scholarly journals Massive Hemothorax Caused by a Single Intercostal Artery Bleed Ten Days after Solitary Minimally Displaced Rib Fracture

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Karleigh R. Curfman ◽  
R. Jonathan Robitsek ◽  
Gregory G. Salzler ◽  
Katherine D. Gray ◽  
Charles S. Lapunzina ◽  
...  
Keyword(s):  
Blood Loss ◽  
Traumatic Event ◽  
Acute Onset ◽  
Rib Fracture ◽  
Intercostal Artery ◽  
Rare Occurrence ◽  
Blunt Thoracic Trauma ◽  
Successful Management ◽  
Time To Diagnosis ◽  
Massive Hemothorax

Delayed hemothorax (DHX) following blunt thoracic trauma is a rare occurrence with an extremely variable incidence and time to diagnosis that is generally associated with clinically insignificant blood loss. In this report, we present a case of acute onset DHX ten days after a relatively mild traumatic event that resulted in a single minimally displaced rib fracture. The patient awoke from sleep suddenly with acute onset dyspnea and chest pain and reported to the emergency department (ED). The patient lost over six and a half liters of blood during the first 9 hours of his admission, the largest volume yet reported in the literature for DHX, which was eventually found to be due to a single intercostal artery bleed. Successful management in this case entailed two emergent thoracotomies and placement of multiple thoracostomy tubes to control blood loss. The patient was discharged home on postoperative day 5.

scholarly journals Thoracic actinomycosis: a rare occurrence

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Waqas Jehangir ◽  
Bhumesh Vaidya ◽  
Souad Enakuaa ◽  
Nazar Raoof ◽  
John R. Middleton ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Alimentary Canal ◽  
Surgical Repair ◽  
Acute Onset ◽  
Blood Cultures ◽  
Esophageal Rupture ◽  
Rare Occurrence ◽  
Normal Flora ◽  
Clinical Form ◽  
Thoracic Actinomycosis

<em>Actinomyces israelii</em> is a branching anaerobic bacilli microorganism that can be identified as normal flora throughout various portions of the human alimentary canal. It is crucial to establish a diagnosis as treatment will vary depending on the clinical form of the disease. We report a case of a 78-year-old man who initially presented with an acute onset of respiratory distress displayed contrast leakage on computed tomography from the site of a previously inserted esophageal stent for an unsuccessful surgical repair of an esophageal rupture. In addition to the contrast leakage, the presence of a bronchopulmonary fistula imaging prompted the need for further investigation. Our patient was empirically treated with antibiotics and obtained blood cultures, which returned positive <em>A. israelii.</em>

Pink Spot – Literature Review and Case Report

2016 ◽  
Vol 40 (5) ◽  
pp. 353-355 ◽  
Author(s):  
Roy Petel ◽  
Anna Fuks
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Literature Review ◽  
Diagnosis And Treatment ◽  
Rare Occurrence ◽  
Central Incisor ◽  
Successful Management ◽  
Pathologic Process ◽  
Clinical Presentations ◽  
Subsequent Loss

Background: Pink spots in teeth were first described by Mummery in 1920, and were related to resorption. Resorption is a pathologic process that often eludes the clinician with its varied etiologic factors and diverse clinical presentations. Resorption can be generally classified as internal and external resorption. Internal resorption has been described as a rare occurrence as compared to external resorption. Case report: This article describes a pink spot that was diagnosed as a progressing resorption process. Early diagnosis enabled a successful management of the lesion. Conclusion: Early diagnosis and treatment of an internal resorption, clinically seen as a pink spot, in a primary central incisor may prevent its fast progress and subsequent loss.

scholarly journals Vulvovaginal Infralevator Haematoma Mimicking the Second Stage of Labour

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
J. O. Awoleke ◽  
O. M. Ipinnimo
Keyword(s):  
Blood Loss ◽  
Tissue Damage ◽  
Maternal Morbidity ◽  
Perineal Pain ◽  
Rare Occurrence ◽  
Risk Of Infection ◽  
Final Size ◽  
Rare Presentation ◽  
Second Stage ◽  
Second Stage Of Labour

Even though they are quite uncommon, puerperal genital haematomas can be associated with serious maternal morbidity. Key findings are significant perineal pain and, depending on the location, visible swelling. However, attention can be drawn to its progression by the rare occurrence of persistent painful “bearing down” efforts, even after the successful delivery of the baby. The final size of this haematoma and the rare presentation make it truly uncommon. The primary goals of treatment include the prevention of further blood loss, minimizing tissue damage, relieving pain, and reducing the risk of infection. Management is generally conservative for small collections, but surgery is indispensable when they acutely expand in size or are large with worsening symptoms.

