 160-240, 80-160, and 40-80 MPa, respectively. The creep rupture strengths of the specimens with welded joints were lower than those of the specimens of the base metal at all temperature levels; in addition, these differences in creep strength increased with temperature. After being subjected to long-term creep rupture tests, the fracture type exhibited by the dissimilar welded joints was transformed from Types V and VII to Type IV. It was estimated that the fracture type exhibited by the dissimilar welded joints after 100,000-h rupture strength tests at 823 K and 873 K was Type IV fracture.

  15. Rupture and dewetting of water films on solid surfaces.

    PubMed

    Mulji, Neil; Chandra, Sanjeev

    2010-12-01

    An experimental study was conducted to observe rupture and dewetting of water films, 0.5-2mm thick, on solid surfaces. The effects of surface roughness, wettability, protrusions on surfaces, and air entrapment between films and surfaces were studied. Film thickness measurements were made and film rupture and surface dewetting photographed. Experiments showed that liquid films ruptured first along the highest edges of test surfaces. Placing a protrusion on the surface had no effect-the liquid film continued to rupture along the edges. A thermodynamic model was developed to show that protrusions lower the surface energy of the system and promote wetting. Increasing surface roughness therefore increases film stability by resisting rupture and dewetting. Water films could be punctured by introducing an air bubble that burst and created a hole. The hole would close if the film was thick and the solid-liquid contact angle was either small or large; the hole would grow larger if the film was thin and the contact angle was in the mid-range (∼80°). An analytical model that calculates the difference between the surface energies of the two states can be used to predict whether a hole would lead to surface dewetting or not. PMID:20817200

  16. Stress-rupture behavior of small diameter polycrystalline alumina fibers

    NASA Technical Reports Server (NTRS)

    Yun, Hee Mann; Goldsby, Jon C.; Dicarlo, James A.

    1993-01-01

    Continuous length polycrystalline alumina fibers are candidates as reinforcement in high temperature composite materials. Interest therefore exists in characterizing the thermomechanical behavior of these materials, obtaining possible insights into underlying mechanisms, and understanding fiber performance under long term use. Results are reported on the time-temperature dependent strength behavior of Nextel 610 and Fiber FP alumina fibers with grain sizes of 100 and 300 nm, respectively. Below 1000 C and 100 hours, Nextel 610 with the smaller grain size had a greater fast fracture and rupture strength than Fiber FP. The time exponents for stress-rupture of these fibers were found to decrease from approximately 13 at 900 C to below 3 near 1050 C, suggesting a transition from slow crack growth to creep rupture as the controlling fracture mechanism. For both fiber types, an effective activation energy of 690 kJ/mol was measured for rupture. This allowed stress-rupture predictions to be made for extended times at use temperatures below 1000 C.

  17. Dealing with a penstock rupture: A success story

    SciTech Connect

    Siminski, D.R. )

    1993-08-01

    Speed and safety are important considerations when repairing damaged penstocks. When the Control Gorge penstock in southern California ruptured, quick, successful action prevented complications. In the winter of 1991, a break occurred in the lower portion of the 8-foot-diameter Owens River Gorge penstock. The rupture created a vacuum, which caused about 1,500 feet of the pipe upstream of the break to collapse. Investigations by the Los Angeles Department of Water and Power (LADWP) indicate that pressure surges in the penstock caused by rapid opening and closing of a turbine bypass-relief valve at the Control Gorge hydro plant and a defective weld at a manway (a small access that leads into the penstock) led to the rupture. Quick emergency repairs were required owing to the limited bypass capability around the penstock, the need for water flow for fish habitat in the lower sections of the Owens River, and water needs for Los Angeles. Within ten days, LADWP employees had temporarily repaired the penstock. In less than five months, workers had replaced the collapsed and ruptured sections, and returned the penstock to full service. The penstock rupture at Owens Gorge caused LADWP to recognize that older hydro plants may have hidden defects that would not have been left in place with current construction and inspection methods. Therefore, additional care should be taken during operation of these plants to avoid placing any unnecessary stresses on plant equipment.

  18. Ruptured mycotic common femoral artery pseudoaneurysm: fatal pulmonary embolism after emergency stent-grafting in a drug abuser.

    PubMed

    Karkos, Christos D; Kalogirou, Thomas E; Giagtzidis, Ioakeim T; Papazoglou, Konstantinos O

    2014-12-01

    The rupture of a mycotic femoral artery pseudoaneurysm in an intravenous drug abuser is a limb- and life-threatening condition that necessitates emergency intervention. Emergency stent-grafting appears to be a viable, minimally invasive alternative, or a bridge, to subsequent open surgery. Caution is required in cases of suspected concomitant deep vein thrombosis in order to minimize the possibility of massive pulmonary embolism during stent-grafting, perhaps by omitting stent-graft postdilation or by inserting an inferior vena cava filter first. We describe the emergency endovascular management, in a 60-year-old male intravenous drug abuser, of a ruptured mycotic femoral artery pseudoaneurysm, which was complicated by a fatal pulmonary embolism. PMID:25593530

  19. Endovascular strategy or open repair for ruptured abdominal aortic aneurysm: one-year outcomes from the IMPROVE randomized trial

    PubMed Central

    Braithwaite, Bruce; Cheshire, Nicholas J.; Greenhalgh, Roger M.; Grieve, Richard; Hassan, Tajek B.; Hinchliffe, Robert; Howell, Simon; Moore, Fionna; Nicholson, Anthony A.; Soong, Chee V.; Thompson, Matt M.; Thompson, Simon G.; Ulug, Pinar; Heatley, Francine; Anjum, Aisha; Kalinowska, Gosia; Sweeting, Michael J.; Thompson, Simon G.; Gomes, Manuel; Grieve, Richard; Powell, Janet T.; Ashleigh, Ray; Gomes, Manuel; Greenhalgh, Roger M.; Grieve, Richard; Hinchliffe, Robert; Sweeting, Michael; Thompson, Matt M.; Thompson, Simon G.; Ulug, Pinar; Roberts, Ian; Bell, Peter R. F.; Cheetham, Anne; Stephany, Jenny; Warlow, Charles; Lamont, Peter; Moss, Jonathan; Tijssen, Jan; Braithwaite, Bruce; Nicholson, Anthony A.; Thompson, Matthew; Ashleigh, Ray; Thompson, Luke; Cheshire, Nicholas J.; Boyle, Jonathan R.; Serracino-Inglott, Ferdinand; Thompson, Matt M.; Hinchliffe, Robert J.; Bell, Rachel; Wilson, Noel; Bown, Matt; Dennis, Martin; Davis, Meryl; Ashleigh, Ray; Howell, Simon; Wyatt, Michael G.; Valenti, Domenico; Bachoo, Paul; Walker, Paul; MacSweeney, Shane; Davies, Jonathan N.; Rittoo, Dynesh; Parvin, Simon D.; Yusuf, Waquar; Nice, Colin; Chetter, Ian; Howard, Adam; Chong, Patrick; Bhat, Raj; McLain, David; Gordon, Andrew; Lane, Ian; Hobbs, Simon; Pillay, Woolagasen; Rowlands, Timothy; El-Tahir, Amin; Asquith, John; Cavanagh, Steve; Dubois, Luc; Forbes, Thomas L.; Ashworth, Emily; Baker, Sara; Barakat, Hashem; Brady, Claire; Brown, Joanne; Bufton, Christine; Chance, Tina; Chrisopoulou, Angela; Cockell, Marie; Croucher, Andrea; Dabee, Leela; Dewhirst, Nikki; Evans, Jo; Gibson, Andy; Gorst, Siobhan; Gough, Moira; Graves, Lynne; Griffin, Michelle; Hatfield, Josie; Hogg, Florence; Howard, Susannah; Hughes, Cían; Metcalfe, David; Lapworth, Michelle; Massey, Ian; Novick, Teresa; Owen, Gareth; Parr, Noala; Pintar, David; Spencer, Sarah; Thomson, Claire; Thunder, Orla; Wallace, Tom; Ward, Sue; Wealleans, Vera; Wilson, Lesley; Woods, Janet; Zheng, Ting

    2015-01-01

    Aims To report the longer term outcomes following either a strategy of endovascular repair first or open repair of ruptured abdominal aortic aneurysm, which are necessary for both patient and clinical decision-making. Methods and results This pragmatic multicentre (29 UK and 1 Canada) trial randomized 613 patients with a clinical diagnosis of ruptured aneurysm; 316 to an endovascular first strategy (if aortic morphology is suitable, open repair if not) and 297 to open repair. The principal 1-year outcome was mortality; secondary outcomes were re-interventions, hospital discharge, health-related quality-of-life (QoL) (EQ-5D), costs, Quality-Adjusted-Life-Years (QALYs), and cost-effectiveness [incremental net benefit (INB)]. At 1 year, all-cause mortality was 41.1% for the endovascular strategy group and 45.1% for the open repair group, odds ratio 0.85 [95% confidence interval (CI) 0.62, 1.17], P = 0.325, with similar re-intervention rates in each group. The endovascular strategy group and open repair groups had average total hospital stays of 17 and 26 days, respectively, P < 0.001. Patients surviving rupture had higher average EQ-5D utility scores in the endovascular strategy vs. open repair groups, mean differences 0.087 (95% CI 0.017, 0.158), 0.068 (95% CI −0.004, 0.140) at 3 and 12 months, respectively. There were indications that QALYs were higher and costs lower for the endovascular first strategy, combining to give an INB of £3877 (95% CI £253, £7408) or €4356 (95% CI €284, €8323). Conclusion An endovascular first strategy for management of ruptured aneurysms does not offer a survival benefit over 1 year but offers patients faster discharge with better QoL and is cost-effective. Clinical trial registration ISRCTN 48334791. PMID:25855369

  20. Space qualification of the ISO cryogenic rupture discs

    NASA Astrophysics Data System (ADS)

    Ettlinger, E.; Ruediger, H.; Wanner, M.

    1990-03-01

    Space cryostats, like the model to be used in the Infrared Space Observatory (ISO), require safety components to protect the satellite, the launcher, and the personnel against overpressure in the helium system. The ISO cryostat, which carries 2250 cu dm of liquid helium, will be equipped with a rupture disk as the ultimate safety component in case of loss of the insulation vacuum. Because it will have to operate under conditions of zero gravity and low pressure drop, the rupture disk has to be located directly on the helium tank and may thus release up to 5 kg/s of helium at a differential pressure of 2.6 bar directly into the insulation vacuum space. The selection and design of the rupture disk, as well as the test and qualification philosophy, are described.

  1. Dynamic Rupture Segmentation Along The Nankai Trough, Southwest Japan

    NASA Astrophysics Data System (ADS)

    Hok, S.; Fukuyama, E.; Hashimoto, C.

    2010-12-01

    In southwest Japan, large devastating earthquakes (Mw>8) occurred along the Nankai subduction zone every 100-200 years (e.g. Ando, 1975, Tectonophys.; Ishibashi, 2004, Ann. Geophys.). Historical records revealed the segmented nature of the 600 km long seismogenic zone, producing Nankai and Tonankai earthquakes to occur separately or jointly at each cycle. The intersegment zone which separates Nankai and Tonankai source areas, near the Kii Peninsula, should have some special physical properties. In this study, we investigate the dynamic linkage of the coseismic slips on the Nankai and Tonankai segments, by modeling the spontaneous rupture propagation on the subduction interface. To conduct a reliable modeling, the parameters’ lateral variations along the place interface are introduced by combining several geophysical observation data sets. First, we use a large-scale 3D geometry for the plate interface, inferred from seismicity; we also integrate the slip deficit distribution (Hashimoto et al., 2009, SSJ meeting) obtained by inversion of GPS data, to constrain the distribution of stress drop on the interface. This distribution is not uniform, and explains the 1st order asperities of the subduction zone: Hyuga, Nankai, Tonankai and Tokai areas appear clearly as loaded regions. In addition, a constitutive friction law is required to link fault slip and stress release. We compiled regional geophysical information relevant to the segmentation, to infer the distribution of the frictional parameters at seismogenic depths. We focused on areas where the rupture is known to have stopped. The barriers seem to be related to upper plate structure (Wells et al. 2003, JGR, Rosenau and Oncken 2009, JGR). Uplifted areas show common characteristics: end of seismogenic segments, underplating in the wedge, and higher density of the upper old wedge (granitic intrusions). Following above review, we introduced 3 barrier regions delimiting 2 asperity regions (Nankai and Tonankai

  2. Survivors of ruptured abdominal aortic aneurysm: the iceberg's tip.

    PubMed Central

    Armour, R H

    1977-01-01

    In four and a half years 25 patients in one community suffered a ruptured abdominal aortic aneurysm. Eleven died at home, nine died without operation in hospital, and only five had the aneurysm removed. There were four survivors. A further seven patients might have lived had they had a prompt operation. The average operative mortality for ruptured aneurysms among series reported in British journals is 53%, but the survivors are a small minority of the total number of people in the community whose aneurysms rupture. No basis could be found for the view that replacing an aortic aneurysm with a straight graft (while leaving behind aneurysmal common iliac arteries) lowers the operative mortality. On the contrary, oversimplifying the operation may be hazardous. PMID:922418

  3. Rupture Zones of Strong Earthquakes In The Corinth Rift

    NASA Astrophysics Data System (ADS)

    Papadopoulos, G. A.; Kouskouna, V.; Plessa, A.

    Ruptures zones of the strong (M 8805; 6) earthquakes that occurred in the Corinth rift in the last three hundred years have been determined on the basis of aftershock epi- central distributions , intensity distributions and observations regarding seismogenic ground failures and tsunamis. The space U time distribution of the rupture zones indi- cates that (1) for time intervals of about 50yrs the rupture zones do not overlap; over- alpping appear, however, in longer time intervals , (2) there is a trend of the seismic activity to decrease westwards , and (3) particular regions constitute potential seis- mic gaps , like the Kiato UXylocastro region in the south coast of the Corinth Gulf, where the large 1402 earthquake occurred, and the Livadia U Desfina region where the A.D.361 and 551 large earthquakes possibly took place.

  4. Emergency Stenting of a Ruptured Infected Anastomotic Femoral Pseudoaneurysm

    SciTech Connect

    Klonaris, Chris Katsargyris, Athanasios; Matthaiou, Alexandros; Giannopoulos, Athanasios; Tsigris, Chris; Papadopouli, Katerina; Tsiodras, Sotiris; Bastounis, Elias

    2007-11-15

    A 74-year-old man presented with a ruptured infected anastomotic femoral pseudoaneurysm. Due to severe medical comorbidities he was considered unsuitable for conventional surgical management and underwent an emergency endovascular repair with a balloon-expandable covered stent. The pseudoaneurysm was excluded successfully and the patient had an uneventful postoperative recovery with long-term suppressive antimicrobials. He remained well for 10 months after the procedure with no signs of recurrent local or systemic infection and finally died from an acute myocardial infarction. To our knowledge, emergency endovascular treatment of a free ruptured bleeding femoral artery pseudoaneurysm has not been documented before in the English literature. This case illustrates that endovascular therapy may be a safe and efficient alternative in the emergent management of ruptured infected anastomotic femoral artery pseudoaneurysms when traditional open surgery is contraindicated.

  5. Late calcification and rupture: a rare complication of ventriculoperitoneal shunting.

    PubMed

    Kural, Cahit; Kirik, Alparslan; Pusat, Serhat; Senturk, Tolga; Izci, Yusuf

    2012-01-01

    A 10-year old boy who had undergone a ventriculoperitoneal (V/P) shunt because of hydrocephalus at 10 days of age was doing well until 20 days ago, when he began to experience headache and seizures. CT scan revealed dilated lateral ventricles and calcification at the shunt site. X-rays showed an unusual calcification pattern around the shunt tube and rupture of the tube between the mastoid bone and clavicle. The patient underwent surgery and the shunt was changed completely. The ventricles became small in the follow-up. Even though V/P shunts may induce fibrous tissue formation and calcification around the tube, there are a few cases of shunt rupture and calcification of shunts in the literature. Possible mechanisms of the rupture and calcification are discussed in this paper. PMID:23208915

  6. Transcatheter Arterial Embolization for Spontaneous Rupture of the Omental Artery

    SciTech Connect

    Matsumoto, Tomohiro; Yamagami, Takuji; Morishita, Hiroyuki; Iida, Shigeharu; Tazoe, Jun; Asai, Shunsuke; Masui, Koji; Ikeda, Jun; Nagata, Akihiro; Sato, Osamu; Nishimura, Tsunehiko

    2011-02-15

    We encountered a rare case of spontaneous rupture of the omental artery. A 25-year-old man without any episode of abdominal trauma or bleeding disorders came to the emergency unit with left upper abdominal pain. Hematoma with extravasation of the greater omentum and a hemoperitoneum was confirmed on abdominal contrast-enhanced computed tomography. Bleeding from the omental artery was suspected based on these findings. Transcatheter arterial embolization was successfully performed after extravasation of the omental artery, which arises from the left gastroepiploic artery, was confirmed on arteriography. Partial ometectomy was performed 10 days after transcatheter arterial embolization, revealing that the hematoma measured 10 cm in diameter in the greater omentum. Pathological examination showed rupture of the branch of an omental artery without abnormal findings, such as an aneurysm or neoplasm. Thus, we diagnosed him with spontaneous rupture of the omental artery. The patient recovered and was discharged from the hospital 10 days after the surgery, with a favorable postoperative course.

  7. Spontaneous common iliac vein rupture: a case report

    PubMed Central

    DePass, Ian E.

    1998-01-01

    A 68-year-old woman, admitted because of acute lower quadrant abdominal pain but no history of trauma, underwent laparotomy for a suspected ruptured aortic aneurysm. Exploration revealed a 20-mm longitudinal tear in the left iliac vein. The vein was repaired primarily. Her postoperative course was complicated by deep vein thrombosis. Spontaneous rupture of the iliac vein without trauma is rare. but occurs predominantly in healthy white women between the ages of 40 and 80 years. Various causative mechanisms have been described: inflammation of the vessel wall secondary to thrombophlebitis, proximal obstruction of the iliac vein and spontaneous rupture without obstruction or thrombosis. In many cases an increase in intra-abdominal pressure is noted. PMID:9854541

  8. Evaluating fault rupture hazard for strike-slip earthquakes

    USGS Publications Warehouse

    Petersen, M.; Cao, T.; Dawson, Tim; Frankel, A.; Wills, C.; Schwartz, D.

    2004-01-01

    We present fault displacement data, regressions, and a methodology to calculate in both a probabilistic and deterministic framework the fault rupture hazard for strike-slip faults. To assess this hazard we consider: (1) the size of the earthquake and probability that it will rupture to the surface, (2) the rate of all potential earthquakes on the fault (3) the distance of the site along and from the mapped fault, (4) the complexity of the fault and quality of the fault mapping, (5) the size of the structure that will be placed at the site, and (6) the potential and size of displacements along or near the fault. Probabilistic fault rupture hazard analysis should be an important consideration in design of structures or lifelines that are located within about 50m of well-mapped active faults.

  9. Complicated malaria and a covert ruptured spleen: a case report.

    PubMed

    Waweru, Peter; Macleod, Jana; Gikonyo, Anthony

    2014-01-01

    Spontaneous splenic rupture in complicated malaria is an uncommon cause of hemoperitoneum in the tropics. The exact incidence of splenic rupture is unknown, largely due to under-reporting, but has been estimated at ∼2%. Its pathophysiology is linked to the formation of a subcapsular hematoma. Upon rupture, patients present with features of shock and peritonitis and in most cases (95%), computed tomography (CT) scan detects the splenic injury. Patients should be managed conservatively with splenectomy reserved for patients with shock and hemoperitoneum due to risk of post-splenectomy sepsis. We report the case of a 38-year-old man with severe malaria who presented with fever, chills and abdominal pains. A CT scan abdomen failed to reveal splenic parenchymal injury or any splenic extravasation of contrast. Conservative management was unsuccessful. Exploratory laparatomy confirmed the spleen as the site of bleeding necessitating a splenectomy. PMID:25395608

  10. A Rare Case of Bilateral Patellar Tendon Ruptures: A Case Report and Literature Review

    PubMed Central

    Tarazi, Nadim; O'loughlin, Padhraig; Amin, Amin; Keogh, Peter

    2016-01-01

    Bilateral patellar tendon ruptures are rare. The majority of case reports describing bilateral patellar tendon ruptures have occurred in patients with predisposing factors to tendinopathy. We describe a case of bilateral patellar tendon rupture sustained following minimal trauma by a patient with no systemic disease or history of steroid use. Due to the rarity of this injury, clinical suspicion is low. It is reported that 38% of patellar tendon ruptures are misdiagnosed initially. Therefore careful history taking and physical examination is integral in ensuring a diagnosis is achieved for early primary repair. We discuss the aetiology of spontaneous tendon rupture and report a literature review of bilateral patellar tendon ruptures. PMID:27200200

  11. Morphology Parameters for Intracranial Aneurysm Rupture Risk Assessment

    PubMed Central

    Dhar, Sujan; Tremmel, Markus; Mocco, J; Kim, Minsuok; Yamamoto, Junichi; Siddiqui, Adnan H.; Hopkins, L. Nelson; Meng, Hui

    2008-01-01

    OBJECTIVE The aim of this study is to identify image-based morphological parameters that correlate with human intracranial aneurysm (IA) rupture. METHODS For 45 patients with terminal or sidewall saccular IAs (25 unruptured, 20 ruptured), three-dimensional geometries were evaluated for a range of morphological parameters. In addition to five previously studied parameters (aspect ratio, aneurysm size, ellipticity index, nonsphericity index, and undulation index), we defined three novel parameters incorporating the parent vessel geometry (vessel angle, aneurysm [inclination] angle, and [aneurysm-to-vessel] size ratio) and explored their correlation with aneurysm rupture. Parameters were analyzed with a two-tailed independent Student's t test for significance; significant parameters (P < 0.05) were further examined by multivariate logistic regression analysis. Additionally, receiver operating characteristic analyses were performed on each parameter. RESULTS Statistically significant differences were found between mean values in ruptured and unruptured groups for size ratio, undulation index, nonsphericity index, ellipticity index, aneurysm angle, and aspect ratio. Logistic regression analysis further revealed that size ratio (odds ratio, 1.41; 95% confidence interval, 1.03−1.92) and undulation index (odds ratio, 1.51; 95% confidence interval, 1.08−2.11) had the strongest independent correlation with ruptured IA. From the receiver operating characteristic analysis, size ratio and aneurysm angle had the highest area under the curve values of 0.83 and 0.85, respectively. CONCLUSION Size ratio and aneurysm angle are promising new morphological metrics for IA rupture risk assessment. Because these parameters account for vessel geometry, they may bridge the gap between morphological studies and more qualitative location-based studies. PMID:18797347

  12. Assessing magnitude probability distribution through physics-based rupture scenarios

    NASA Astrophysics Data System (ADS)

    Hok, Sébastien; Durand, Virginie; Bernard, Pascal; Scotti, Oona

    2016-04-01

    When faced with complex network of faults in a seismic hazard assessment study, the first question raised is to what extent the fault network is connected and what is the probability that an earthquake ruptures simultaneously a series of neighboring segments. Physics-based dynamic rupture models can provide useful insight as to which rupture scenario is most probable, provided that an exhaustive exploration of the variability of the input parameters necessary for the dynamic rupture modeling is accounted for. Given the random nature of some parameters (e.g. hypocenter location) and the limitation of our knowledge, we used a logic-tree approach in order to build the different scenarios and to be able to associate them with a probability. The methodology is applied to the three main faults located along the southern coast of the West Corinth rift. Our logic tree takes into account different hypothesis for: fault geometry, location of hypocenter, seismic cycle position, and fracture energy on the fault plane. The variability of these parameters is discussed, and the different values tested are weighted accordingly. 64 scenarios resulting from 64 parameter combinations were included. Sensitivity studies were done to illustrate which parameters control the variability of the results. Given the weight of the input parameters, we evaluated the probability to obtain a full network break to be 15 %, while single segment rupture represents 50 % of the scenarios. These rupture scenario probability distribution along the three faults of the West Corinth rift fault network can then be used as input to a seismic hazard calculation.

  13. Transcatheter closure of ruptured sinus Valsalva aneurysm with retrograde approach.

    PubMed

    Narin, Nazmi; Ozyurt, Abdullah; Baykan, Ali; Uzüm, Kazım

    2014-04-01

    A three-year-old girl with multiple heart malformations admitted to the pediatric cardiology unit because of excessive sweating and fatigue. Abnormal color Doppler flow was detected into the right atrium from the dilated coronary sinus on the echocardiographic examination, and ruptured sinus Valsalva aneurysm (SVA) was diagnosed. Although in most such cases, an antegrade transcatheter approach has been used, a retrograde approach can be used as a cost-effective treatment modality in those cases with selective high-risk surgery. In this report, we present a patient with ruptured SVA, which was closed via Amplatzer vascular plug-4 by retrograde approach. PMID:24769826

  14. Multiple stage inflation packer with secondary opening rupture disc

    SciTech Connect

    Stepp, L.W.; Giroux, R.L.; Crump, J.B.; Borges, J.F.

    1992-05-05

    This patent describes an inflatable packer apparatus for use in a well bore, it comprises: case means for connecting to a casing string and defining a port therethrough; inflatable packing means, connected to the case means and in communication with the port, for sealingly engaging the well bore when inflated; and rupture means upstream of the inflatable packing means for rupturing in response to a predetermined pressure after inflation of the packing means and thereby placing the port in communication with a well annulus.

  15. Left ventricular rupture postmitral valve replacement: Surviving a catastrophe

    PubMed Central

    Bisoyi, Samarjit; Mohanty, Jitendu; Mohapatra, Raghunath; Nayak, Debashish

    2015-01-01

    One of the dreaded mechanical complications of mitral valve replacement (MVR) is rupture of the left ventricle (LV). This report describes the early diagnosis and successful repair of rupture of posterior wall of LV in an elderly patient who underwent MVR. We have discussed the risk factors and perioperative issues implicated in such complication. The anesthesiologist as an intra-operative echocardiographer can aid in identifying the patient at risk. Though important surgical steps are necessary to prevent the complication; nonetheless, the anesthesiologist needs to take key measures in the perioperative period. PMID:25566717

  16. Analysis of slipstream flow in two ruptured intracranial cerebral aneurysms.

    PubMed

    Imbesi, S G; Kerber, C W

    1999-10-01

    Replicas of ruptured posterior communicating and basilar artery aneurysms were created from cadaveric specimens and then were placed in a circuit of pulsating non-Newtonian fluid. Individual fluid slipstreams were opacified with isobaric dyes, and images were recorded on film. The slipstreams entered the distal aneurysm neck with impact against the distal lateral wall of the aneurysm. They then swirled slowly in a reverse vortical pattern within the aneurysm sac. Fluid exited the aneurysm at the proximal neck. The flow pattern clearly shows the impact zone of entering slipstreams (the point of aneurysm rupture) and provides information pertaining to aneurysm growth and formation. PMID:10543644

  17. Rapid Mapping of Surface Rupture from the South Napa Earthquake

    NASA Astrophysics Data System (ADS)

    Trexler, C. C.; Morelan, A. E., III; Oskin, M. E.

    2014-12-01

    Rapid documentation (<1 day) of co-seismic surface rupture location and slip is essential for scientific and emergency response. We demonstrate how social media (text messaging and Twitter) and the emerging 3D data collection technique known as Structure from Motion (SfM), used in conjunction with traditional field reconnaissance, enabled us to rapidly locate and document surface ruptures from the Mw 6.0 South Napa earthquake. On the morning of the event, our field team used information available on social media to identify locations with potential surface rupture. Preliminary observations of surface rupture (measurements and geo-tagged photographs) were texted to the office-based team member who created digital maps of the rupture trace and shared them online via Twitter in near-real time. We documented many ephemeral features (such as offset roads, curbs, and driveways) along the rupture trace within 12 hours of the event, before these features were destroyed by road and infrastructure repair. We were able to return to most sites again within several days, allowing us to document continuing slip and create time-series datasets of offset features. After the collection and re-collection of data at selected sites, we made detailed measurements remotely using 3D models constructed with SfM. The ability to quantitatively project features into the fault plane using these models allows for accurate measurements of small features often difficult to observe and quantify in the field. Traditionally, even preliminary maps of rupture extent and offset magnitudes are not available for several days after an event because office-based processing and compilation is required. Because we were able to compile our data in real time, we distributed our results while they were still valuable for ongoing scientific response. Our work helped other science teams efficiently target fieldwork and instrument deployment; for example, one geodetic survey team used our surface rupture map to

  18. Presumed Testicular Rupture During a College Baseball Game

    PubMed Central

    Freehill, Michael T.; Gorbachinsky, Ilya; Lavender, John D.; Davis, Ronald L.; Mannava, Sandeep

    2015-01-01

    Scrotal rupture during athletic competition is considered a rare occurrence; however, blunt trauma to the scrotum is relatively common. Protective athletic cups are strongly recommended for both children and adults engaging in contact sports as they likely limit the amount of serious injury to the scrotal contents. Nonetheless, should the on-field assessment by the athletic trainer, coach, or team physician indicate that the athlete has increased pain, ecchymosis, swelling, and tenderness to palpation after blunt trauma, testicular rupture should be suspected and prompt ultrasound and urologic assessment should be undertaken, as early operative intervention is necessary for testicular preservation. This report reviews testicular trauma during athletic competition. PMID:25984265

  19. Rupture of ectopic renal arterial pseudoaneurysm after percutaneous nephrolithotomy

    PubMed Central

    Wang, Mingshuai; Zhang, Junhui; Xing, Nianzeng

    2016-01-01

    ABSTRACT A 35-year-old female patient presented with swelling pain at left waist for 1 month. Left renal pelvis stones were found and standard percutaneous nephrolithotomy was successfully performed. Two weeks later, the patient suddenly suffered massive bleeding presented with gross hematuria. Rupture of ectopic renal artery pseudoaneurysm was identified by computed tomography and angiography of the renal artery. Emergency selective angioembolization of one branch of the artery was performed. To our knowledge, this is the first report of ruptured ectopic renal arterial pseudoaneurysm. PMID:27564300

  20. Ruptured and unruptured mycotic superior mesenteric artery aneurysms.

    PubMed

    Sharma, Gaurav; Semel, Marcus E; McGillicuddy, Edward A; Ho, Karen J; Menard, Matthew T; Gates, Jonathan D

    2014-11-01

    Aneurysms of the superior mesenteric artery (SMA) and branches thereof are uncommon but have a high rate of rupture and mortality relative to other visceral artery aneurysms. Historically, the predominant etiology has been infectious; with a renewed rise in intravenous drug abuse rates in the last decade, we hypothesize a resurgence in septic embolic complications may occur in the coming years. Here, we describe the presentation and management of 2 cases of intravenous drug users presenting with infectious endocarditis and SMA main trunk and branch aneurysms, one of which was ruptured. In addition, we review the literature on these rare clinical entities. PMID:25017769

  1. Renal allograft transplant recipient with ruptured hydatid native kidney.

    PubMed

    Bhat, Riyaz Ahmad; Wani, Imtiyaz; Khan, Imran; Wani, Muzaffar

    2014-07-01

    Echinococcosis of the kidneys in a renal transplant recipient is extremely rare and its occurrence being related to immunosuppression is a possibility which needs further characterisation. Ruptured renal hydatid in a renal transplant recipient is not reported so far to our best knowledge. We present a 42-year-old renal allograft receipient who presented one year after transplant with left flank pain, palpable left lumbar mass and gross hydatiduria. Investigations revealed a ruptured native hydatid kidney. Patient was managed with a combination of chemotherapy and left native nephrectomy and discharged in a satisfactory condition. PMID:25125908

  2. Rare presentation of ruptured syphilitic aortic aneurysm with pseudoaneurysm.

    PubMed

    de Almeida Feitosa, Israel Nilton; Dantas Leite Figueiredo, Magda; de Sousa Belem, Lucia; Evelin Soares Filho, Antônio Wilon

    2015-11-01

    We report the interesting case of a rare form of presentation of rupture of the ascending aorta with formation of a pseudoaneurysm, diagnosed following the development of a large mass on the surface of the chest over a period of about eight months. Serological tests were positive for syphilis. Echocardiography and computed tomography angiography were essential to confirm the diagnosis and therapeutic management. Cardiovascular syphilis is a rare entity since the discovery of penicillin. Rupture of an aortic aneurysm with formation of a pseudoaneurysm is a potentially fatal complication. The postoperative period was uneventful and the patient was discharged from hospital within days of surgery. PMID:26481180

  3. Umbilical cord rupture: a case report and review of literature.

    PubMed

    Naidu, Madhusudhan; Nama, Vivek; Karoshi, Mahantesh; Kakumani, Vijayasri; Worth, Richard

    2007-01-01

    The umbilical cord acts as a mechanical conduit between the fetus and placenta, allowing movement of water and nutrient substances between the fetal circulation and the amniotic fluid. Complications can occur antenatally or intranatally and are usually acute events that require immediate delivery to prevent intrauterine death. Even though the majority of the cord complications are unpreventable, significant improvement in perinatal mortality and morbidity can be achieved if such an event can be predicted. Umbilical cord rupture is not uncommon, but significantly underreported. We present an unusual cause of umbilical cord rupture and a review of literature. PMID:18320869

  4. The Uniform California Earthquake Rupture Forecast, Version 2 (UCERF 2)

    USGS Publications Warehouse

    2007 Working Group on California Earthquake Probabilities

    2008-01-01

    California?s 35 million people live among some of the most active earthquake faults in the United States. Public safety demands credible assessments of the earthquake hazard to maintain appropriate building codes for safe construction and earthquake insurance for loss protection. Seismic hazard analysis begins with an earthquake rupture forecast?a model of probabilities that earthquakes of specified magnitudes, locations, and faulting types will occur during a specified time interval. This report describes a new earthquake rupture forecast for California developed by the 2007 Working Group on California Earthquake Probabilities (WGCEP 2007).

  5. Large-Scale Weibull Analysis of H-451 Nuclear- Grade Graphite Specimen Rupture Data

    NASA Technical Reports Server (NTRS)

    Nemeth, Noel N.; Walker, Andrew; Baker, Eric H.; Murthy, Pappu L.; Bratton, Robert L.

    2012-01-01

    A Weibull analysis was performed of the strength distribution and size effects for 2000 specimens of H-451 nuclear-grade graphite. The data, generated elsewhere, measured the tensile and four-point-flexure room-temperature rupture strength of specimens excised from a single extruded graphite log. Strength variation was compared with specimen location, size, and orientation relative to the parent body. In our study, data were progressively and extensively pooled into larger data sets to discriminate overall trends from local variations and to investigate the strength distribution. The CARES/Life and WeibPar codes were used to investigate issues regarding the size effect, Weibull parameter consistency, and nonlinear stress-strain response. Overall, the Weibull distribution described the behavior of the pooled data very well. However, the issue regarding the smaller-than-expected size effect remained. This exercise illustrated that a conservative approach using a two-parameter Weibull distribution is best for designing graphite components with low probability of failure for the in-core structures in the proposed Generation IV (Gen IV) high-temperature gas-cooled nuclear reactors. This exercise also demonstrated the continuing need to better understand the mechanisms driving stochastic strength response. Extensive appendixes are provided with this report to show all aspects of the rupture data and analytical results.

  6. Uterine rupture complicating sequential curettage and Bakri balloon tamponade to control secondary PPH

    PubMed Central

    Ajayi, Olukunle Adegboye; Sant, Manjusha; Ikhena, Sunday; Bako, Abdumalik

    2013-01-01

    A 20-year-old para 2 woman had a preterm delivery at 25 weeks and 6 days, readmitted to the hospital 25 days after delivery with severe secondary postpartum haemorrhage (PPH). Uncontrolled by initial conservative management, she underwent uterine curettage followed by Bakri balloon tamponade. She later had laparotomy for continued bleeding. She was found to have uterine rupture and hysterectomy was carried out as a life-saving measure. She was transfused in total with 14 units of blood, 1 unit of platelet, 2 units of cryoprecipitate and 3 units of fresh frozen plasma. The patient had intensive therapy unit  care and was discharged home on the sixth postoperative day. The histology report showed ectatic non-constricted vessels as the cause of the secondary PPH. No myometrial tissue, products of conception or evidence of endometritis. The sequential use of uterine curettage and balloon tamponade in the aetiology of uterine rupture is a rare occurrence. PMID:23391948

  7. Ruptured Rudimentary Horn Pregnancy Diagnosed by Preoperative Magnetic Resonance Imaging Resulting in Fetal Salvage

    PubMed Central

    Pillai, Silja A.; Mathew, Mariam; Ishrat, Noreen; Kakaria, Anupam; Qureshi, Asim; Vaidyanathan, Gowri

    2015-01-01

    Pregnancy in a rudimentary horn is very rare. The rupture of the horn during pregnancy is an obstetric emergency which can be life-threatening for both the mother and fetus. Preoperative diagnosis of such pregnancies can be challenging and they are usually diagnosed intraoperatively. We report a unique case of a 31-year-old multiparous woman who presented to the Sultan Qaboos University Hospital in Muscat, Oman, in January 2013 at 32 gestational weeks with abdominal pain. Ultrasonography was inconclusive. A rudimentary horn pregnancy was subsequently diagnosed via magnetic resonance imaging (MRI). An emergency laparotomy revealed haemoperitoneum and a ruptured rudimentary horn pregnancy. A live baby with an Apgar score of 2 at one minute and 7 at five minutes was delivered. The rudimentary horn with the placenta in situ was excised and a left salpingo-oophorectomy was performed. The postoperative period was uneventful. The authors recommend MRI as an excellent diagnostic modality to confirm rudimentary horn pregnancies and to expedite appropriate management. PMID:26357563

  8. Ruptured Rudimentary Horn Pregnancy Diagnosed by Preoperative Magnetic Resonance Imaging Resulting in Fetal Salvage.

    PubMed

    Pillai, Silja A; Mathew, Mariam; Ishrat, Noreen; Kakaria, Anupam; Qureshi, Asim; Vaidyanathan, Gowri

    2015-08-01

    Pregnancy in a rudimentary horn is very rare. The rupture of the horn during pregnancy is an obstetric emergency which can be life-threatening for both the mother and fetus. Preoperative diagnosis of such pregnancies can be challenging and they are usually diagnosed intraoperatively. We report a unique case of a 31-year-old multiparous woman who presented to the Sultan Qaboos University Hospital in Muscat, Oman, in January 2013 at 32 gestational weeks with abdominal pain. Ultrasonography was inconclusive. A rudimentary horn pregnancy was subsequently diagnosed via magnetic resonance imaging (MRI). An emergency laparotomy revealed haemoperitoneum and a ruptured rudimentary horn pregnancy. A live baby with an Apgar score of 2 at one minute and 7 at five minutes was delivered. The rudimentary horn with the placenta in situ was excised and a left salpingo-oophorectomy was performed. The postoperative period was uneventful. The authors recommend MRI as an excellent diagnostic modality to confirm rudimentary horn pregnancies and to expedite appropriate management. PMID:26357563

  9. [Ultrasound screening for abdominal aortic aneurysms - a rational measure to prevent sudden rupture].