Congenital talonavicular synostosis. A review of the literature and a case report

1989 ◽  
Vol 79 (4) ◽  
pp. 186-189 ◽  
Author(s):  
JH Bonk ◽  
MA Tozzi
Keyword(s):  
Case Report ◽  
Traumatic Event ◽  
Radiographic Finding ◽  
Acute Onset ◽  
Adolescent Male ◽  
Treatment Modalities ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Male Athlete ◽  
A Minor

The diagnosis of a congenital talonavicular coalition is one that often may be little more than an incidental radiographic finding. However, the acute onset of vague midfoot symptomatology secondary to a minor traumatic event may reveal this rarely reported condition on further clinical examination. The authors present a description of the characteristic historical and clinical features of talonavicular coalitions, current diagnostic and treatment modalities available, and a case presentation of an acute painful talonavicular synostosis in an adolescent male athlete.

scholarly journals Delayed massive hemothorax due to diaphragm injury with rib fracture: A case report

2020 ◽  
Vol 77 ◽  
pp. 133-137
Author(s):  
Tomohiro Muronoi ◽  
Akihiko Kidani ◽  
Kazuyuki Oka ◽  
Madoka Konishi ◽  
Shunsuke Kuramoto ◽  
...  
Keyword(s):  
Case Report ◽  
Rib Fracture ◽  
Diaphragm Injury ◽  
Massive Hemothorax

scholarly journals Ruptured intercostal artery pseudoaneurysm in a patient with blunt thoracic trauma: diagnosis and management

2014 ◽  
Vol 2014 (jun25 1) ◽  
pp. bcr2013202019-bcr2013202019 ◽  
Author(s):  
D. F. Gutierrez Romero ◽  
M. Barrufet ◽  
A. Lopez-Rueda ◽  
M. Burrel
Keyword(s):  
Thoracic Trauma ◽  
Intercostal Artery ◽  
Blunt Thoracic Trauma ◽  
Artery Pseudoaneurysm ◽  
Diagnosis And Management

scholarly journals Intercostal artery damage and massive hemothorax after thoracocentesis by central venous catheter: A case report

2017 ◽  
Vol 20 (5) ◽  
pp. 305-307
Author(s):  
Bai-Qiang Li ◽  
Bo Ye ◽  
Fa-Xi Chen ◽  
Lu Ke ◽  
Zhi-Hui Tong ◽  
...  
Keyword(s):  
Case Report ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Intercostal Artery ◽  
Central Venous ◽  
Massive Hemothorax

scholarly journals Massive hemothorax caused by intercostal artery pseudoaneurysm:a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Caiyang Liu ◽  
Ran Ran ◽  
Xiaoliang Li ◽  
Gaohua Liu ◽  
Chuanxi Wang ◽  
...  
Keyword(s):  
Surgical Management ◽  
Combined Treatment ◽  
Traumatic Injury ◽  
Covered Stent ◽  
Intercostal Artery ◽  
Artery Pseudoaneurysm ◽  
Stent Grafting ◽  
Risk Of Rupture ◽  
Massive Hemothorax ◽  
Feeding Vessel

Abstract Background Intercostal artery pseudoaneurysm is rare and at the risk of rupture. The aetiology is always reported to be iatrogenic and traumatic injury. Embolisation is the most common therapeutic method. Here, we report a case of spontaneous intercostal artery pseudoaneurysm and cured by combining covered stent grafting and surgical management. Case presentation A 60-year-old man complained of acute right back pain for 5 h. Computed tomography showed right massive hemothorax and a giant mass with distinct feeding vessel originated from the thoracic aorta within the right hemithorax. Thoracocentesis was performed, and then a covered stent was positioned across the origin of the feeding vessel. The patient was diagnosed with intercostal artery pseudoaneurysm. Finally, we successfully resected the pseudoaneurysm and ligated the proximal part of the artery. Histologic examination have proved the diagnosis. The postoperative course was uneventful, and the patient was discharged on postoperative day 10. There is no recurrence reported during follow-up. Conclusions Spontaneous intercostal artery pseudoaneurysm is extremly rare. Delayed hemothorax due to rupture of the pseudoaneurysm may occur years after the formation. Early diagnosis is important and a combined treatment of endovascular intervention and surgical management is feasible, especially for the case of ruptured large tumour-like mass presentation of the pseudoaneurysm.

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