    PubMed

    Torsello, Giovanni; Debus, Eike Sebastian; Schmitz-Rixen, Thomas; Grundmann, Reinhart Thomas

    2016-07-01

    The ruptured abdominal aortic aneurysm (AAA) has still a high hospital mortality rate of about 50 % (intervention and non-corrective treatment combined). With an easy non-invasive and inexpensive measure such as the ultrasound screening rupture threatened aneurysms can be recognized in time and then treated prophylactically, hemorrhagic shock can be avoided. Screening programs in England and Sweden currently describe an AAA prevalence of 1.5 % among screened 65-year-old males. With an absolute risk reduction for aneurysm-related death of 15.1 per 10,000 men invited for screening and a cost of £ 7,370 per quality-adjusted life year (QALY), screening for this target group is highly cost-effective. Comprehensive AAA screening requires defined criteria for the quality of the aortic ultrasound examination and for the surgical treatment of detected large AAA. These interventions should be concentrated in centers obligated to quality registry documentation. Patients with smaller AAA, requiring no repair, should be included in a surveillance program, also with registry of their long-term data. PMID:27404935

  10. Coupling a geodynamic seismic cycling model to rupture dynamic simulations

    NASA Astrophysics Data System (ADS)

    Gabriel, Alice; van Dinther, Ylona

    2014-05-01

    The relevance and results of dynamic rupture scenarios are implicitly linked to the geometry and pre-existing stress and strength state on a fault. The absolute stresses stored along faults during interseismic periods, are largely unquantifiable. They are, however, pivotal in defining coseismic rupture styles, near-field ground motion, and macroscopic source properties (Gabriel et al., 2012). Obtaining these in a physically consistent manner requires seismic cycling models, which directly couple long-term deformation processes (over 1000 year periods), the self-consistent development of faults, and the resulting dynamic ruptures. One promising approach to study seismic cycling enables both the generation of spontaneous fault geometries and the development of thermo-mechanically consistent fault stresses. This seismo-thermo-mechanical model has been developed using a methodology similar to that employed to study long-term lithospheric deformation (van Dinther et al., 2013a,b, using I2ELVIS of Gerya and Yuen, 2007). We will innovatively include the absolute stress and strength values along physically consistent evolving non-finite fault zones (regions of strain accumulation) from the geodynamic model into dynamic rupture simulations as an initial condition. The dynamic rupture simulations will be performed using SeisSol, an arbitrary high-order derivative Discontinuous Galerkin (ADER-DG) scheme (Pelties et al., 2012). The dynamic rupture models are able to incorporate the large degree of fault geometry complexity arising in naturally evolving geodynamic models. We focus on subduction zone settings with and without a splay fault. Due to the novelty of the coupling, we first focus on methodological challenges, e.g. the synchronization of both methods regarding the nucleation of events, the localization of fault planes, and the incorporation of similar frictional constitutive relations. We then study the importance of physically consistent fault stress, strength, and

  11. Effect of Environment on Stress-Rupture Behavior of a Carbon Fiber-Reinforced Silicon Carbide (C/SiC) Ceramic Matrix Composite

    NASA Technical Reports Server (NTRS)

    Verrilli, Michael J.; Opila, Elizabeth J.; Calomino, Anthony; Kiser, J. Douglas

    2002-01-01

    Stress-rupture tests were conducted in air, vacuum, and steam-containing environments to identify the failure modes and degradation mechanisms of a carbon fiber-reinforced silicon carbide (C/SiC) composite at two temperatures, 600 and 1200 C. Stress-rupture lives in air and steam containing environments (50 - 80% steam with argon) are similar for a composite stress of 69 MPa at 1200 C. Lives of specimens tested in a 20% steam/argon environment were about twice as long. For tests conducted at 600 C, composite life in 20% steam/argon was 20 times longer than life in air. Thermogravimetric analysis of the carbon fibers was conducted under similar conditions to the stress-rupture tests. The oxidation rate of the fibers in the various environments correlated with the composite stress-rupture lives. Examination of the failed specimens indicated that oxidation of the carbon fibers was the primary damage mode for specimens tested in air and steam environments at both temperatures.

  12. Spontaneous Heterotopic Triplet Pregnancy With Tubal Rupture

    PubMed Central

    Danso, Dennis

    2014-01-01

    The recent increase in heterotopic pregnancies has been largely attributed to the increased use of assisted reproduction technologies. We report the rare case of a multiparous woman with a spontaneous conception resulting in a triplet heterotopic pregnancy: a twin intrauterine pregnancy and a single right tubal ectopic pregnancy. Heterotopic pregnancy is a rare and potentially life-threatening condition in which simultaneous gestations occur at 2 or more implantation sites. It is infrequent in natural conception cycles, occurring in 1:30 000 pregnancies. However, the prevalence is rising with the increased use of assisted reproduction techniques to that of 1:100 to 1:500 in these patient subgroups, highlighting the need to incorporate it into a clinician’s diagnostic algorithm. PMID:26425603

  13. Rupture termination at restraining bends: The last great earthquake on the Altyn Tagh Fault

    NASA Astrophysics Data System (ADS)

    Elliott, Austin J.; Oskin, Michael E.; Liu-Zeng, Jing; Shao, Yanxiu

    2015-04-01

    Strike-slip rupture propagation falters where changes in fault strike increase Coulomb failure stress. Numerical models of this phenomenon offer predictions of rupture extent based on bend geometry, but have not been verified with field data. To test model predictions of rupture barriers, we examine rupture extent along a section of the sinistral Altyn Tagh Fault punctuated by three major double bends. We measure 3-8 m offsets and map >95 km of continuous scarps that define the most recent surface rupture. We document the eastern terminus of this rupture within the Aksay bend, where an undeformed Pleistocene alluvial fan we mapped and dated overlaps the fault. We conclude, based on this geomorphologic evidence, that multiple Holocene ruptures have stopped in the Aksay bend. Our field data validate model predictions of rupture termination at a >18° restraining bend and support use of geometric parameters to define expected earthquake sizes in seismic hazard models.

  14. A Reliable Way to Track Rupture Process of Earthquakes

    NASA Astrophysics Data System (ADS)

    Liu, Z.; Ge, Z.

    2014-12-01

    Compressive sensing (CS) is an algorithm which could find the solution to a sparse linear problem, which is physically consist with inversion problem of rupture process. Because relative to the whole fault plane, the seismic power radiation area is sparse in a specific moment during a great earthquake. CS method is used to invert the rupture process from teleseismic P wave data recorded by multiple seismic arrays with different azimuths and epicentral distances. Synthetic tests illustrate that, our method can suppress the artifacts caused by interference phases ( eg. PcP ) thus we can obtain a more reliable result than using the data from a single array. Moreover, the "swimming effect" in traditional back-projection method can be reduced due to the better azimuth coverage. Then the rupture process of the Mw7.9 earthquake in the Aleutian Islands, occurred at June 23, 2014 20:53 UTC is inverted. The results show that the rupture is along the subduction zone, which can be used to locate the primary fault plane combined with central moment tensor. In addition, where the released power concentrates in the earthquake is also given, which could help us determine which area is effected by the earthquake most heavily, thus the rescue operation can be effective. In conclusion, different from traditional beamforming method, CS can offer a high-resolution solution.

  15. Characterizing Earthquake Rupture Properties Using Peak High-Frequency Offset

    NASA Astrophysics Data System (ADS)

    Wen, L.; Meng, L.

    2014-12-01

    Teleseismic array back-projection (BP) of high frequency (~1Hz) seismic waves has been recently applied to image the aftershock sequence of the Tohoku-Oki earthquake. The BP method proves to be effective in capturing early aftershocks that are difficult to be detected due to the contamination of the mainshock coda wave. Furthermore, since the event detection is based on the identification of the local peaks in time series of the BP power, the resulting event location corresponds to the peak high-frequency energy rather than the hypocenter. In this work, we show that the comparison between the BP-determined catalog and conventional phase-picking catalog provides estimates of the spatial and temporal offset between the hypocenter and the peak high-frequency radiation. We propose to measure this peak high-frequency shift of global earthquakes between M4.0 to M7.0. We average the BP locations calibrated by multiple reference events to minimize the uncertainty due to the variation of 3D path effects. In our initial effort focusing on the foreshock and aftershock sequence of the 2014 Iquique earthquake, we find systematic shifts of the peak high-frequency energy towards the down-dip direction. We find that the amount of the shift is a good indication of rupture length, which scales with the earthquake magnitude. Further investigations of the peak high frequency offset may provide constraints on earthquake source properties such as rupture directivity, rupture duration, rupture speed, and stress drop.

  16. Progressive visual loss following rupture of an intracranial dermoid cyst.

    PubMed

    Skovrlj, Branko; Mascitelli, Justin R; Steinberger, Jeremy M; Weiss, Nirit

    2014-01-01

    A 51-year-old man with several months of headache and progressive visual decline was found to have bilateral optic disc pallor with significant impairment of visual acuity. Despite a thorough ophthalmologic evaluation, the cause of visual loss could not be elucidated. MRI of the brain revealed a lesion in the left anterior Sylvian fissure as well as disseminated foci of subarachnoid fat consistent with a diagnosis of a ruptured dermoid cyst. The decision for open surgical resection was chosen to minimize the risk of cyst re-rupture and further visual or neurologic decline. The diagnosis of dermoid cyst was confirmed at the time of surgery. Vasospasm-induced ischemia of the optic nerves, optic chiasm or bilateral optic tracts secondary to the inflammatory reaction following cyst rupture is the most likely mechanism of visual loss in this patient. To the authors' knowledge, this report represents the first reported case of visual loss secondary to rupture of an intracranial dermoid cyst not related to mass effect of the tumor on the optic apparatus, visual pathways or visual cortex. PMID:23896550

  17. Preterm Delivery in the Setting of Left Calyceal Rupture

    PubMed Central

    Hanson, Brent; Tabbarah, Rami

    2015-01-01

    Spontaneous rupture of the renal collecting system is a rare but serious complication of pregnancy. We report a case of nontraumatic left renal calyceal rupture in a pregnancy which ultimately progressed to preterm delivery. A 29-year-old primigravida with a remote history of urolithiasis presented with left flank pain, suprapubic pain, and signs of preterm labor at 33 weeks of gestation. The patient was believed to have urolithiasis, although initial renal ultrasound failed to demonstrate definitive calculi. After a temporary improvement in flank pain with medication, the patient experienced acute worsening of her left flank pain. Urology was consulted and further imaging was obtained. Magnetic resonance imaging (MRI) was consistent with bilateral hydronephrosis and rupture of the left renal calyx. Given the patient's worsening pain in the setting of left calyceal rupture, the urology team planned for placement of a left ureteral stent. However, before the patient could receive her stent, she progressed to active labor and delivered a viable female infant vaginally. Following delivery, the patient's flank pain resolved rapidly and spontaneously, so no surgical intervention was performed. A summary of the literature and the details of this specific clinical situation are provided. PMID:26483981

  18. Mechanics of shear rupture applied to earthquake zones

    NASA Technical Reports Server (NTRS)

    Li, Victor C.

    1986-01-01

    The mechanics of shear slippage and rupture in rock masses are reviewed. The essential ideas in fracture mechanics are summarized emphasizing the interpretation and relation among the fracture parameters in shear cracks. The slip-weakening model is described. The general formulation of the problem of nonuniform slip distribution in a continuum is covered.

  19. Percutaneous and Endovascular Embolization of Ruptured Hepatic Artery Aneurysm

    SciTech Connect

    Little, Andrew F.; Lee, Wai Kit

    2002-06-15

    A 72-year-old woman presented with an intraperitoneal hemorrhage from a ruptured intrahepatic arteryaneurysm, with an associated pseudoaneurysm developing a high-flow arteriovenous fistula. Persistent coagulopathy and a median arcuate ligament stenosis of the celiac axis further complicated endovascular management. Aneurysm thrombosis required percutaneous embolization with coils, a removable core guidewire and polyvinyl alcohol particles.

  20. Spontaneous postpartum rupture of an intact uterus: a case report.

    PubMed

    Mavromatidis, George; Karavas, George; Margioula-Siarkou, Chrysoula; Petousis, Stamatios; Kalogiannidis, Ioannis; Mamopoulos, Apostolos; Rousso, David

    2015-01-01

    Rupture of uterus is an obstetrical complication characterized by a breach in the uterine wall and the overlying serosa. We report an unusual case of spontaneous rupture of an unscarred uterus in a 33-year-old woman, a day after her third successful vaginal delivery. A 33-year-old pregnant woman, gravid 3, para 3, was referred to our department at 39 gestational week because of rupture of membranes. Despite tocolysis administration, her pregnancy was delivered vaginally after 2 days, giving birth to a male neonate of 3,020 g with normal Apgar scores at first and fifth minute. Her uterus was intact and gynecological examination after delivery was normal without any potential signs or symptoms of pathology. However, the day following her labor, patient complained of left iliac fossa pain. Her blood tests revealed a CRP value at 27.6 mg/L, whereas the X-rays revealed an extensive impacted fecal mass in the colon. MRI revealed that the left lower myometrial part of the uterus was depicted abrupt, with simultaneous presence of hemorrhagic stuff. The decision of laparotomy was therefore made in order to further evaluate rupture of uterus and properly treat patient. And subtotal hysterectomy was performed. Postoperative follow-up period was not characterized by any complications and patient was finally discharged 4 days after hysterectomy. PMID:25368704

  1. Transcatheter closure of ruptured sinus of valsalva to left ventricle

    PubMed Central

    Manuel, Devi A; Lahiri, Anandaroop; George, Oommen K

    2016-01-01

    We report a rare case of ruptured right sinus of valsalva into the left ventricle (LV). Transthoracic echocardiography showed a marked turbulent flow from the right aortic sinus to the LV. We describe a novel technique of closure of this defect with duct occluder, involving the formation of an arterio-arterial loop, without resorting to the usual arteriovenous loop. PMID:27011698

  2. Transcatheter closure of ruptured sinus of valsalva to left ventricle.

    PubMed

    Manuel, Devi A; Lahiri, Anandaroop; George, Oommen K

    2016-01-01

    We report a rare case of ruptured right sinus of valsalva into the left ventricle (LV). Transthoracic echocardiography showed a marked turbulent flow from the right aortic sinus to the LV. We describe a novel technique of closure of this defect with duct occluder, involving the formation of an arterio-arterial loop, without resorting to the usual arteriovenous loop. PMID:27011698

  3. Theory of time-dependent rupture in the Earth

    NASA Technical Reports Server (NTRS)

    Das, S.; Scholz, C. H.

    1980-01-01

    Fracture mechanics is used to develop a theory of earthquake mechanism which includes the phenomenon of subcritical crack growth. The following phenomena are predicted: slow earthquakes, multiple events, delayed multiple events (doublets), postseismic rupture growth and afterslip, foreshocks, and aftershocks. The theory predicts a nucleation stage prior to an earthquake, and suggests a physical mechanism by which one earthquake may 'trigger' another.

  4. Probing voltage induced bond rupture in a molecular junction

    NASA Astrophysics Data System (ADS)

    Li, Haixing; Su, Timothy; Kim, Nathaniel; Darancet, Pierre; Leighton, James; Steigerwald, Michael; Nuckolls, Colin; Venkataraman, Latha

    We use scanning tunneling microscope break junction to study electric field breakdown at the single molecule level. We investigate breakdown phenomena in atomic chains composed of Si--Si, Si--O, Si--C, Ge--Ge and C--C bonds that are commonly found in the low- κ dielectric material. We see different bond rupture behaviors in a range of molecular backbones, and use the results from a statistically large number of measurements to determine which bond breaks. We find that Si--Si and Ge--Ge bonds rupture above a 1V bias. We also find that the Si--C bond is more robust than Si--O or Si--Si bond at above 1V. Finally, we illustrate how an additional conductance pathway in parallel to the Si--Si bond changes bond rupture behavior under an electric field. We carry out ab initio calculations on these systems and demonstrate that the mechanism for bond rupture under electric field involves ``heating'' of the molecule through electron-vibrational mode coupling. Haixing Li is supported by Semiconductor Research Corporation and New York CAIST program. We thank the NSF for the support of these studies under Grant No. CHE-1404922.

  5. Isolated splenic peliosis with spontaneous rupture after a viperine bite.

    PubMed

    Lal, Anupam; Singhal, Manphool; Sharma, Navneet; Bhalla, Ashish; Khandelwal, Niranjan

    2014-02-01

    Isolated splenic peliosis is an extremely uncommon condition that can present with atraumatic rupture and potential fatal outcome. We here report 1 such case that developed after a viperine bite in a 21-year-old woman. The case highlights the diagnostic findings on computed tomographic (CT) scan and its potential complications. PMID:24286667

  6. Earthquake rupturing as a mineralizing agent in hydrothermal systems

    NASA Astrophysics Data System (ADS)

    Sibson, Richard H.

    1987-08-01

    Much fault-hosted epithermal mineralization is localized in dilational jogs between en echelon fault segments, as fissure veins or as hydrothermally cemented, high-dilation wall-rock breccias. Jog widths may range from millimetres to kilometres; vein textures record histories of incremental development. Perturbation or arrest of earthquake ruptures at dilational jogs has been observed and is believed to involve extensional fracturing at the rupture tip, locally reducing fluid pressure and inducing suctions opposing rapid slip transfer across the jog. This forced fissuring leads to brecciation by hydraulic implosion and to a concentrated fluid influx, allowing delayed slip transfer accompanied by aftershock activity. Within the southern San Andreas fault system, major dilational jogs extend throughout the seismogenic regime and form loci for magmatic-hydrothermal systems; they act as vertical pipelike conduits for enhanced fluid flow. Rupture termination at these structures has sometimes been followed by hydrothermal eruptions, suggesting that high-level boiling events are triggered by the arrest mechanism. It thus seems probable that episodic mineral deposition in the top 1 2 km of such jogs is induced by the dynamic effects of rupturing on the flanking strike-slip faults.

  7. A rare knee extensor mechanism injury: Vastus intermedius tendon rupture

    PubMed Central

    Cetinkaya, Engin; Aydin, Canan Gonen; Akman, Yunus Emre; Gul, Murat; Arikan, Yavuz; Aycan, Osman Emre; Kabukcuoglu, Yavuz Selim

    2015-01-01

    Introduction Quadriceps tendon injuries are rare. There is a limited number of studies in the literature, reporting partial quadriceps tendon ruptures. We did not find any study reporting an isolated vastus intermedius tendon injury in the literature. Presentation of case A 22 years old professional rugby player with the complaints of pain in the right lower limb, decreased range of motion in right knee and a mass in the mid-anterior of the right thigh applied following an overloading on his hyperflexed knee during a rugby match. T2 sequence magnetic resonance images revealed discontinuity in the vastus intermedius tendon and intramuscular hematoma. The patient has been conservatively treated. Discussion Quadriceps tendon ruptures generally occur after the 4th decade in the presence of degenerative changes. Our case is a young professional rugby player. Isolated vastus intermedius tendon rupture is unusual. Conservative treatment is performed as the intermedius tendon is in the deepest layer of the quadriceps muscle. Conclusion We report the first case of isolated rupture of the vastus intermedius tendon in the literature and we claim that disorder may be succesfully treated with conservative treatment and adequate physiotheraphy. PMID:26298093

  8. Rupture Loop Annex (RLA) ion exchange vault entry and characterization

    SciTech Connect

    Ham, J.E.

    1996-01-04

    This engineering report documents the entry and characterization of the Rupture Loop Annex Ion Exchange (RLAIX) Vault located near the 309 Building`s Plutonium Recycle Test Reactor (PRTR). Twelve ion exchange columns were found in the vault. Some of which contained transuranics, Cs 137, and Co 60. The characterization information is necessary for future vault cleanout and column disposal.

  9. Ruptured Liver Abscess in Neonates: Report of Two Cases

    PubMed Central

    Khan, Niyaz Ahmed; Choudhury, SR; Jhanwar, Praveen

    2016-01-01

    Neonatal hepatic abscess is a rare disease seen mainly in preterm following umbilical catheterisation. Liver abscess in term neonates without any predisposing factor is still rarer and only few cases have been reported in the literature. Here we report two cases of liver abscess in term neonates presenting with abdominal mass due to rupture. PMID:27433449

  10. Axial creep-rupture time of boron-aluminum composites

    SciTech Connect

    Goda, Koichi; Hamada, Jun`ichi

    1995-11-01

    Axial creep tests of a 10vol% boron-aluminum hotpressed monolayer composite were carried out under several constant loads at 300 C in air. The composite behaved with slight primary creep, but did not show appreciable secondary creep. Several specimens encountered a momentary increase of strain during the creep test which separated the creep curve into two regions, because of the individual fiber breaks in the composite. And then, almost all the specimens suddenly fractured without tertiary creep. From the viewpoint of reliability engineering the statistical properties of the creep-rupture time were investigated. The average creep-rupture time decreased with an increase in the applied stress, and the relatively large coefficient of variation was estimated in every case, being around 1,000%. However, these scatters were estimated to be smaller than the scatter of creep-rupture time in the boron fiber itself. That means, the reliability of the fiber`s creep-rupture time is improved by compositing with matrix material.

  11. Tibiofibular screw fixation for syndesmotic ruptures: a biomechanical analysis.

    PubMed

    Stein, G; Eichler, C; Ettmann, L; Koebke, J; Müller, L P; Thelen, U; Skouras, E

    2012-09-01

    The mechanisms of injuries to the tibiofibular syndesmosis include isolated rupture and rupture in combination with ankle fractures. Current concepts of surgical treatment are fixation using bioabsorbable screws, syndesmotic stapling, syndesmotic hooks, and the widely used screw fixation. Postoperative care utilises passive motion of the ankle joint either with or without axial weight-bearing. The aim of our investigation was to quantify the motion of the mortise during axial load. Therefore, photoelastic tests, on the one hand, and biomechanical tests of cadaveric specimens, on the other, using axial loads of up to 2,000 N were used. Our photoelastic investigations showed force distribution through the screw into the cranial and caudal parts of the distal fibula. Biomechanical testing showed a progressive dehiscence in both ruptured and fixated specimens up to 2.89 (ruptured) and 2.42 mm (despite screw). Our findings strongly suggest a concept of partial weight-bearing at most to support regeneration of scar tissue and to prevent the appearance of instability in the ankle joint. PMID:22415030

  12. Spontaneous Rupture of Splenic Hemangioma in a Neonate

    PubMed Central

    Martinez-Leo, Bruno; Vidal-Medina, Jorge; Cervantes-Ledezma, Jesús; Díaz De León-Rivera, Arid; Díaz-Velasco, Edith

    2016-01-01

    Spleen vascular tumors such as hemangiomas, albeit rare, can present during neonatal period with unexplained circulatory shock. We present a case of a newborn with refractory hypovolemic shock and acute abdomen that underwent emergency splenectomy due to spontaneous rupture of a splenic hemangioma. PMID:27433454

  13. Complex rupture during the 12 January 2010 Haiti earthquake

    USGS Publications Warehouse

    Hayes, G.P.; Briggs, R.W.; Sladen, A.; Fielding, E.J.; Prentice, C.; Hudnut, K.; Mann, P.; Taylor, F.W.; Crone, A.J.; Gold, R.; Ito, T.; Simons, M.

    2010-01-01

    Initially, the devastating Mw 7.0, 12 January 2010 Haiti earthquake seemed to involve straightforward accommodation of oblique relative motion between the Caribbean and North American plates along the Enriquillog-Plantain Garden fault zone. Here, we combine seismological observations, geologic field data and space geodetic measurements to show that, instead, the rupture process may have involved slip on multiple faults. Primary surface deformation was driven by rupture on blind thrust faults with only minor, deep, lateral slip along or near the main Enriquillog-Plantain Garden fault zone; thus the event only partially relieved centuries of accumulated left-lateral strain on a small part of the plate-boundary system. Together with the predominance of shallow off-fault thrusting, the lack of surface deformation implies that remaining shallow shear strain will be released in future surface-rupturing earthquakes on the Enriquillog-Plantain Garden fault zone, as occurred in inferred Holocene and probable historic events. We suggest that the geological signature of this earthquakeg-broad warping and coastal deformation rather than surface rupture along the main fault zoneg-will not be easily recognized by standard palaeoseismic studies. We conclude that similarly complex earthquakes in tectonic environments that accommodate both translation and convergenceg-such as the San Andreas fault through the Transverse Ranges of Californiag-may be missing from the prehistoric earthquake record. ?? 2010 Macmillan Publishers Limited. All rights reserved.

  14. Characterization of earthquake rupture characteristics using hydroacoustic data

    NASA Astrophysics Data System (ADS)

    de Groot-Hedlin, C.

    2006-12-01

    Hydroacoustic signals (T-waves) generated by the 2004 Great Sumatra earthquake were recorded by a network of 5 small hydroacoustic arrays located in the Indian Ocean at distances of 2800 to 7000 km from the epicenter. The array configurations allow for accurate determination of the receiver to source azimuth given coherent arrivals. Analysis of a series of short time windows within the T-wave coda shows that the receiver to source azimuth varies smoothly as a function of time, suggesting a non-stationary T-wave source. The data indicate that the rupture proceeded in two distinct phases; initially it progressed northwest at approximately 2.4 km/s along the Sunda trench. At 600km from the epicenter the rupture slowed to approximately 1.5 km/s. However, T-waves generated by small earthquakes are also generated over a wide range of azimuths, reflecting seismic to acoustic over a broad expanse of the seafloor. Although the azimuthal variations for the great Sumatra event are shown to be inconsistent with a small-scale source, it is difficult in general to distinguish between azimuthal variations associated with the physics of T-wave excitation and those associated with an extended rupture zone. A method of determining rupture length based on the apparent motion of the T-wave source location is presented here and applied to several events, including the Great Sumatra earthquake of Dec 26, 2004 and the magnitude 8.6 event of March 28, 2005.

  15. Anthrax toxin-induced rupture of artificial lipid bilayer membranes.

    PubMed

    Nablo, Brian J; Panchal, Rekha G; Bavari, Sina; Nguyen, Tam L; Gussio, Rick; Ribot, Wil; Friedlander, Art; Chabot, Donald; Reiner, Joseph E; Robertson, Joseph W F; Balijepalli, Arvind; Halverson, Kelly M; Kasianowicz, John J

    2013-08-14

    We demonstrate experimentally that anthrax toxin complexes rupture artificial lipid bilayer membranes when isolated from the blood of infected animals. When the solution pH is temporally acidified to mimic that process in endosomes, recombinant anthrax toxin forms an irreversibly bound complex, which also destabilizes membranes. The results suggest an alternative mechanism for the translocation of anthrax toxin into the cytoplasm. PMID:23947891

  16. PROTOTYPE SYSTEM FOR PLUGGING LEAKS IN RUPTURED CONTAINERS

    EPA Science Inventory

    A development program was performed successfully to develop and test a prototype system for temporarily stopping the flow of hazardous materials spilling on land or underwater from ruptured or damaged containers. The prototype system is portable, integrated, and field-operable by...

  17. Can release of urinary retention trigger abdominal aortic aneurysm rupture?

    PubMed Central

    Luhmann, Andreas; Powell-Bowns, Matilda; Elseedawy, Emad

    2013-01-01

    Only 50% of abdominal aortic aneurysms present with the classic triad of hypotension, back pain and a pulsatile abdominal mass. This variability in symptoms can delay diagnosis and treatment. We present the case of a patient presenting with a unique combination of symptoms suggesting that decompression of urinary retention can lead to abdominal aortic aneurysm rupture. PMID:24964430

  18. Anthrax toxin-induced rupture of artificial lipid bilayer membranes

    NASA Astrophysics Data System (ADS)

    Nablo, Brian J.; Panchal, Rekha G.; Bavari, Sina; Nguyen, Tam L.; Gussio, Rick; Ribot, Wil; Friedlander, Art; Chabot, Donald; Reiner, Joseph E.; Robertson, Joseph W. F.; Balijepalli, Arvind; Halverson, Kelly M.; Kasianowicz, John J.

    2013-08-01

    We demonstrate experimentally that anthrax toxin complexes rupture artificial lipid bilayer membranes when isolated from the blood of infected animals. When the solution pH is temporally acidified to mimic that process in endosomes, recombinant anthrax toxin forms an irreversibly bound complex, which also destabilizes membranes. The results suggest an alternative mechanism for the translocation of anthrax toxin into the cytoplasm.

  19. [Sudden deaths due to non-traumatic aortic aneurysms rupture].

    PubMed

    Bury, Anna; Meissner, Ewa; Szram, Stefan; Berent, Jarosław

    2011-01-01

    In this work we review two cases of ruptured aortic aneurysms which arose from congenital abnormalities of the aortic wall structure. In the first case, a 16-year old, previously untreated boy died, with no previous symptoms of an aortic aneurysm. The boy was suspected of taking drugs and even of committing suicide. A young couple found the boy's body in the wood close to the bus stop. There were no signs of violence on the corpse and the body was fully and properly dressed. The autopsy revealed enlarged (true aneurysm) and ruptured ascending aorta with about 700 ml of blood in the pericardial sac. Toxicological examination was negative. Histopathology showed abnormalities in the structure of the wall of aorta in the place of the rupture. All other body organs and vessels seemed to be normal and properly developed except the thoracic aorta, and no other morphologic abnormalities were present. In the second case, the corpse of a 30-year-old man was found in his apartment (he lived with his parents). The parents claimed he did not use drugs or alcohol. The autopsy, as in the previous case, revealed a ruptured true aneurysm of the ascending aorta with 370 g of blood in the pericardial sac. The concaved thoracic cavity was also observed. After the autopsy, the man's parents reported that in childhood, their son was diagnosed to suffer from Marfan syndrome. PMID:22715682

  20. Massive Pellet and Rupture Disk Testing for Disruption Mitigation Applications

    SciTech Connect

    Combs, Stephen Kirk; Meitner, Steven J; Baylor, Larry R; Caughman, John B; Commaux, Nicolas JC; Fehling, Dan T; Foust, Charles R; Jernigan, Thomas C; McGill, James M; Parks, P. B.; Rasmussen, David A

    2009-01-01

    Injection of massive quantities of noble gases or D2 has proven to be effective at mitigating some of the deleterious effects of disruptions in tokamaks. Two alternative methods that might offer some advantages over the present technique for massive gas injection are shattering massive pellets and employing close-coupled rupture disks. Laboratory testing has been carried out to evaluate their feasibility. For the study of massive pellets, a pipe gun pellet injector cooled with a cryogenic refrigerator was fitted with a relatively large barrel (16.5 mm bore), and D2 and Ne pellets were made and were accelerated to speeds of ~600 and 300 m/s, respectively. Based on the successful proof-of-principle testing with the injector and a special double-impact target to shatter pellets, a similar system has been prepared and installed on DIII-D and should be ready for experiments later this year. To study the applicability of rupture disks for disruption mitigation, a simple test apparatus was assembled in the lab. Commercially available rupture disks of 1 in. nominal diameter were tested at conditions relevant for the application on tokamaks, including tests with Ar and He gases and rupture pressures of ~54 bar. Some technical and practical issues of implementing this technique on a tokamak are discussed.

  1. Ruptured saphenous vein graft pseudoaneurysm successfully treated with covered stents.

    PubMed

    Yonezu, Keisuke; Funayama, Hiroshi; Katayama, Takuji; Yamaguchi, Atsushi; Ako, Junya; Momomura, Shin-Ichi

    2016-04-01

    Saphenous vein graft (SVG) pseudoaneurysms are rare complications following coronary bypass graft surgery. A 46-year-old man presented with streptococcal infectious endocarditis and needed sequential operations for aortic root reconstruction. Shortly after the surgeries, a composite SVG on the right coronary artery developed a ruptured pseudoaneurysm, which was successfully treated using covered stents. PMID:25917780

  2. Traumatic ruptured globe eye injuries in a large urban center

    PubMed Central

    Burstein, Eitan S; Lazzaro, Douglas R

    2013-01-01

    Background The purpose of this study was to examine patient characteristics and outcomes in a group of consecutive patients with ruptured globe eye injuries at Kings County Hospital Center, a large, urban, level 1 trauma center. Methods A retrospective chart review was performed to identify all patients with ruptured globe eye injuries seen between January 2009 and October 2011. Thirty-eight patients who sustained ruptured globe eye injuries from all causes were investigated for etiology and final visual outcomes Results Eight eyes in which vision could be assessed were evaluated as having no light perception at presentation and three of these eyes required primary enucleation. Of the 38 eyes, orbit fractures were found in 15 eyes and an intraocular foreign body was found in six eyes. Discussion Our cohort revealed a 37.5% rate of primary enucleation in eyes with no light perception, which we believe to be a reflection of the severity of injury. All three cases were secondary to a gunshot wound. Further, our sample, although small in size, revealed a very high percentage of eyes that were ruptured secondary to violent causes compared with other studies. PMID:23493627

  3. [Proximal and distal ruptures of the biceps brachii tendon].

    PubMed

    Klonz, A; Loitz, D; Reilmann, H

    2003-09-01

    Proximal ruptures. Ruptures of the long head of the M. biceps humeri are commonly caused by degenerative changes within the tendon. Non-operative treatment gives good results, the loss of power regarding elbow flexion and supination amounts to only 8-21%. Refixation may be indicated for cosmetic reasons and offers a small but evident improvement of flexion and supination power. Deformity of the slipped muscle can be corrected effectively. Residual complaints after conservative treatment often result from associated subacromial problems. Distal ruptures. Ruptures of the distal tendon should be treated operatively. The loss of power after conservative treatment is evident (30-40% for flexion, >50% for supination). Extra-anatomical tenodesis to the brachialis muscle or anatomical fixation to the radial tuberosity can be applied. Flexion power and cosmesis can be addressed by both techniques. If supination strength is to be restored, the tendon has to be fixed anatomically. Preparation of the tuberosity bears the risk of heterotopic ossification or nerve damage. Mini-open techniques, using only a limited anterior approach, may decrease risks. PMID:14959750

  4. Analyzing Single-Event Gate Ruptures In Power MOSFET's

    NASA Technical Reports Server (NTRS)

    Zoutendyk, John A.

    1993-01-01

    Susceptibilities of power metal-oxide/semiconductor field-effect transistors (MOSFET's) to single-event gate ruptures analyzed by exposing devices to beams of energetic bromine ions while applying appropriate bias voltages to source, gate, and drain terminals and measuring current flowing into or out of each terminal.

  5. New finding in the radiographic diagnosis of Achilles tendon rupture

    SciTech Connect

    Newmark, H.; Mellon, W.S. Jr.; Malhotra, A.K.; Olken, S.M.; Halls, J.

    1982-06-01

    The authors describe a new radiographic sign of rupture of the Achilles tendon system. It is a fracture, with separation through an osteophyte at the insertion of this tendon. Previously reported signs are also discussed as well as the present case report.

  6. Slip compensation at fault damage zones along earthquake surface ruptures

    NASA Astrophysics Data System (ADS)

    Choi, J.; Kim, Y.

    2013-12-01

    Surface ruptures associated with earthquake faulting commonly comprise a number of segments, and the discontinuities form tip and linking damage zones, which are deformed regions consisting of secondary features. Stress transferring or releasing, when seismic waves pass through the discontinuities, could produce different slip features depending on rupture propagation or termination. Thus, slip patterns at fault damage zones can be one of the key factors to understand fault kinematics, fault evolution and, hence, earthquake hazard. In some previous studies (e.g. Peacock and Sanderson, 1991; Kim and Sanderson, 2005), slip distribution along faults to understand the connectivity or maturity of segmented faults system have commonly been analyzed based on only the main slip components (dip-slip or strike-slip). Secondary slip components, however, are sometimes dominant at fault damage zones, such as linkage and tip zones. In this study, therefore, we examine slip changes between both main and secondary slip components along unilaterally propagated coseismic strike-slip ruptures. Horizontal and vertical components of slip and the slip compensation patterns at tip and linking damage zones are various from slip deficit (decrease in both slip components) through slip compensation (increase of vertical slip with horizontal slip decrease) to slip neutral. Front and back tip zones, which are classified depending on main propagation direction of earthquake ruptures, show different slip patterns; slip compensation is observed at the frontal tip whilst slip deficit occurs at the back tip zone. Average values of the two slip components and their compensative patterns at linking damage zones are closely related with the ratio of length to width (L/W) of linkage geometry; the horizontal slip is proportional to the ratio of L/W, whilst the vertical slip shows little dependence on the value L/W. When the L/W is greater than ~2, average values of two slip components are almost similar

  7. Kinematic Seismic Rupture Parameters from a Doppler Analysis

    NASA Astrophysics Data System (ADS)

    Caldeira, Bento; Bezzeghoud, Mourad; Borges, José F.

    2010-05-01

    The radiation emitted from extended seismic sources, mainly when the rupture spreads in preferred directions, presents spectral deviations as a function of the observation location. This aspect, unobserved to point sources, and named as directivity, are manifested by an increase in the frequency and amplitude of seismic waves when the rupture occurs in the direction of the seismic station and a decrease in the frequency and amplitude if it occurs in the opposite direction. The model of directivity that supports the method is a Doppler analysis based on a kinematic source model of rupture and wave propagation through a structural medium with spherical symmetry [1]. A unilateral rupture can be viewed as a sequence of shocks produced along certain paths on the fault. According this model, the seismic record at any point on the Earth's surface contains a signature of the rupture process that originated the recorded waveform. Calculating the rupture direction and velocity by a general Doppler equation, - the goal of this work - using a dataset of common time-delays read from waveforms recorded at different distances around the epicenter, requires the normalization of measures to a standard value of slowness. This normalization involves a non-linear inversion that we solve numerically using an iterative least-squares approach. The evaluation of the performance of this technique was done through a set of synthetic and real applications. We present the application of the method at four real case studies, the following earthquakes: Arequipa, Peru (Mw = 8.4, June 23, 2001); Denali, AK, USA (Mw = 7.8; November 3, 2002); Zemmouri-Boumerdes, Algeria (Mw = 6.8, May 21, 2003); and Sumatra, Indonesia (Mw = 9.3, December 26, 2004). The results obtained from the dataset of the four earthquakes agreed, in general, with the values presented by other authors using different methods and data. [1] Caldeira B., Bezzeghoud M, Borges JF, 2009; DIRDOP: a directivity approach to determining

  8. Silent rupture of unscarred uterus: an unusual presentation at second trimester abortion.

    PubMed

    Malhotra, Neena; Chanana, Charu

    2007-04-01

    Rupture of unscarred uterus during the second trimester is rare. A case of ruptured uterus in a multiparous woman is presented. To our knowledge, this might be the first reported case in the English literature of uterine rupture during second trimester termination of pregnancy using ethacridine lactate. This case is also rare as uterine rupture is presented with an insidious course rather than acute, thus delaying the diagnosis. PMID:16957913

  9. Improved Data Set for the Frequency of Gaps and Steps in Ground Ruptures

    NASA Astrophysics Data System (ADS)

    Biasi, G. P.; Wesnousky, S. G.; Morelan, A. E., III

    2014-12-01

    Observations of actual ground ruptures from moderate and large earthquakes show a wide range of behaviors, including fault-to-fault jumps, branching topologies, and rupture traces with multi-kilometer gaps between them. Seismic hazard assessments have responded to these observations by including increasingly sophisticated scenarios of possible ruptures in their earthquake rate forecasts. The largest of these to date has been the Uniform California Earthquake Forecast 3 (UCERF3), which explicitly included ruptures with fault-to-fault jumps in its rupture rate estimates. High-level site-specific seismic source characterizations such as for the Diablo Canyon Power Plant have also begun including complicated rupture geometries. Systematic collection of observations from ground rupturing earthquakes provide one way to evaluate these seismic source models. We have expanded an initial collection by Wesnousky (2008) with events post-dating that collection and events for which new information is available. New events increase the strike-slip and normal event set by 50% and reverse events by 35%. New data allow us to revise previous estimates for strike-slip rupture of the probability that a step of 1 km or more in width will arrest rupture. Observationally, 65% of strike-slip ruptures include at least one step of 1 km or greater. The number of steps through which ruptures are observed to rupture through can be modeled by a geometric distribution in which steps are crossed about 59% of the time. Steps are slightly more effective at arresting rupture in normal and reverse faulting cases, being crossed 56% and 50%, respectively. New events were also systematically examined for gaps in the mapped rupture trace. We find gaps of 1 km or more in about half of the ruptures of the new event set. These empirical data will compliment new research into rupture propagation across gaps, exemplified by the 2010 El Mayor Cucapah earthquake, which included a gap measured variously at 7 or

  10. Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre's experience

    PubMed Central

    Henzel, Jan; Dzielińska, Zofia; Lubiszewska, Barbara M.; Michałowska, Ilona; Szymański, Piotr; Pracoń, Radosław; Hryniewiecki, Tomasz; Demkow, Marcin

    2016-01-01

    Introduction The placement of a Swan-Ganz catheter into the pulmonary artery may lead to a number of complications (2–17%). In less than 0.2% of cases Swan-Ganz catheterization results in serious vascular damage – pulmonary artery rupture (PAR). This paper presents two distinct forms of iatrogenic PAR treated endovascularly using different vascular devices. Aim To evaluate the effectiveness of endovascular treatment and the application of different types of vascular devices in the management of pulmonary artery rupture caused by Swan-Ganz catheterization. Material and methods In this retrospective study we evaluated 2 patients in whom Swan-Ganz catheter application was used for perioperative monitoring and resulted in pulmonary artery rupture. This complication was treated endovascularly by means of interventional cardiology. Results We report the cases of 2 patients with a pulmonary artery pseudoaneurysm formed in the perioperative period. In case 1, a single, 4-loop, 3 mm diameter coil was implanted. In case 2, a 5 mm Amplatzer Vascular Plug IV was applied. In both cases, the endovascular approach resulted in total occlusion of the feeding artery and reduced further extravasation of the blood. Conclusions Despite its extremely low incidence, iatrogenic PAR is a serious, life-threatening complication of Swan-Ganz catheterization that requires urgent attention. Among available methods of treatment, percutaneous embolization is a relatively quick, safe, accurate and highly effective alternative to traumatizing surgery. PMID:27279873

  11. [Extracorporeal lung support and endovascular stent in traumatic aortic rupture and severe lung failure].

    PubMed

    Schmid, F X; Philipp, A; Faltermeier, H; Schädinger, U; Link, J; Birnbaum, D

    2002-07-01

    Blunt thoracic injury in association with aortic rupture represents a life-threatening situation. Surgical repair used to be the preferred method of treatment. Because most patients are multiple trauma patients including head injuries, bone fractures and respiratory failure, urgent surgical procedures portend excessively high morbidity and mortality rates. Delay in operative management bears the risk of exsanguinating hemorrhage, secondary complications, prolonged hospital stay with increased costs. We present here an alternative treatment protocol including pumpless extracorporal lung assist and endovascular aortic stent graft placement in a 20-year old traffic accident victim. This procedure may be an especially useful treatment option in managing patients with complex lung and aortic pathology primarily not suitable for transportation or surgery. PMID:12219652

  12. Endovascular treatment for ruptured distal anterior inferior cerebellar artery aneurysm -case report-.

    PubMed

    Ishii, Daizo; Takechi, Akihiko; Shinagawa, Katsuhiro; Sogabe, Takashi

    2010-01-01

    A 73-year-old woman presented with subarachnoid hemorrhage caused by a ruptured left distal anterior inferior cerebellar artery (AICA) aneurysm. Computed tomography showed a thin subarachnoid hemorrhage in the ambient cistern, and digital subtraction angiography revealed an aneurysm arising from the lateral branch of the left AICA, which was separate from the meatal loop. Endovascular treatment was performed to achieve parent artery occlusion using two Guglielmi detachable coils. Postoperatively, the patient had no complications except for left hearing disturbance, and she was independent in daily life. Endovascular parent artery occlusion for distal AICA aneurysm, especially distal from the meatal loop, can avoid sacrificing the internal auditory artery if the lateral branch of the AICA could be occluded more distally from the meatal loop. Sufficient collateral circulation prevents major infarction, and this strategy may be the first-line treatment choice. PMID:20505296

  13. Surgical management of acute distal biceps tendon rupture associated with contralateral radial palsy

    PubMed Central

    Ennaciri, Badr; Beaudouin, Emmanuel; Mahfoud, Mustapha; Berrada, Mohamed Saleh; Montbarbon, Eric

    2015-01-01

    Acute distal biceps tendon rupture constitute a rare lesion of biceps injuries, typically, easy to diagnosis after lifting a heavy object. Treatment is controversial, nonoperative for sedentary and elderly patients; surgical for young and active individuals. Many operative techniques are described, they all aim to restore an excellent strength of flexion and supination. We opted for one-incision method and fixation using trans-osseous anchoring for our patient, because we are convinced that is a simpler and safer technique. Postoperative rehabilitation, after a period of elbow immobilization, must be operated for returning to full activity. Biceps tendon repair has permitted to our patient who suffer from right upper limb handicap due to radial nerve palsy, recuperating the lost strength and force in his dominant limb and maintaining some quality of life. PMID:26958121

  14. [Right Atrial Rupture due to Blunt Trauma;Report of a Case].

    PubMed

    Nishi, Toshihiko; Tamenishi, Akinori; Niimi, Takao; Okamoto, Hiroshi

    2015-07-01

    The survival rate of cardiac rupture due to blunt trauma is generally low. We report a case of surgical treatment of blunt cardiac trauma. A 55-year-old man was admitted to our hospital for blunt trauma due to a car accident. His hemodynamics was compromised due to cardiac tamponade. The patient underwent pericardial drainage by small subxiphoid incision. Although about 400 ml of blood was evacuated, hemorrhage was still continuing. After full sternotomy, we found a 3 mm tear in the right atrial appendage and sutured it easily without cardiopulmonary bypass. The patient recovered uneventfully and was discharged on the 10th postoperative day. He is now leading a normal life. PMID:26197827

  15. Risk of cerebral arteriovenous malformation rupture during pregnancy and puerperium

    PubMed Central

    Wang, Shuo; Zhao, Yuan-li; Teo, Mario; Guo, Peng; Zhang, Dong; Wang, Rong; Cao, Yong; Ye, Xun; Kang, Shuai

    2014-01-01

    Objective: To determine whether the risk of arteriovenous malformation (AVM) rupture is increased during pregnancy and puerperium. Methods: Participants included 979 female patients with intracranial AVM admitted to Beijing Tiantan Hospital between 1960 and 2010. Two neurosurgery residents reviewed medical records for each case. Of them, 393 patients with ruptured AVM between 18 and 40 years of age were used for case-crossover analysis. Number of children born and clinical information during pregnancy and puerperium were retrieved to identify whether AVM rupture occurred during this period. Results: Of the 979 women, 797 hemorrhages occurred during 25,578 patient-years of follow-up, yielding an annual hemorrhage rate of 3.11%. The annual AVM hemorrhage rate in patients aged 18 to 40 years (n = 579) was 2.78%, lower than the rate in other age groups (odds ratio = 0.75, 95% confidence interval 0.65–0.86, p < 0.05). Of the 393 patients with rupture of AVM aged 18 to 40 years, 12 hemorrhages occurred in 12 patients over 452 pregnancies, yielding a hemorrhage rate of 2.65% per pregnancy or 3.32% per year. Among the remaining 381 patients, 441 hemorrhages occurred during 10,627 patient-years of follow-up, yielding an annual hemorrhage rate of 4.14%. The odds ratio for rupture of AVM during pregnancy and puerperium, compared with the control period, was 0.71 (95% confidence interval 0.61–0.82). Conclusions: No increased risk of hemorrhage was found in patients with cerebral AVM during pregnancy and the puerperium. We therefore would not advise against pregnancy in women with intracranial AVM. PMID:24759847

  16. Graphene mechanics: II. Atomic stress distribution during indentation until rupture.

    PubMed

    Costescu, Bogdan I; Gräter, Frauke

    2014-06-28

    Previous Atomic Force Microscopy (AFM) experiments found single layers of defect-free graphene to rupture at unexpectedly high loads in the micronewton range. Using molecular dynamics simulations, we modeled an AFM spherical tip pressing on a circular graphene sheet and studied the stress distribution during the indentation process until rupture. We found the graphene rupture force to have no dependency on the sheet size and a very weak dependency on the indenter velocity, allowing a direct comparison to experiment. The deformation showed a non-linear elastic behavior, with a two-dimensional elastic modulus in good agreement with previous experimental and computational studies. In line with theoretical predictions for linearly elastic sheets, rupture forces of non-linearly elastic graphene are proportional to the tip radius. However, as a deviation from the theory, the atomic stress concentrates under the indenter tip more strongly than predicted and causes a high probability of bond breaking only in this area. In turn, stress levels decrease rapidly towards the edge of the sheet, most of which thus only serves the role of mechanical support for the region under the indenter. As a consequence, the high ratio between graphene sheets and sphere radii, hitherto supposed to be necessary for reliable deformation and rupture studies, could be reduced to a factor of only 5-10 without affecting the outcome. Our study suggests time-resolved analysis of forces at the atomic level as a valuable tool to predict and interpret the nano-scale response of stressed materials beyond graphene. PMID:24834440

  17. 3-D dynamic rupture simulations by a finite volume method

    NASA Astrophysics Data System (ADS)

    Benjemaa, M.; Glinsky-Olivier, N.; Cruz-Atienza, V. M.; Virieux, J.

    2009-07-01

    Dynamic rupture of a 3-D spontaneous crack of arbitrary shape is investigated using a finite volume (FV) approach. The full domain is decomposed in tetrahedra whereas the surface, on which the rupture takes place, is discretized with triangles that are faces of tetrahedra. First of all, the elastodynamic equations are described into a pseudo-conservative form for an easy application of the FV discretization. Explicit boundary conditions are given using criteria based on the conservation of discrete energy through the crack surface. Using a stress-threshold criterion, these conditions specify fluxes through those triangles that have suffered rupture. On these broken surfaces, stress follows a linear slip-weakening law, although other friction laws can be implemented. For The Problem Version 3 of the dynamic-rupture code verification exercise conducted by the SCEC/USGS, numerical solutions on a planar fault exhibit a very high convergence rate and are in good agreement with the reference one provided by a finite difference (FD) technique. For a non-planar fault of parabolic shape, numerical solutions agree satisfactorily well with those obtained with a semi-analytical boundary integral method in terms of shear stress amplitudes, stopping phases arrival times and stress overshoots. Differences between solutions are attributed to the low-order interpolation of the FV approach, whose results are particularly sensitive to the mesh regularity (structured/unstructured). We expect this method, which is well adapted for multiprocessor parallel computing, to be competitive with others for solving large scale dynamic ruptures scenarios of seismic sources in the near future.

  18. Dynamic Rupture Benchmarking of the ADER-DG Method

    NASA Astrophysics Data System (ADS)

    Pelties, C.; Gabriel, A.

    2012-12-01

    We will verify the arbitrary high-order derivative Discontinuous Galerkin (ADER-DG) method in various test cases of the 'SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise' benchmark suite (Harris et al. 2009). The ADER-DG scheme is able to solve the spontaneous rupture problem with high-order accuracy in space and time on three-dimensional unstructured tetrahedral meshes. Strong mesh coarsening or refinement at areas of interest can be applied to keep the computational costs feasible. Moreover, the method does not generate spurious high-frequency contributions in the slip rate spectra and therefore does not require any artificial damping as demonstrated in previous presentations and publications (Pelties et al. 2010 and 2012). We will show that the mentioned features hold also for more advanced setups as e.g. a branching fault system, heterogeneous background stresses and bimaterial faults. The advanced geometrical flexibility combined with an enhanced accuracy will make the ADER-DG method a useful tool to study earthquake dynamics on complex fault systems in realistic rheologies. References: Harris, R.A., M. Barall, R. Archuleta, B. Aagaard, J.-P. Ampuero, H. Bhat, V. Cruz-Atienza, L. Dalguer, P. Dawson, S. Day, B. Duan, E. Dunham, G. Ely, Y. Kaneko, Y. Kase, N. Lapusta, Y. Liu, S. Ma, D. Oglesby, K. Olsen, A. Pitarka, S. Song, and E. Templeton, The SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise, Seismological Research Letters, vol. 80, no. 1, pages 119-126, 2009 Pelties, C., J. de la Puente, and M. Kaeser, Dynamic Rupture Modeling in Three Dimensions on Unstructured Meshes Using a Discontinuous Galerkin Method, AGU 2010 Fall Meeting, abstract #S21C-2068 Pelties, C., J. de la Puente, J.-P. Ampuero, G. Brietzke, and M. Kaeser, Three-Dimensional Dynamic Rupture Simulation with a High-order Discontinuous Galerkin Method on Unstructured Tetrahedral Meshes, JGR. - Solid Earth, VOL. 117, B02309, 2012

  19. Dynamic Rupture Benchmarking of the ADER-DG Method

    NASA Astrophysics Data System (ADS)

    Gabriel, Alice; Pelties, Christian

    2013-04-01

    We will verify the arbitrary high-order derivative Discontinuous Galerkin (ADER-DG) method in various test cases of the 'SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise' benchmark suite (Harris et al. 2009). The ADER-DG scheme is able to solve the spontaneous rupture problem with high-order accuracy in space and time on three-dimensional unstructured tetrahedral meshes. Strong mesh coarsening or refinement at areas of interest can be applied to keep the computational costs feasible. Moreover, the method does not generate spurious high-frequency contributions in the slip rate spectra and therefore does not require any artificial damping as demonstrated in previous presentations and publications (Pelties et al. 2010 and 2012). We will show that the mentioned features hold also for more advanced setups as e.g. a branching fault system, heterogeneous background stresses and bimaterial faults. The advanced geometrical flexibility combined with an enhanced accuracy will make the ADER-DG method a useful tool to study earthquake dynamics on complex fault systems in realistic rheologies. References: Harris, R.A., M. Barall, R. Archuleta, B. Aagaard, J.-P. Ampuero, H. Bhat, V. Cruz-Atienza, L. Dalguer, P. Dawson, S. Day, B. Duan, E. Dunham, G. Ely, Y. Kaneko, Y. Kase, N. Lapusta, Y. Liu, S. Ma, D. Oglesby, K. Olsen, A. Pitarka, S. Song, and E. Templeton, The SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise, Seismological Research Letters, vol. 80, no. 1, pages 119-126, 2009 Pelties, C., J. de la Puente, and M. Kaeser, Dynamic Rupture Modeling in Three Dimensions on Unstructured Meshes Using a Discontinuous Galerkin Method, AGU 2010 Fall Meeting, abstract #S21C-2068 Pelties, C., J. de la Puente, J.-P. Ampuero, G. Brietzke, and M. Kaeser, Three-Dimensional Dynamic Rupture Simulation with a High-order Discontinuous Galerkin Method on Unstructured Tetrahedral Meshes, JGR. - Solid Earth, VOL. 117, B02309, 2012

  20. Bilateral rupture of the Achilles tendon in patients on steroid therapy.

    PubMed Central

    Haines, J F

    1983-01-01

    Three patients are presented who sustained bilateral rupture of the Achilles tendon while on systemic steroid therapy for chest disease; a fourth patient with polymyalgia rheumatica on steroids is also presented. This is further evidence that tendon rupture can be a direct complication of steroid treatment. The English-language literature on bilateral Achilles tendon rupture is reviewed. PMID:6651370

  1. Creep-rupture of polymer-matrix composites. [graphite-epoxy laminates

    NASA Technical Reports Server (NTRS)

    Brinson, H. F.; Griffith, W. I.; Morris, D. H.

    1980-01-01

    An accelerated characterization method for resin matrix composites is reviewed. Methods for determining modulus and strength master curves are given. Creep rupture analytical models are discussed as applied to polymers and polymer matrix composites. Comparisons between creep rupture experiments and analytical models are presented. The time dependent creep rupture process in graphite epoxy laminates is examined as a function of temperature and stress level.

  2. Life's Still Lifes

    NASA Astrophysics Data System (ADS)

    McIntosh, Harold V.

    The de Bruijn diagram describing those decompositions of the neighborhoods of a one dimensional cellular automaton which conform to predetermined requirements of periodicity and translational symmetry shows how to construct extended configurations satisfying the same requirements. Similar diagrams, formed by stages, describe higher dimensional automata, although they become more laborious to compute with increasing neighborhood size. The procedure is illustrated by computing some still lifes for Conway's game of Life, a widely known two dimensional cellular automaton. This paper is written in September 10, 1988.

  3. Complementary Ruptures of Surface Ruptures and Deep Asperity during the 2014 Northern Nagano, Japan, Earthquake (MW 6.3)

    NASA Astrophysics Data System (ADS)

    Asano, K.; Iwata, T.; Kubo, H.

    2015-12-01

    A thrust earthquake of MW 6.3 occurred along the northern part of the Itoigawa-Shizuoka Tectonic Line (ISTL) in the northern Nagano prefecture, central Japan, on November 22, 2014. This event was reported to be related to an active fault, the Kamishiro fault belonging to the ISTL (e.g., HERP, 2014). The surface rupture is observed along the Kamishiro fault (e.g., Lin et al., 2015; Okada et al., 2015). We estimated the kinematic source rupture process of this earthquake through the multiple time-window linear waveform inversion method (Hartzell and Heaton, 1983). We used velocity waveforms in 0.05-1 Hz from 12 strong motion stations of K-NET, KiK-net (NIED), JMA, and Nagano prefecture (SK-net, ERI). In order to enhance the reliability in Green's functions, we assumed one-dimensional velocity structure models different for the different stations, which were extracted from the nation-wide three-dimensional velocity structure model, Japan Integrated Velocity Structure Model (JIVSM, Koketsu et al., 2012). Considering the spatial distribution of aftershocks (Sakai et al., 2015) and surface ruptures, the assumed fault model consisted of two dip-bending fault segments with different dip angles between the northern and southern segments. The total length and width of the fault plane is 20 km and 13 km, relatively, and the fault model is divided into 260 subfaults of 1 km × 1 km in space and six smoothed ramp functions in time. An asperity or large slip area with a peak slip of 1.9 m was estimated in the lower plane of the northern segment in the approximate depth range of 4 to 8 km. The depth extent of this asperity is consistent with the seismogenic zone revealed by past studies (e.g., Panayotopoulos et al., 2014). In contrast, the slip in the southern segment is relatively concentrated in the shallow portion of the segment where the surface ruptures were found along the Kamishiro fault. The overall spatial rupture pattern of the source fault, in which the deep asperity

  4. Ruptured anterior spinal artery aneurysm from a herniated cervical disc. A case report and review of the literature

    PubMed Central

    Nakhla, Jonathan; Nasser, Rani; Yassari, Reza; Pasquale, David; Altschul, David

    2016-01-01

    Background: Subarachnoid hemorrhage (SAH) caused by a ruptured cervical anterior spinal artery aneurysm is extremely rare and in the setting of cervical spondylosis. This case presentation reviews the diagnosis, management, and treatment of such aneurysms. Case Presentation: An 88-year-old female presented with the worst headache of her life without focal deficits. She was found to have diffuse SAH in the basal cisterns extending inferiorly down the spinal canal. Review of the neurodiagnostic images revealed an anterior spinal artery aneurysm in the setting of cervical spondylosis. Conclusions: Clinicians should be suspicious of cervical spondylosis as a rare etiology for an SAH when cerebral angiograms prove negative for intracranial aneurysms. PMID:26862449

  5. The effects of seven alloying elements on the microstructure and stress-rupture behavior of nickle-base superalloys

    NASA Technical Reports Server (NTRS)

    Hull, D. R.; Miner, R. V.; Barrett, C. A.

    1984-01-01

    Seven alloying elements: Al, Cr, Ti, Nb, Ta, Mo, and W were added at two levels of concentration to produce a series of experimental nickel-base superalloys. Fifty alloys, representing a fraction of a 2 to the 7th power factorial design, were cast, tested, and analyzed. Each alloy's microstructure was characterized by phase extractions, X-ray diffraction, metallography and energy dispersive X-ray spectroscopy. Regression analysis was used to determine the effect of alloying element content on microstructure and stress-rupture life.

  6. Near-source ground motions from simulations of sustained intersonic and supersonic fault ruptures

    USGS Publications Warehouse

    Aagaard, B.T.; Heaton, T.H.

    2004-01-01

    We examine the long-period near-source ground motions from simulations of M 7.4 events on a strike-slip fault using kinematic ruptures with rupture speeds that range from subshear speeds through intersonic speeds to supersonic speeds. The strong along-strike shear-wave directivity present in scenarios with subshear rupture speeds disappears in the scenarios with ruptures propagating faster than the shear-wave speed. Furthermore, the maximum horizontal displacements and velocities rotate from generally fault-perpendicular orientations at subshear rupture speeds to generally fault-parallel orientations at supersonic rupture speeds. For rupture speeds just above the shear-wave speed, the orientations are spatially heterogeneous as a result of the random nature of our assumed slip model. At locations within a few kilometers of the rupture, the time histories of the polarization of the horizontal motion provide a better diagnostic with which to gauge the rupture speed than the orientation of the peak motion. Subshear ruptures are associated with significant fault-perpendicular motion before fault-parallel motion close to the fault; supershear ruptures are associated with fault-perpendicular motion after significant fault-parallel motion. Consistent with previous studies, we do not find evidence for prolonged supershear rupture in the long-period (>2 sec) ground motions from the 1979 Imperial Valley earthquake. However, we are unable to resolve the issue of whether a limited portion of the rupture (approximately 10 km in length) propagated faster than the shear-wave speed. Additionally, a recording from the 2002 Denali fault earthquake does appear to be qualitatively consistent with locally supershear rupture. Stronger evidence for supershear rupture in earthquakes may require very dense station coverage in order to capture these potentially distinguishing traits.

  7. PIP breast implants: rupture rate and correlation with breast cancer

    PubMed Central

    MOSCHETTA, M.; TELEGRAFO, M.; CORNACCHIA, I.; VINCENTI, L.; RANIERI, V.; CIRILLI, A.; RELLA, L.; IANORA, A.A. STABILE; ANGELELLI, G.

    2014-01-01

    Aim To evaluate the incidence of Poly Implant Prosthése (PIP) rupture as assessed by magnetic resonance imaging (MRI), the prevalence of the detected signs and the potential correlation with breast carcinoma. Patients and methods 67 patients with silicone breast implants and clinical indications for breast MRI were evaluated for a total of 125 implants: 40 (32%) PIP in 21 patients and 85 non-PIP in 46 patients (68%), the latest considered as control group. A 1.5-T MR imaging device was used in order to assess implant integrity with dedicated sequences and in 6 cases a dynamic study was performed for characterizing breast lesions. Two radiologists with more than 5 years’ experience in the field of MRI evaluated in consensus all MR images searching for the presence of clear signs of intra or extra-capsular implant rupture. Results 20/40 (50%) PIP implants presented signs of intra-capsular rupture: linguine sign in 20 cases (100%), tear-drop sign in 6 (30%). In 12/20 cases (60%), MRI signs of extra-capsular rupture were detected. In the control group, an intra-capsular rupture was diagnosed in 12/85 cases (14%) associated with extra-capsular one in 5/12 cases (42%). Among the six cases with suspected breast lesions, in 2/21 patients with PIP implants (10%) a breast carcinoma was diagnosed (mucinous carcinoma, n=1; invasive ductal carcinoma, n=1). In 4/46 patients (9%) with non-PIP implants, an invasive ductal carcinoma was diagnosed. Conclusion The rupture rate of PIP breast implants is significantly higher than non-PIP (50% vs 14%). MRI represents the most accurate imaging tool for evaluating breast prostheses and the linguine sign is the most common MRI sign to be searched. The incidence of breast carcinoma does not significantly differ between the PIP and non-PIP implants and a direct correlation with breast cancer can not been demonstrated. PMID:25644728

  8. Breaking of a single asperity: Rupture process and seismic radiation

    NASA Astrophysics Data System (ADS)

    Das, S.; Kostrov, B. V.

    1983-05-01

    The problem of spontaneous shear rupture of a single circular asperity on an infinite fault plane is studied. Initially, the fault plane is broken everywhere except at a circular asperity. An applied displacement at infinity results in a stress concentration along the bounding edge of the asperity. The frictional stress on the broken part of the fault plane is taken to be a constant. Once a point on the asperity breaks, the stress there drops to the same value as on the `main' fault surface. The rupture is started by relaxing the shear stress at a point on the asperity edge and is then allowed to propagate spontaneously, using a critical stress level fracture criterion. The rupture process is calculated numerically. It is found that for asperities of constant strength, the rupture first propagates around the edge of the asperity and then inward, a phenomenon best described by the well-known term of classic military maneuver: `the double encircling pincer movement.' In the appendix, the expressions for the far-field seismic radiation due to the rupture of such an asperity are derived. It is shown that the nth Cartesian component of the far-field displacement at (x, t) for P, SV, and SH waves, using the notation of Aki and Richards (1980), is given by un(x, t) = (Dni/4πρc2R)∫∫s0τi3{ξ, t - [(R - ξ · γ)/c]} dS(ξ). Thus the far-field pulses can be directly found from the stress drops on the fault plane. This formula is also true for `crack' or `dislocation' problems. The directivity function Dni for displacement for the asperity problem is found to be that for the double couple, modified by some factor. In particular, the fault plane is a nodal plane for SV waves. For the rupturing of asperities on a finite fault, these directivity functions are applicable only to the initial part of observed pulses at a receiver, provided the receiver is not located on the fault plane outside the broken part of the main crack edge, in which case it is inapplicable for all

  9. Open re-rupture of the Achilles tendon after surgical treatment.

    PubMed

    Hanada, Mitsuru; Takahashi, Masaaki; Matsuyama, Yukihiro

    2011-09-28

    The rate of re-rupture of Achilles tendon after surgical treatment were reported to 1.7-5.6% previously. Re-rupture of Achilles tendon generally occurs subcutaneously. We experienced two rare cases of the open re-ruptures of Achilles tendon with a transverse wound perpendicular to the primary surgical incision. Re-rupture occurred 4 and 13 weeks after surgical treatment. We suggest that open re-rupture correlates more closely with skin scaring and shortening. Another factor may be adhesion between the subcutaneous scar and the suture of the paratenon and Achilles tendon with post-operative immobilization. PMID:24765375

  10. Ruptured Popliteal Cyst Diagnosed by Ultrasound Before Evaluation for Deep Vein Thrombosis

    PubMed Central

    Kim, Joon Sung; Lim, Seong Hoon; Hong, Bo Young

    2014-01-01

    Most popliteal cysts are asymptomatic. However, cysts may rupture, resulting in pain and swelling of the leg that could also arise from other diseases, including deep vein thrombosis, lymphedema, cellulitis, and tear of a muscle or tendon. Therefore, it is difficult to diagnose a ruptured popliteal cyst based on only a patient's history and physical examination. Musculoskeletal ultrasound has been regarded as a diagnostic tool for ruptured popliteal cyst. Here, we describe a patient who was rapidly diagnosed as ruptured popliteal cyst by ultrasonography. Therefore, ultrasound could be used to distinguish a ruptured popliteal cyst from other diseases in patients with painful swollen legs before evaluation for deep vein thrombosis. PMID:25566485

  11. Open re-rupture of the Achilles tendon after surgical treatment

    PubMed Central

    Hanada, Mitsuru; Takahashi, Masaaki; Matsuyama, Yukihiro

    2011-01-01

    The rate of re-rupture of Achilles tendon after surgical treatment were reported to 1.7–5.6% previously. Re-rupture of Achilles tendon generally occurs subcutaneously. We experienced two rare cases of the open re-ruptures of Achilles tendon with a transverse wound perpendicular to the primary surgical incision. Re-rupture occurred 4 and 13 weeks after surgical treatment. We suggest that open re-rupture correlates more closely with skin scaring and shortening. Another factor may be adhesion between the subcutaneous scar and the suture of the paratenon and Achilles tendon with post-operative immobilization. PMID:24765375

  12. Acoustic-Friction Networks and the Evolution of Precursor Rupture Fronts in Laboratory Earthquakes

    PubMed Central

    Ghaffari, H. O.; Young, R. P.

    2013-01-01

    The evolution of shear rupture fronts in laboratory earthquakes is analysed with the corresponding functional networks, constructed over acoustic emission friction-patterns. We show that the mesoscopic characteristics of functional networks carry the characteristic time for each phase of the rupture evolution. The classified rupture fronts in network states–obtained from a saw-cut fault and natural faulted Westerly granite - show a clear separation into three main groups, indicating different states of rupture fronts. With respect to the scaling of local ruptures' durations with the networks' parameters, we show that the gap in the classified fronts could be related to the possibility of a separation between slow and regular fronts.

  13. Development of a constitutive model for creep and life prediction of advanced silicon nitride ceramics

    SciTech Connect

    Ding, J.L.; Liu, K.C.; Brinkman, C.R.

    1992-12-31

    A constitutive model capable of describing deformation and predicting rupture life was developed for high temperature ceramic materials under general thermal-mechanical loading conditions. The model was developed based on the deformation and fracture behavior observed from a systematic experimental study on an advanced silicon nitride (Si{sub 3}N{sub 4}) ceramic material. Validity of the model was evaluated with reference to creep and creep rupture data obtained under constant and stepwise-varied loading conditions, including the effects of annealing on creep and creep rupture behavior.

  14. Prediction of Severe Eye Injuries in Automobile Accidents: Static and Dynamic Rupture Pressure of the Eye

    PubMed Central

    Kennedy, Eric A.; Voorhies, Katherine D.; Herring, Ian P.; Rath, Amber L.; Duma, Stefan M.

    2004-01-01

    The purpose of this paper is to determine the static and dynamic rupture pressures of 20 human and 20 porcine eyes. This study found the static test results show an average rupture pressure for porcine eyes of 1.00 ± 0.18 MPa while the average rupture pressure for human eyes was 0.36 ± 0.20 MPa. For dynamic loading, the average porcine rupture pressure was 1.64 ± 0.32 MPa, and the average rupture pressure for human eyes was 0.91 ± 0.29 MPa. Significant differences are found between average rupture pressures from all four groups of tests (p = 0.01). A risk function has been developed and predicts a 50% risk of globe rupture at 1.02 MPa, 1.66 MPa, 0.35 MPa, and 0.90 MPa internal pressure for porcine static, porcine dynamic, human static, and human dynamic loading conditions, respectively. PMID:15319124

  15. The Difficult Diagnosis of Ischaemic Papillary Muscle Rupture

    PubMed Central

    Braun, Christian T.; Ricklin, Meret E.; Exadaktylos, Aristomenis K.

    2016-01-01

    We present a rare case of severe ischaemic papillary muscle rupture in a 67-year-old male patient who was admitted to the Emergency Department of the University Hospital Bern, Switzerland, in November 2013 with acute chest pain. On admission, the patient’s blood pressure was 60/40 mm/Hg, his pulse was 110 beats per minute and his respiratory rate was 20 breaths per minute. An electrocardiogram was normal and focused assessment with sonography in trauma was negative. Transthoracic echocardiography showed possible thickening of the mitral valve leaflet with no indications of severe mitral insufficiency or wall motion abnormalities. Triple-rule-out computed tomography angiography revealed no pulmonary emboli or aortic dissection, although coronary atherosclerosis was present. Finally, severe insufficiency of the mitral valve with rupture of the papillary muscle, likely due to ischaemia, was observed via transoesophageal echocardiography. The patient underwent a successful surgical intervention and was discharged 10 days later in stable condition. PMID:27226917

  16. Isolated posterior capsular rupture following blunt head trauma

    PubMed Central

    Mansour, Ahmad M; Jaroudi, Mahmoud O; Hamam, Rola N; Maalouf, Fadi C

    2014-01-01

    Closed-globe traumatic cataract is not uncommon in males in the pediatric age group. However, there is a relative paucity of literature on isolated posterior lens capsule rupture associated with closed-globe traumatic cataract. We report a case of a 6-year-old boy who presented with white cataract 1 day after blunt trauma to the forehead associated with posterior capsular rupture that was detected by B-scan ultrasonography preoperatively. No stigmata of trauma outside the posterior capsule could be detected by slit-lamp exam, funduscopy, and optical coherence tomography. Phacoemulsification with posterior chamber intraocular lens implant was performed 24 hours after trauma, with the patient achieving 6/6 visual acuity 1 week and 6 months after surgery. Our case is unique, being the youngest (amblyogenic age) to be reported, with prompt surgical intervention, and with no signs of trauma outside the posterior capsule. PMID:25506201

  17. Polyarteritis Nodosa-Induced Pancreaticoduodenal Artery Aneurysmal Rupture

    PubMed Central

    Levin, Steven; Graber, John; Ehrenwald, Eduardo; Skeik, Nedaa

    2013-01-01

    Polyarteritis nodosa (PAN) is a systemic, necrotizing vasculitis of small- and medium-sized arteries typically with multiorgan involvement. Most cases of PAN are idiopathic, although hepatitis B or C virus infections and hairy cell leukemia are important in the pathogenesis of some cases. PAN is characterized as segmental transmural inflammation of muscular arteries. Diagnosis is based on clinical suspicion, a negative immunofluorescence test for antineutrophil cytoplasmic antibodies, and whenever possible, biopsy conformation. Angiographic images may reveal microaneurysms affecting the renal, hepatic, or mesenteric vasculature. Aneurysmal formation and rupture are important complications that can be fatal. Treatment may warrant immunosuppression with steroids and cyclophosphamide. If left untreated, PAN can be fatal. To our knowledge, we report the second documented case of PAN-induced ruptured inferior pancreaticoduodenal artery aneurysm. PMID:25780330

  18. Atriocaval Rupture After Right Atrial Isthmus Ablation for Atrial Flutter.

    PubMed

    Vloka, Caroline; Nelson, Daniel W; Wetherbee, Jule

    2016-06-01

    A patient with symptomatic typical atrial flutter (AFL) underwent right atrial isthmus ablation with an 8-mm catheter. Eight months later, his typical AFL recurred. Ten months later, he underwent a repeat right atrial isthmus ablation with an irrigated tip catheter and an 8-mm tip catheter. Six weeks after his second procedure, while performing intense sprint intervals on a treadmill, he developed an abrupt onset of chest pain, hypotension, and cardiac tamponade. He underwent emergency surgery to repair an atriocaval rupture and has done well since. Our report suggests that an association of multiple radiofrequency ablations with increased risk for delayed atriocaval rupture occurring 1 to 3 months after ablation. In conclusion, although patients generally were advised to limit exercise for 1 to 2 weeks after AFL ablation procedures in the past, it may be prudent to avoid intense exercise for at least 3 months after procedure. PMID:27112285

  19. Thoracoscopy in diagnosis of ruptured pulmonary hydatid cyst

    PubMed Central

    Sokouti, Mohsen; Nazemieh, Massoud

    2008-01-01

    A 26-year-old man presented with dyspnoea and pneumothorax diagnosed by chest radiography. He had previously presented with a massive right hydropneumothorax on his chest x ray 6 months ago, which was followed by 2 weeks of intercostal tube drainage resulting in a partial improvement of his symptoms. He was referred for a thoracoscopy to investigate the possible causes of the non-resolving pneumothorax, during which a large ruptured, crumpled hydatid cyst in the right pleural space, without empyema, was found. With a limited right thoracotomy, the crumpled laminated membrane of the hydatid cyst was removed. After extraction of the remaining particle of the laminated membrane of the same hydatid cyst in the right lower lobe and suturing of the bronchial opening, the pericyst layer was capitonnaged. Apart from common causes of pneumothorax in endemic areas, ruptured pulmonary hydatid cyst should be considered in pneumothoraces with an unusual clinical course. PMID:21716817

  20. Spontaneous rupture of uterine vein in twin pregnancy.

    PubMed

    Doger, Emek; Cakiroglu, Yigit; Yildirim Kopuk, Sule; Akar, Bertan; Caliskan, Eray; Yucesoy, Gulseren

    2013-01-01

    Objective. Aim of our study is to present a case of a twin pregnancy following invitro fertilization cycle complicated with hemoperitoneum at third trimester. Case. A 26-year-old nulliparous pregnant woman at 32 weeks of gestation with twin pregnancy following invitro fertilization cycle complained of abdominal pain. After 48 hours of admission, laparotomy was performed with indications of aggravated abdominal pain and decreased hemoglobin levels. Utero-ovarian vein branch rupture was detected on the right posterior side of uterus and bleeding was stopped by suturing the vein. Etiopathogenesis of the present case still remains unclear. Conclusion. Spontaneous rupture of the uterine vessels during pregnancy is a rare complication and may lead to maternal and fetal morbidity and mortality. Diagnosis and treatment are based on the clinical symptoms of acute abdominal pain and laboratory tests of hypovolemic shock signs. PMID:24455353

  1. Spontaneous Rupture of Uterine Vein in Twin Pregnancy

    PubMed Central

    Doger, Emek; Cakiroglu, Yigit; Yildirim Kopuk, Sule; Akar, Bertan; Caliskan, Eray; Yucesoy, Gulseren

    2013-01-01

    Objective. Aim of our study is to present a case of a twin pregnancy following invitro fertilization cycle complicated with hemoperitoneum at third trimester. Case. A 26-year-old nulliparous pregnant woman at 32 weeks of gestation with twin pregnancy following invitro fertilization cycle complained of abdominal pain. After 48 hours of admission, laparotomy was performed with indications of aggravated abdominal pain and decreased hemoglobin levels. Utero-ovarian vein branch rupture was detected on the right posterior side of uterus and bleeding was stopped by suturing the vein. Etiopathogenesis of the present case still remains unclear. Conclusion. Spontaneous rupture of the uterine vessels during pregnancy is a rare complication and may lead to maternal and fetal morbidity and mortality. Diagnosis and treatment are based on the clinical symptoms of acute abdominal pain and laboratory tests of hypovolemic shock signs. PMID:24455353

  2. Surgical resection of a huge ruptured mature mediastinal teratoma.

    PubMed

    Acharya, Metesh Nalin; De Robertis, Fabio; Popov, Aron-Frederik; Anastasiou, Nikolaos

    2016-09-01

    Usually slow-growing and benign, mature mediastinal teratomas are rare clinical entities. They may be complicated by rupture into the pleural or pericardial spaces, lungs, or bronchi. Complete surgical resection is the treatment of choice and is usually curative. We report the unusual case of a 24-year-old woman presenting 15 weeks postpartum with a huge ruptured mature mediastinal teratoma superinfected with Mycobacterium avium Catastrophic bleeding from the superior vena cava was encountered on mobilization of adhesions attached to it, requiring extracorporeal membrane oxygenator support for control. Histopathological examination confirmed a 12.0 × 7.8 × 4.5-cm differentiated teratoma without malignant transformation. PMID:27440933

  3. Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy

    PubMed Central

    Sutton, Claire; Standen, Prue; Acton, Jade; Griffin, Christopher

    2016-01-01

    A 44-year-old nulliparous woman was transferred to a tertiary obstetric hospital for investigation of acute onset abdominal pain. She was at gestation of 32 weeks and 2 days with a history of previous laparoscopic fundal myomectomy. An initial bedside ultrasound demonstrated oligohydramnios. Following an episode of increased pain early the following morning, a formal ultrasound diagnosed a uterine rupture with the fetal arm extending through a uterine rent. An uncomplicated classical caesarean section was performed and the neonate was delivered in good condition but with a bruised and oedematous right arm. The neonate was transferred to the Special Care Nursery for neonatal care. The patient had an uncomplicated postoperative course and was discharged home three days following delivery. This is an unusual presentation of uterine rupture following myomectomy where the fetal arm had protruded through the uterine wall. PMID:26925275

  4. Dynamic rupture process of the great 1668 Anatolian earthquake

    NASA Astrophysics Data System (ADS)

    Kase, Yuko; Kondo, Hisao; Emre, Ömer

    2010-05-01

    The North Anatolian fault system (NAFS) gives us the well-preserved evidences of multi-segment earthquakes. During the 1939 Erzincan earthquake, surface ruptures extended along the Resadiye segment. The surface ruptures during the 1942 earthquake appeared on two segments, the eastern Niksar and the western Erbaa segments which are to the west of the Resadiye segment. On the other hand, paleoseismological evidences show that the 1668 earthquake was a single multi-segment earthquake including the Resadiye, Niksar, and Erbaa segments (Kondo et al., 2009). The fault geometry, however, does not make us imagine a single multi-segment occurring. The distance along strike and step-over width between the Resadiye and Niksar segments is 17 and 11 km, respectively. This fault discontinuity is much larger than the previously-known threshold of a multi-segment rupture, 5 km, shown in observations of historical earthquakes (Matsuda, 1990; Wesnousky, 2006) and numerical studies (Harris and Day, 1999; Kase and Kuge, 2001). In this study, we construct dynamic rupture models for the North Anatolian earthquakes based on seismological data of the 1939 and 1942 earthquakes and the present stress condition, and then we investigate possibility of a single multi-segment earthquake in agreement with the paleoseismological data of the 1668 earthquake. A fault model is assumed, based on the surface traces, hypocenter distribution and source mechanisms of the 20th century earthquakes on the NAFS. Using the source mechanism of the 1939 earthquake (McKenzie, 1972) and the stress inversion results along the NAFS (Bellier et al., 1997; Fuenzalida et al., 1997), we adopt a regional stress field that is resolved onto all fault segments. We perform preliminary simulations to determine a hydrostatic stress condition and coefficient of friction producing surface slip distribution consistent with the observed surface slips during the 1939 and 1942 earthquakes (Barka, 1996; Emre et al., 2009; Kondo et

  5. Creep and creep-rupture behavior of Alloy 718

    SciTech Connect

    Brinkman, C.R.; Booker, M.K.; Ding, J.L.

    1991-01-01

    Data obtained from creep and creep-rupture tests conducted on 18 heats of Alloy 718 were used to formulate models for predicting high temperature time dependent behavior of this alloy. Creep tests were conducted on specimens taken from a number of commercial product forms including plate, bar, and forgoing material that had been procured and heat treated in accordance with ASTM specifications B-670 or B-637. Data were obtained over the temperature range of 427 to 760{degree}C ad at test times to about 87,000 h. Comparisons are given between experimental data and the analytical models. The analytical models for creep-rupture included one based on lot-centering regression analysis and two based on the Minimum Commitment Method. A master'' curve approach was used to develop and equation for estimating creep deformation up to the onset of tertiary creep. 11 refs., 13 figs.

  6. Unusual clinical presentation of a partial tibialis anterior rupture.

    PubMed

    Jellad, A; Salah, S; Bouaziz, M A; Bouzaouache, H; Ben Salah, Z

    2012-02-01

    Subcutaneous rupture of the tibialis anterior tendon is rare. Diagnosis is usually clear. The essential clinical symptoms are progressively: footdrop gait, loss of ankle flexion strength, ankle foot pain and claw toes. But the occurrence of an asymptomatic time period between the injury and the onset of clinical signs can make the diagnosis more difficult. MRI is the gold standard examination for tendons injuries and associated bone and joints damages. Surgical exploration confirms MRI findings. It constitutes the treatment of choice for tibialis anterior tendon rupture. Surgical or functional techniques used have an impact on the design of the rehabilitation program, essential step in the care management of these injuries. It avoids postoperative tendon adhesions and their functional consequences. We report here a case of a man presenting with footdrop gait as the only clinical symptom. PMID:22154067

  7. Strong nonlinear rupture theory of thin free liquid films

    NASA Astrophysics Data System (ADS)

    Chi-Chuan, Hwang; Jun-Liang, Chen; Li-Fu, Shen; Cheng-I, Weng

    1996-02-01

    A simplified governing equation with high-order effects is formulated after a procedure of evaluating the order of magnitude. Furthermore, the nonlinear evolution equations are derived by the Kármán-Polhausen integral method with a specified velocity profile. Particularly, the effects of surface tension, van der Waals potential, inertia and high-order viscous dissipation are taken into consideration in these equation. The numerical results reveal that the rupture time of free film is much shorter than that of a film on a flat plate. It is shown that because of a more complete high-order viscous dissipation effect discussed in the present study, the rupture process of present model is slower than is predicted by the high-order long wave theory.

  8. Management of Hepatic Rupture Diagnosed after an Emergency Cesarean Section

    PubMed Central

    Damiani, Gianluca Raffaello; Merola, Viviana; Barnaba, Mario; Landi, Stefano; Cormio, Gennaro; Pellegrino, Antonio

    2014-01-01

    A careful management of hepatic capsular rupture, with massive hemoperitoneum which occurred 14 hours after an emergency cesarean section at 36 weeks of gestation, is meticulously reported. The grade of hepatic involvement varies from minor capsular laceration to extensive parenchymal rupture. Our management involved a combination of surgical interventions and aggressive supportive care. The patient was discharged after 53 days and 4 laparotomies and an unsuccessful attempt of superselective artery embolization. Ultrasound after 40 days from the last surgery showed uniform hepatic parenchyma free of focal lesions. Due to the rarity and the unpredictability nature of this devastating event we believe necessary to report our experience, reinforcing the importance of the postsurgery management. PMID:25254049

  9. Thoracoscopy in diagnosis of ruptured pulmonary hydatid cyst.

    PubMed

    Sokouti, Mohsen; Nazemieh, Massoud

    2008-01-01

    A 26-year-old man presented with dyspnoea and pneumothorax diagnosed by chest radiography. He had previously presented with a massive right hydropneumothorax on his chest x ray 6 months ago, which was followed by 2 weeks of intercostal tube drainage resulting in a partial improvement of his symptoms. He was referred for a thoracoscopy to investigate the possible causes of the non-resolving pneumothorax, during which a large ruptured, crumpled hydatid cyst in the right pleural space, without empyema, was found. With a limited right thoracotomy, the crumpled laminated membrane of the hydatid cyst was removed. After extraction of the remaining particle of the laminated membrane of the same hydatid cyst in the right lower lobe and suturing of the bronchial opening, the pericyst layer was capitonnaged. Apart from common causes of pneumothorax in endemic areas, ruptured pulmonary hydatid cyst should be considered in pneumothoraces with an unusual clinical course. PMID:21716817

  10. Single event gate rupture in thin gate oxides

    SciTech Connect

    Sexton, F.W.; Fleetwood, D.M.; Shaneyfelt, M.R.; Dodd, P.E.; Hash, G.L.

    1997-06-01

    As integrated circuit densities increase with each new technology generation, both the lateral and vertical dimensions shrink. Operating voltages, however, have not scaled as aggressively as feature size, with a resultant increase in the electric fields within advanced geometry devices. Oxide electric fields are in fact increasing to greater than 5 MV/cm as feature size approaches 0.1 {micro}m. This trend raises the concern that single event gate rupture (SEGR) may limit the scaling of advanced integrated circuits (ICs) for space applications. The dependence of single event gate rupture (SEGR) critical field on oxide thickness is examined for thin gate oxides. Critical field for SEGR increases with decreasing oxide thickness, consistent with an increasing intrinsic breakdown field.

  11. [Acute rupture of lumbar intervertebral disc caused by violent manipulation].

    PubMed

    Li, J S

    1989-08-01

    Five cases of acute rupture of lumbar intervertebral disc caused by violent manipulation are reported. After protrusion of the lumbar intervertebral disc were treated by violent manipulation, the lumbo-leg pain were severe suddenly. The operations found that the annulus fibrosus had ruptured and the nerve root or cauda equina was constricted by the nucleus pulposus which had entered into the spinal canal. It must be emphasized that their is in danger of more damaging intervertebral disc degenerated by violent manipulation, then the adhesion of the nerve root will occur gradually. We don't suggest to make violent manipulation for the patient with the nerve root injured. We have acquired good results in treating protrusion of lumbar intervertebral disc by combined therapy and they are introduced in this article. PMID:2620603

  12. Creep rupture testing of alloy 617 and A508/533 base metals and weldments.

    SciTech Connect

    Natesan, K.; Li, M.; Soppet, W.K.; Rink, D.L.

    2012-01-17

    after 50-60% of the rupture life, irrespective of test temperature in the range of 750-950 C. The results showed that the stress dependence of the creep rate followed a power law for both base alloy and weldments. The data also showed that the stress exponent for creep is the same and one can infer that the same mechanism is operative in both base metal and weldments in the temperature range of the current study. SEM fractography analysis indicated that both base metal and weldment showed combined fracture modes consisting of dimple rupture and intergranular cracking. Intergranular cracking was more evident in the weldment specimens, which is consistent with the observation of lower creep ductility in the weldment than in the base metal.

  13. Hemoperitoneum due to spontaneous rupture of ovarian adenocarcinoma.

    PubMed

    Casal Rodriguez, Anton X; Sanchez Trigo, Sabela; Ferreira Gonzalez, Lucia; Brage Gomez, Soledad

    2011-06-01

    We report the case of a 65-year-old woman who was treated with low-molecular-weight heparin and suffered spontaneous rupture of an ovarian cystadenocarcinoma. We present the computed tomography findings and make a review of the literature. Spontaneous hemoperitoneum is an infrequent complication of ovarian neoplasms and, to the best of our knowledge, this is the first-described case report of peritoneal bleeding secondary to a cystadenocarcinoma in the recent English literature. PMID:21221696

  14. Earthquake rupture process recreated from a natural fault surface

    USGS Publications Warehouse

    Parsons, Thomas E.; Minasian, Diane L.

    2015-01-01

    What exactly happens on the rupture surface as an earthquake nucleates, spreads, and stops? We cannot observe this directly, and models depend on assumptions about physical conditions and geometry at depth. We thus measure a natural fault surface and use its 3D coordinates to construct a replica at 0.1 m resolution to obviate geometry uncertainty. We can recreate stick-slip behavior on the resulting finite element model that depends solely on observed fault geometry. We clamp the fault together and apply steady state tectonic stress until seismic slip initiates and terminates. Our recreated M~1 earthquake initiates at contact points where there are steep surface gradients because infinitesimal lateral displacements reduce clamping stress most efficiently there. Unclamping enables accelerating slip to spread across the surface, but the fault soon jams up because its uneven, anisotropic shape begins to juxtapose new high-relief sticking points. These contacts would ultimately need to be sheared off or strongly deformed before another similar earthquake could occur. Our model shows that an important role is played by fault-wall geometry, though we do not include effects of varying fluid pressure or exotic rheologies on the fault surfaces. We extrapolate our results to large fault systems using observed self-similarity properties, and suggest that larger ruptures might begin and end in a similar way, though the scale of geometrical variation in fault shape that can arrest a rupture necessarily scales with magnitude. In other words, fault segmentation may be a magnitude dependent phenomenon and could vary with each subsequent rupture.

  15. Creep-rupture tests of internally pressurized Inconel 702 tubes

    NASA Technical Reports Server (NTRS)

    Gumto, K. H.

    1973-01-01

    Seamless Inconel 702 tubes with 0.375-in. outside diameter and 0.025-in. wall thickness were tested to failure at temperatures from 1390 to 1575 F and internal helium pressures from 700 to 1800 psi. Lifetimes ranged from 29 to 1561 hr. The creep-rupture strength of the tubes was about 70 percent lower than that of sheet specimens. Larson-Miller correlations and photomicrographs of some specimens are presented.

  16. Analysis of uterine rupture at university teaching hospital Pakistan

    PubMed Central

    Aziz, Nousheen; Yousfani, Sajida

    2015-01-01

    Objective: To determine the risk factors, management modalities, fetomaternal outcome of uterine rupture cases at University teaching hospital in Pakistan. Methods: This retrospective descriptive study was conducted at the Department of Gynaecology and Obstetrics Liaquat University of Medical and Health Sciences (LUMHS) for a period of one year from January 1st to December 31st 2012. Main outcome measures were frequency, age, parity, booking status, risk factors, management modalities, fetal and maternal mortality associated with uterine rupture. The data was collected on pre-designed proforma analysed using SPSS Version 16 statistical package. Results: The frequency of ruptured uteri was calculated to be 0.67%, giving a ratio of 1:148 deliveries. Highest incidence was found in age group 25-30 (44.26%) with mean age of 30.36 years. and parity group 2-3 (57.37%) with mean parity 4.08. The risk factors for ruptured uterus include Caesarean section 43(70.49%), injudicious use of oxytocin 33(54.09%), obstructed labour 15 (24.59%) and multiparty 18 (29.50%). Repair of uterus was performed in 47(77.04%) cases. Maternal case fatality was 5(8.19%), while foetal wastage was 51 (83.60%). Conclusion: This study confirms the existence of a serious preventable obstetric problem, with significant maternal mortality and foetal wastage. Integrated efforts include Health education, focused antenatal care, skilled attendance, avoidance of injudicious use of oxytocin, and need of hospital based deliveries in patients with caesarean section which should be intensified to reduce this drastic obstetrical complication. PMID:26430430

  17. Earthquake rupture process recreated from a natural fault surface

    NASA Astrophysics Data System (ADS)

    Parsons, Tom; Minasian, Diane L.

    2015-11-01

    What exactly happens on the rupture surface as an earthquake nucleates, spreads, and stops? We cannot observe this directly, and models depend on assumptions about physical conditions and geometry at depth. We thus measure a natural fault surface and use its 3-D coordinates to construct a replica at 0.1 m resolution to obviate geometry uncertainty. We can recreate stick-slip behavior on the resulting finite element model that depends solely on observed fault geometry. We clamp the fault together and apply steady state tectonic stress until seismic slip initiates and terminates. Our recreated M ~ 1 earthquake initiates at contact points where there are steep surface gradients because infinitesimal lateral displacements reduce clamping stress most efficiently there. Unclamping enables accelerating slip to spread across the surface, but the fault soon jams up because its uneven, anisotropic shape begins to juxtapose new high-relief sticking points. These contacts would ultimately need to be sheared off or strongly deformed before another similar earthquake could occur. Our model shows that an important role is played by fault-wall geometry, although we do not include effects of varying fluid pressure or exotic rheologies on the fault surfaces. We extrapolate our results to large fault systems using observed self-similarity properties and suggest that larger ruptures might begin and end in a similar way, although the scale of geometrical variation in fault shape that can arrest a rupture necessarily scales with magnitude. In other words, fault segmentation may be a magnitude-dependent phenomenon and could vary with each subsequent rupture.

  18. Traumatic Thumb Radial Sagittal Band Injury Mimicking EPL Rupture.

    PubMed

    Dissanayake, Ravi M; Moore, Peter; McCarten, Gregory M

    2016-06-01

    We present the case of a closed traumatic disruption of the thumb radial sagittal band (RSB) that sonographically mimicked rupture of the extensor pollicis longus (EPL) tendon. This injury was treated with primary repair of the RSB and lead to a good functional outcome for the patient. This case report highlights how early recognition and treatment can lead to a good functional outcome. PMID:27454647

  19. Spontaneous splenic rupture during Pringle maneuver in liver surgery.

    PubMed

    van Buijtenen, Jesse M; Lamme, Bas; Hesselink, Erik J

    2010-06-27

    During liver resection clamping of the hepato-duodenal ligament (the Pringle maneuver) is performed to reduce intraoperative blood-loss. During this maneuver acute portal hypertension may lead to spontaneous splenic rupture requiring rapid splenectomy in order to control blood loss. We present 2 case of patients with hemorrhage from the spleen during clamping for liver surgery. A review of the literature with an emphasis on the pathophysiology of splenic hemorrhage is presented. PMID:21161004

  20. Dislodgement of coronary stent due to rupture of stent balloon.

    PubMed

    Ayça, Burak; Okuyan, Ertuğrul; Şahin, İrfan; Dinçkal, Mustafa Hakan

    2015-01-01

    Rare stent complications, including dislodgement of stent, unexpanded stent, stent fracture and stent loss etc. can occur during percutaneous coronary interventions (PCI). We present a semi-expanded and dislodged stent due to rupture of stent balloon during primary PCI in this case report. An interventional cardiologist should be aware of the possibility of rare complications, such as in this case, and have enough experience and knowledge to handle them. PMID:25655859

  1. Rupture process of the 2013 Okhotsk deep mega earthquake from iterative backprojection and compress sensing methods

    NASA Astrophysics Data System (ADS)

    Qin, W.; Yin, J.; Yao, H.

    2013-12-01

    On May 24th 2013 a Mw 8.3 normal faulting earthquake occurred at a depth of approximately 600 km beneath the sea of Okhotsk, Russia. It is a rare mega earthquake that ever occurred at such a great depth. We use the time-domain iterative backprojection (IBP) method [1] and also the frequency-domain compressive sensing (CS) technique[2] to investigate the rupture process and energy radiation of this mega earthquake. We currently use the teleseismic P-wave data from about 350 stations of USArray. IBP is an improved method of the traditional backprojection method, which more accurately locates subevents (energy burst) during earthquake rupture and determines the rupture speeds. The total rupture duration of this earthquake is about 35 s with a nearly N-S rupture direction. We find that the rupture is bilateral in the beginning 15 seconds with slow rupture speeds: about 2.5km/s for the northward rupture and about 2 km/s for the southward rupture. After that, the northward rupture stopped while the rupture towards south continued. The average southward rupture speed between 20-35 s is approximately 5 km/s, lower than the shear wave speed (about 5.5 km/s) at the hypocenter depth. The total rupture length is about 140km, in a nearly N-S direction, with a southward rupture length about 100 km and a northward rupture length about 40 km. We also use the CS method, a sparse source inversion technique, to study the frequency-dependent seismic radiation of this mega earthquake. We observe clear along-strike frequency dependence of the spatial and temporal distribution of seismic radiation and rupture process. The results from both methods are generally similar. In the next step, we'll use data from dense arrays in southwest China and also global stations for further analysis in order to more comprehensively study the rupture process of this deep mega earthquake. Reference [1] Yao H, Shearer P M, Gerstoft P. Subevent location and rupture imaging using iterative backprojection for

  2. Proximal humerus shaft fracture after pectoralis major tendon rupture repair.

    PubMed

    Silverstein, Jeff A; Goldberg, Ben; Wolin, Preston

    2011-06-01

    Surgical repair of a complete pectoralis major tendon rupture at the humeral insertion has superior results compared to nonoperative treatment. To our knowledge, a proximal humerus shaft fracture occurring at the site of the bone trough and cortical drill holes after a pectoralis major tendon rupture repair has not been reported in the literature.A 45-year-old man sustained an acute left pectoralis major tendon rupture at the humeral insertion while performing a bench press maneuver. He underwent acute surgical repair. Approximately 8 weeks postoperatively, the patient fell from a standing height and sustained a proximal humerus shaft fracture through the repair site at the bone trough. Three days after the fracture, the patient underwent open reduction and internal fixation of the proximal humerus shaft fracture and exploration of the pectoralis major tendon repair. The fracture was found to be at the level of the repair site, and the pectoralis major tendon was completely intact to the distal fragment. The fracture healed uneventfully, and the patient regained full motion and strength of his extremity with no limitations.Any type of surgical fixation that creates a hole in the humerus or decreases the cross-sectional area such as a bone trough creates a stress riser. Patients undergoing pectoralis tendon repair that involves violating the humerus with a bone trough or hole have a slight risk of postoperative humerus fracture, especially if sustaining an early traumatic event such as a fall. PMID:21667914

  3. Miniopen Repair of Ruptured Achilles Tendon in Diabetic Patients

    PubMed Central

    2014-01-01

    Background. Acute degenerative Achilles tendons ruptures may be managed either operatively or nonoperatively with the superiority of the operative treatment in reducing the risk of rerupture. Acute rupture of Achilles tendon is commonly seen in diabetic patients. Open techniques for Achilles tendon repair have been associated with significant complications as deep infection and wound-related problems. Patients and Methods. Thirteen type II diabetic patients with acute degenerative rupture of the Achilles tendon were managed by miniopen repair augmented by peroneus brevis tendon. Results. All repairs healed successfully. The patients were able to return to preinjury level of activity after a mean of 5 months. The mean ATRS score improved from 15.1 preoperatively to 74.8 postoperatively. The mean Leppilahti ankle score was 59.6. Three patients suffered from superficial wound infection which was successfully managed. However, no patients suffered any major complications such as DVT, deep infection, or reruptures during the period of the study. Conclusion. Repair of acute degenerative tear of the Achilles tendon with peroneus brevis tendon augmentation could be successfully performed through a miniopen technique with minimization of wound complications in diabetic patients. PMID:27437478

  4. Prepapillary vascular loops complicated by suspected macroaneurysm rupture.

    PubMed

    Akaiwa, Kei; Mitamura, Yoshinori; Katome, Takashi; Semba, Kentaro; Egawa, Mariko; Naito, Takeshi

    2014-01-01

    We present a case of prepapillary vascular loops complicated by a suspected macroaneurysm rupture which was treated with intravitreal bevacizumab (IVB). A 62-year-old woman presented with decreased vision and myodesopsia in her left eye. Her best-corrected visual acuity (BCVA) was 0.6 in the left eye. Fundus examination disclosed an elevated, round, and reddish lesion, retinal hemorrhage at the superior aspect of the optic disc, retinal opacification along the superior branch retinal artery, and a small vitreous hemorrhage. Optical coherence tomography showed a serous retinal detachment, and indocyanine green angiography demonstrated prepapillary vascular loops and a hypofluorescent area with hyperfluorescent margins. These findings suggested the presence of a macroaneurysm. No filling of the dye in the aneurysm-like dilatation suggested a blockage of the lumen with a thrombus which might be associated with a branch retinal artery occlusion (BRAO). A diagnosis of prepapillary vascular loops complicated by a suspected macroaneurysm rupture and BRAO was made. Because of a persistent serous retinal detachment, IVB was performed. One month later, the BCVA improved to 1.0. Fundus examination disclosed an organized yellowish-white macroaneurysm and resolution of the serous retinal detachment. We recommend careful monitoring of patients with prepapillary vascular loops because of complications such as macroaneurysm rupture and BRAO. PMID:25328734

  5. Near-field tsunami edge waves and complex earthquake rupture

    USGS Publications Warehouse

    Geist, Eric L.

    2013-01-01

    The effect of distributed coseismic slip on progressive, near-field edge waves is examined for continental shelf tsunamis. Detailed observations of edge waves are difficult to separate from the other tsunami phases that are observed on tide gauge records. In this study, analytic methods are used to compute tsunami edge waves distributed over a finite number of modes and for uniformly sloping bathymetry. Coseismic displacements from static elastic theory are introduced as initial conditions in calculating the evolution of progressive edge-waves. Both simple crack representations (constant stress drop) and stochastic slip models (heterogeneous stress drop) are tested on a fault with geometry similar to that of the M w = 8.8 2010 Chile earthquake. Crack-like ruptures that are beneath or that span the shoreline result in similar longshore patterns of maximum edge-wave amplitude. Ruptures located farther offshore result in reduced edge-wave excitation, consistent with previous studies. Introduction of stress-drop heterogeneity by way of stochastic slip models results in significantly more variability in longshore edge-wave patterns compared to crack-like ruptures for the same offshore source position. In some cases, regions of high slip that are spatially distinct will yield sub-events, in terms of tsunami generation. Constructive interference of both non-trapped and trapped waves can yield significantly larger tsunamis than those that produced by simple earthquake characterizations.

  6. Accelerated stress rupture lifetime assessment for fiber composites

    SciTech Connect

    Groves, S.E.; DeTeresa, S.J.; Sanchez, R.J.; Zocher, M.A.; Christensen, R.M.

    1997-02-01

    Objective was to develop a theoretical and experimental framework for predicting stress rupture lifetime for fiber polymer composites based on short-term accelerated testing. Originally a 3-year project, it was terminated after the first year, which included stress rupture experiments and viscoelastic material characterization. In principle, higher temperature, stress, and saturated environmental conditions are used to accelerate stress rupture. Two types of specimens were to be subjected to long-term and accelerated static tensile loading at various temperatures, loads in order to quantify both fiber and matrix dominated failures. Also, we were to apply state-of-the-art analytical and experimental characterization techniques developed under a previous DOE/DP CRADA for capturing and tracking incipient degradation mechanisms associated with mechanical performance. Focus was increase our confidence to design, analyze, and build long-term composite structures such as flywheels and hydrogen gas storage vessels; other applications include advanced conventional weapons, infrastructures, marine and offshore systems, and stockpile stewardship and surveillance. Capabilities developed under this project, though not completed or verified, are being applied to NIF, AVLIS, and SSMP programs.

  7. Spontaneous Rupture of Hepatic Metastasis from Pancreatic Adenocarcinoma.

    PubMed

    Rahul, Anil; Robin, Fernandes; Adarsh, Hiremath

    2016-01-01

    A 58-year-old man with advanced-stage pancreatic adenocarcinoma presented with fatigue and dyspnea. Examination revealed tachycardia (102 b/min) with mild tenderness in right upper quadrant. His hemoglobin (Hb) was 7.9 g/dL (10 days prior to presentation 12.2 g/dL), International normalized ratio (INR), platelet count was normal, and the stool guaiac test was negative. On admission, abdominal computed tomography (CT) scan showed hepatic metastatic lesion with a rupture and hemoperitoneum communicating to the subdiaphragmatic space. This rapid progression of anemia along with presenting symptoms and CT imaging were attributed to diagnosis of spontaneous rupture of liver metastasis from pancreatic adenocarcinoma. Patient received blood transfusion and hemoglobin was monitored in successive intervals. His general condition and anemia improved with conservative management and he was discharged in 3 days. Repeated CT after 4 months showed resolving hemoperitoneum and stable hemoglobin levels. The patient deceased 9 months after being diagnosed. A literature search revealed limited data regarding the incidence and management of spontaneous rupture of metastatic lesion secondary to pancreatic adenocarcinoma which has been managed conservatively and thus we are reporting our experience. PMID:27597912

  8. Vortex dynamics in ruptured and unruptured intracranial aneurysms

    NASA Astrophysics Data System (ADS)

    Trylesinski, Gabriel; Varble, Nicole; Xiang, Jianping; Meng, Hui

    2013-11-01

    Intracranial aneurysms (IAs) are potentially devastating pathological dilations of arterial walls that affect 2-5% of the population. In our previous CFD study of 119 IAs, we found that ruptured aneurysms were correlated with complex flow pattern and statistically predictable by low wall shear stress and high oscillatory shear index. To understand flow mechanisms that drive the pathophysiology of aneurysm wall leading to either stabilization or growth and rupture, we aim at exploring vortex dynamics of aneurysmal flow and provide insight into the correlation between the previous predictive morphological parameters and wall hemodynamic metrics. We adopt the Q-criterion definition of coherent structures (CS) and analyze the CS dynamics in aneurysmal flows for both ruptured and unruptured IA cases. For the first time, we draw relevant biological conclusions concerning aneurysm flow mechanisms and pathophysiological outcome. In pulsatile simulations, the coherent structures are analyzed in these 119 patient-specific geometries obtained using 3D angiograms. The images were reconstructed and CFD were performed. Upon conclusion of this work, better understanding of flow patterns of unstable aneurysms may lead to improved clinical outcome.

  9. Delayed Sudden Radial Artery Rupture After Left Transradial Coronary Catheterization

    PubMed Central

    Indolfi, Ciro; Passafaro, Francesco; Mongiardo, Annalisa; Spaccarotella, Carmen; Torella, Daniele; Sorrentino, Sabato; Polimeni, Alberto; Emanuele, Vittorio; Curcio, Antonio; De Rosa, Salvatore

    2015-01-01

    Abstract Local complications at the radial access site are not frequent, hence its large diffusion as the preferred access route for endovascular procedures. However, in a time of fast widespreading, better comprehension of all potential complications becomes critical to facilitate their early recognition and the most appropriate treatment. In this case report, we present for the first time a case of sudden massive bleeding at the left wrist, due to spontaneous gross rupture of the left radial artery bleeding 15 days after an endovascular procedure through a left radial arterial access. The patient had been readmitted to the hospital after evidence of local infection at the left wrist with loss of substance. The radial artery was patent with no evidence of pseudoaneurysm. After sudden radial artery rupture, with massive bleeding and suspicion that the local infection could have reached the arterial wall, surgical hemostasis with artery ligation was obtained. Healing of the large wound was then efficiently speeded up using a negative pressure wound therapy. This is the first case of macroscopic radial artery rupture associated with local wrist infection after arterial catheterization. After prompt surgical hemostasis, negative pressure wound therapy was very helpful in favoring healing of the large and deep wound. PMID:25761194

  10. Internal carotid artery rupture caused by carotid shunt insertion

    PubMed Central

    Illuminati, Giulio; Caliò, Francesco G.; Pizzardi, Giulia; Vietri, Francesco

    2015-01-01

    Introduction Shunting is a well-accepted method of maintaining cerebral perfusion during carotid endarterectomy (CEA). Nonetheless, shunt insertion may lead to complications including arterial dissection, embolization, and thrombosis. We present a complication of shunt insertion consisting of arterial wall rupture, not reported previously. Presentation of case A 78-year-old woman underwent CEA combined with coronary artery bypass grafting (CABG). At the time of shunt insertion an arterial rupture at the distal tip of the shunt was detected and was repaired via a small saphenous vein patch. Eversion CEA and subsequent CABG completed the procedure whose postoperative course was uneventful. Discussion Shunting during combined CEA-CABG may be advisable to assure cerebral protection from possible hypoperfusion due to potential hemodynamic instability of patients with severe coronary artery disease. Awareness and prompt management of possible shunt-related complications, including the newly reported one, may contribute to limiting their harmful effect. Conclusion Arterial wall rupture is a possible, previously not reported, shunt-related complication to be aware of when performing CEA. PMID:26255001

  11. Endovascular Repair of Contained Rupture of the Thoracic Aorta

    SciTech Connect

    Morgan, Robert; Loosemore, Tom; Belli, Anna-Maria

    2002-08-15

    Purpose: To assess the efficacy of stent-grafts for the treatment of acute rupture of the thoracic aorta. Methods: Four patients with acute contained ruptures of the thoracic aorta were treated by insertion of stent-grafts. The underlying aortic lesions were aneurysm, acute aortic ulcer, acute type B dissection and giant cell aortitis. The procedures were performed under general anesthesia in three patients and local anesthesia in one patient. Results: All stent-grafts were successfully deployed. All patients survived the procedure and are now alive and well at follow-up (mean 6.3 months, range 44 days-16 months). One patient underwent a second stent procedure 10 days after the first procedure because of a proximal endoleak. All hemothoraces have resolved. There were no complications. Conclusion:Treatment of acute contained ruptures of the thoracic aorta by the insertion of stent-grafts is feasible. The technical success rates,complication rates and patient survival compare favorably with emergency surgery.

  12. Catastrophic rupture of lunar rocks - A Monte Carlo simulation

    NASA Technical Reports Server (NTRS)

    Hoerz, F.; Schneider, E.; Gault, D. E.; Hartung, J. B.; Brownlee, D. E.

    1975-01-01

    A computer model based on Monte Carlo techniques was developed to simulate the destruction of lunar rocks by 'catastrophic rupture' due to meteoroid impact. Energies necessary to accomplish catastrophic rupture were derived from laboratory experiments. A crater-production rate derived from lunar rocks was utilized to calculate absolute time scales. Calculated median survival times for crystalline lunar rocks are 1.9, 4.6, 10.3, and 22 m.y. for rock masses of 10, 100, 1000, and 10,000 g, respectively. Corresponding times of 6, 14.5, 32, and 68 million years are required before the probability of destruction reaches 0.99. These results are consistent with absolute exposure ages measured on returned rocks. Some results also substantiate previous conclusions that the catastrophic-rupture process is significantly more effective in obliterating lunar rocks than mass wasting by single-particle abrasion. The view is also corroborated that most rocks presently on the lunar surface either are exhumed from the regolith or are fragments of much larger boulders rather than primary ejecta excavated from pristine bedrock.

  13. Prelabour Rupture of Membranes: Mode of Delivery and Outcome

    PubMed Central

    Ibishi, Vlora Ademi; Isjanovska, Rozalinda Dusan

    2015-01-01

    BACKGROUND: Pre-labour Rupture of Membranes (PROM) is an important cause of maternal and fetal morbidity and increased rate of cesarean section delivery. AIM: The aim of this study is to investigate the clinical characteristics, PROM-delivery interval, mode of delivery, and early maternal neonatal outcome among pregnant patients presenting with pre-labour rupture of membranes. MATERIAL AND METHODS: This prospective case control study is implemented at the Obstetric and Gynecology Clinic of the University Clinical Center of Kosovo. The study included 100 pregnant patients presenting with prelabour rupture of membranes of which 63 were primigravida and 37 patients were multigravida. RESULTS: The incidence of cesarean section in this study is 28 % and the most common indications for cesarean delivery were fetal distress, malpresentation, cephalopelvic disproportion, and failed induction. The most common maternal complications in this study are chorioamnionitis, retained placenta and postpartum hemorrhage. Neonatal infectious morbidity was present in 16 % of cases. CONCLUSION: PROM is a significant issue for obstetricians and an important cause of maternal and neonatal morbidity and increased rate of cesarean section delivery. PMID:27275227

  14. Ruptured Mycotic Aortic Aneurysm in a Sooty Mangabey (Cercocebus atys)

    PubMed Central

    Sharma, Prachi; Cohen, Joyce K; Lockhart, Shawn R; Hurst, Steven F; Drew, Clifton P

    2011-01-01

    Mycotic aortic aneurysm is a local, irreversible dilatation of the aorta associated with destruction of the vessel wall by infection and is a grave clinical condition associated with high morbidity and mortality in humans. Rupture of aortic aneurysms can be spontaneous, idiopathic, or due to severe trauma, and the condition has been associated with bacterial and, rarely, fungal infections in humans and animals. Here, we describe a case of ruptured spontaneous aortic aneurysm associated with zygomycetic infection in a 21-y-old female sooty mangabey. The animal did not present with any significant clinical signs before being found dead. At necropsy, she was in good body condition, and the thoracic cavity had a large amount of clotted blood filling the left pleural space and surrounding the lung lobes. Near the aortic arch, the descending thoracic aorta was focally perforated (diameter, approximately 0.15 cm), and clotted blood adhered to the tunica adventitia. The aortic intima had multiple, firm, pale-yellow nodules (diameter, 0.25 to 0.5 cm). Histopathologically, these nodules consisted of severe multifocal pyogranulomatous inflammation intermixed with necrosis, fibrin, and broad, infrequently septate, thin-walled fungal hyphae. Immunohistochemistry revealed fungal hyphae characteristic of Mucormycetes (formerly Zygomycetes), and PCR analysis identified the organism as Basidiobolus spp. Dissemination of the fungus beyond the aorta was not noted. Spontaneous aortic aneurysms have been described in nonhuman primates, but this is the first reported case of a ruptured spontaneous aortic aneurysm associated with entomophthoromycetic infection in a sooty mangabey. PMID:22330581

  15. Endoscopic retrograde cholangiopancreatography in ruptured liver hydatid cyst.

    PubMed

    Borahma, Mohamed; Afifi, Rajaa; Benelbarhdadi, Imane; Ajana, Fatima Zahra; Essamri, Wafaa; Essaid, Abdellah

    2015-07-01

    One of the most common and serious complications of hepatic hydatid cyst disease is communication between the cyst and the biliary tree. Surgical management of biliary fistula is associated with high morbidity and mortality. We retrospectively reviewed the effectiveness of endoscopic treatment of ruptured hydatid cyst into intrahepatic bile ducts. Diagnosis of intrabiliary rupture of hydatid cyst was mostly suspected by acute cholangitis, jaundice, pain, and/or persistent external biliary fistula after surgery. The diagnosis was confirmed by radiology and endoscopic retrograde cholangiopancreatography (ERCP) findings. We retrospectively reviewed clinical, laboratory, imagery, and ERCP findings for all patients. The therapeutic methods performed were endoscopic sphincterotomy, extraction by balloon or Dormia basket, stenting, or nasobiliary drainage. Sixteen patients with ruptured hepatic hydatid cyst into bile ducts were seen in 9 years. Nine of 16 patients had a surgical history of hepatic hydatid cyst and three patients had a percutanous treatment history. We carried out ERCP with sphincterotomy and extraction of hydatid materials (extraction balloon n = 11; Dormia basket n = 5) or biliary drainage (nasobiliary drainage n = 1; biliary stenting n = 1). The fistula healed in 80 % of patients with a median time of 6 weeks [range, 1-12] after endoscopic treatment. ERCP was an effective method of treatment for hepatic hydatid cyst with biliary fistula. PMID:26345677

  16. Vascular type Ehlers-Danlos Syndrome with fatal spontaneous rupture of a right common iliac artery dissection: case report and review of literature

    PubMed Central

    Abayazeed, Aly; Hayman, Emily; Moghadamfalahi, Mana; Cain, Darren

    2014-01-01

    Vascular Ehlers-Danlos Syndrome (previously Ehlers-Danlos IV) is a rare autosomal dominant collagen vascular disorder caused by a 2q31 COL3A1 gene mutation encoding pro-alpha1 chain of type III collagen (in contrast to classic Ehlers-Danlos, caused by a COL5A1 mutation). The vascular type accounts for less than 4% of all Ehlers-Danlos cases and usually has a poor prognosis due to life threatening vascular ruptures and difficult, frequently unsuccessful surgical and vascular interventions. In 70% of cases, vascular rupture or dissection, gastrointestinal perforation, or organ rupture is a presenting sign. We present a case of genetically proven vascular Ehlers-Danlos with fatal recurrent retroperitoneal hemorrhages secondary to a ruptured right common iliac artery dissection in a 30-year-old male. This case highlights the need to suspect collagen vascular disorders when a young adult presents with unexplained retroperitoneal hemorrhage, even without family history of such diseases. PMID:24967021

  17. Vascular type Ehlers-Danlos Syndrome with fatal spontaneous rupture of a right common iliac artery dissection: case report and review of literature.

    PubMed

    Abayazeed, Aly; Hayman, Emily; Moghadamfalahi, Mana; Cain, Darren

    2014-02-01

    Vascular Ehlers-Danlos Syndrome (previously Ehlers-Danlos IV) is a rare autosomal dominant collagen vascular disorder caused by a 2q31 COL3A1 gene mutation encoding pro-alpha1 chain of type III collagen (in contrast to classic Ehlers-Danlos, caused by a COL5A1 mutation). The vascular type accounts for less than 4% of all Ehlers-Danlos cases and usually has a poor prognosis due to life threatening vascular ruptures and difficult, frequently unsuccessful surgical and vascular interventions. In 70% of cases, vascular rupture or dissection, gastrointestinal perforation, or organ rupture is a presenting sign. We present a case of genetically proven vascular Ehlers-Danlos with fatal recurrent retroperitoneal hemorrhages secondary to a ruptured right common iliac artery dissection in a 30-year-old male. This case highlights the need to suspect collagen vascular disorders when a young adult presents with unexplained retroperitoneal hemorrhage, even without family history of such diseases. PMID:24967021

  18. Spontaneous uterine rupture at 14 weeks gestation during a pregnancy consecutive to an oocyte donation in a woman with Turner's syndrome.

    PubMed

    Masia, Florent; Zoric, Lana; Ripart-Neveu, Sylvie; Marès, Pierre; Ripart, Jacques

    2015-04-01

    We describe a spontaneous uterine rupture at 14 weeks gestation in a Turner patient. A 39 year-old patient was admitted for abdominal pain and hypotension at 14 weeks of pregnancy. The pregnancy had been obtained by oocyte donation and in vitro fertilization (IVF) because of Turner's syndrome. The abdominal ultrasound scan showed a normal pregnancy and a conserved foetal cardiac activity. It also showed a large amount of free fluid in the perihepatic space. Haemoglobin was 11.2 g/dL. After hemodynamic degradation, urgent laparoscopy showed an unrepairable uterine rupture with partial exteriorisation of the pregnancy, and placenta percreta. Urgent conversion to laparotomy allowed haemostatic hysterectomy. Uterine rupture during pregnancy obtained by oocyte donation in Turner's syndrome may be life threatening. The possibility of such a complication should be considered before oocyte donation for IVF in Turner's patients. Early spontaneous uterine rupture (second trimester) is a challenging diagnostic that should be evoked in case of non-specific abdominal pain in the presence of risk factors. PMID:25858617

  19. One stage resection of spontaneous rupture of hepatocellular carcinoma in the triangular ligament with diaphragm invasion: case report and review of the literature

    PubMed Central

    2012-01-01

    A spontaneous rupture of hepatocellular carcinoma (HCC) can lead to extensive hemorrhage and is a rare but life-threatening event. A 58-year-old male patient with no history of trauma presented at our institution with severe epigastric pain and abdominal distension for 6 h. His blood pressure was a 60/40 mmHg, and pulse rate was 132/min. Abdominal contrast enhanced computed tomography (CT) imaging revealed a ruptured mass under the left diaphragm and fluid collection in the upper abdomen, flanks and pelvic cavity. Exploratory laparotomy confirmed the presence of an active bleeding tumor in the triangular ligament invading into the diaphragm. The tumor was resected with an appropriate diaphragm margin. The resected tumor was 5 cm in diameter and pathologically identified as hepatocellular carcinoma with a negative surgical margin. This case report shows that ruptured hepatocellular carcinoma should be considered in the differential diagnosis of non-traumatic hemoperitoneum. And it is necessary to set a surgical plan for unpredictable HCC rupture with direct diaphragm invasion. PMID:22995633

  20. Modes of Dynamic Rupture Propagation and Rupture Front Speeds in Earthquake Models That Account for Dynamic Weakening Mechanisms

    NASA Astrophysics Data System (ADS)

    Lapusta, N.

    2005-12-01

    Laboratory experiments and theories of how fault materials respond suggest that the constitutive response of faults is far from simple. For slow slip rates, laboratory-derived rate and state friction formulations incorporate small, less than 10%, variations in frictional strength about a representative value which is the product of a typical slow-rate friction coefficient (0.6-0.7 for most rock surfaces and fault-like gouge) times the effective normal stress (which is comparable to overburden minus hydrostatic pore pressure, about 150 MPa at the representative seismic depth of 8 km). One could refer to this slow-rate frictional strength as (high) static fault strength. For fast sliding velocities and large slips, additional weakening mechanisms are activated that result in much lower frictional resistance during dynamic sliding. Hence we need to build earthquake models that would account for both high static strength and low dynamic strength of faults. At first, it seems that the combination of high static strength and low, near-zero, dynamic strength should create static stress drops that are large compared to 1-10 MPa static stress drops typically observed. However, Rice (AGU, 1994) and Lapusta and Rice (AGU, 2003, 2004) proposed a model that avoids that pitfall by incorporating small defect regions that nucleate ruptures while the average stress on the fault is still low compared to its static strength. By simulating earthquake sequences in the framework of a 2D depth-averaged elastic model of a faulted crustal plate, they showed that the fault would then operate with reasonable static stress drops, low shear stress, and low heat generation as follows: Earthquakes nucleate under low shear stress in a defect (weak) and then propagate into strong regions due to significant dynamic weakening. The simulations incorporated truly slow, tectonic-type loading of 35 mm/year and resolved all stages of the simulated earthquakes, including the nucleation process and