scholarly journals Delayed massive hemothorax requiring surgery after blunt thoracic trauma over a 5-year period: complicating rib fracture with sharp edge associated with diaphragm injury

2018 ◽  
Vol 5 (1) ◽  
pp. 60-65 ◽  
Author(s):  
Sung Wook Chang ◽  
Kyoung Min Ryu ◽  
Jae-Wook Ryu
Keyword(s):  
Thoracic Trauma ◽  
Rib Fracture ◽  
Sharp Edge ◽  
Blunt Thoracic Trauma ◽  
Diaphragm Injury ◽  
Massive Hemothorax

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 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 LEFT SUBCLAVIAN ARTERY RUPTURE DUE TO BLUNT THORACIC TRAUMA: A CASE REPORT

2017 ◽  
Vol 17 (2) ◽  
pp. 103-111
Author(s):  
Yopie Afriandi Habibie ◽  
Ign Wuryantoro
Keyword(s):  
Subclavian Artery ◽  
Thoracic Trauma ◽  
Left Subclavian Artery ◽  
Primary Repair ◽  
Median Sternotomy ◽  
Traumatic Rupture ◽  
Blunt Thoracic Trauma ◽  
X Ray ◽  
Massive Hemothorax ◽  
Chest X Ray

Abstrak. Trauma tumpul toraks memiliki insiden yang sangat tinggi pada populasi dewasa, 20 – 50 % dari kasus dapat mengakibatkan kematian. Cedera pada struktur pembuluh darah dari bagian dada atas, terutama pembuluh darah arteri subklavia kiri, sangat jarang ditemukan dan biasanya disertai dengan “hematotoraks massif”. Observasi ketat dari tanda- tanda vital dan foto toraks serial sangatlah penting. Kami paparkan sebuah kasus jarang dari seorang pasien yang mengalami cedera traumatik arteri subklavia kiri. Tidak ditemukan gambaran klinis dari hematoma di supra klavikula, pulsasi arteri radialis kiri tidak teraba, dan tidak ditemukan pelebaran dari mediastinum pada foto toraks. Tetapi didapatkan hematotoraks massif kiri. Dilakukan posterolateral torakotomi kiri, dijumpai sumber perdarahan dari bagian apex paru kiri, dicurigai terdapatnya robekan dari pembuluh darah arteri subklavia kiri. Tindakan dilanjutkan dengan insisi median sternotomy yang diperluas ke arah supraklavikula kiri, ditemukan rupture total dari arteri subklavia kiri dengan jarak 1,5 cm proksimal dari arkus aorta. Tindakan repair (perbaikan) arteri secara primer (end to end anastomosis) dilakukan dengan hasil baik. (JKS 2017; 2: 105-114)Kata kunci : Trauma tumpul toraks, hematotoraks massif, cedera arteri subklavia kiriAbstract. Blunt thoracic trauma highest incidence is in adult, 20% to 50 % of the trauma cause death. Injuries to the vascular structures of the thoracic outlet, especially left subclavian artery, are rare and typically accompanied by massive  hemorrhage. Close observation of vital sign and serial chest x-ray are very important. We describe an unusual presentation of a patient who suffered traumatic rupture of left subclavian artery. No clinical presentation of supraclavicular hematoma, unilateral absence of radial artery pulse and mediastinal widening in chest x-ray was found, but there is a massive hemothorax. Left posterolateral thoracotomy was performed, the source of bleeding was found in the apex of the lung, suspected a rupture of the left subclavian artery. The procedure continued with median sternotomy extended to left supraclavicular incision, a rupture was found in the left subclavian artery, 1,5 cm proximal to aortic arch. Primary repair was done with a good result. (JKS 2017; 2: 105-114)Key Words : Blunt thoracic trauma, massive hemothorax, left subclavian artery rupture

scholarly journals LEFT SUBCLAVIAN ARTERY RUPTURE DUE TO BLUNT THORACIC TRAUMA: A CASE REPORT

2018 ◽  
Vol 18 (2) ◽  
pp. 93-100
Author(s):  
Yopie Afriandi Habibie ◽  
Ign Wuryantoro
Keyword(s):  
Subclavian Artery ◽  
Thoracic Trauma ◽  
Left Subclavian Artery ◽  
Primary Repair ◽  
Median Sternotomy ◽  
Traumatic Rupture ◽  
Blunt Thoracic Trauma ◽  
X Ray ◽  
Massive Hemothorax ◽  
Chest X Ray

Abstract. Blunt thoracic trauma highest incidence is in adult, 20% to 50 % of the trauma cause death. Injuries to the vascular structures of the thoracic outlet, especially left subclavian artery, are rare and typically accompanied by massive  hemorrhage. Close observation of vital sign and serial chest x-ray are very important. We describe an unusual presentation of a patient who suffered traumatic rupture ofleft subclavian artery. No clinical presentation of supraclavicular hematoma, unilateral absence of radial artery pulse and mediastinal widening in chest x-ray was found, but there is a massive hemothorax. Left posterolateral thoracotomy was performed, the source of bleeding was found in the apex of the lung, suspected a rupture of the left subclavian artery. The procedure continued with median sternotomy extended to left supraclavicular incision, a rupture was found in the left subclavian artery, 1,5 cm proximal to aortic arch. Primary repair was done with a good result. Key Words : Blunt thoracic trauma, massive hemothorax, left subclavian artery rupture

Successful Angiographic Embolization of Bleeding into the Chest Wall after Blunt Thoracic Trauma

2006 ◽  
Vol 60 (5) ◽  
pp. 1117-1118 ◽  
Author(s):  
Jared L. Antevil ◽  
James F. Holmes ◽  
Douglas Lewis ◽  
Felix Battistella
Keyword(s):  
Chest Wall ◽  
Thoracic Trauma ◽  
Angiographic Embolization ◽  
Blunt Thoracic Trauma

scholarly journals The clinical implications of severe low rib fracture in the management of diaphragm injury: A Case Control Study

2017 ◽  
Vol 42 ◽  
pp. 178-182 ◽  
Author(s):  
Seongyup Kim ◽  
Woo Jin Choi ◽  
Kawng Ho Lee ◽  
Chun Sung Byun ◽  
Keum Seok Bae ◽  
...  
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
Rib Fracture ◽  
Clinical Implications ◽  
Diaphragm Injury ◽  
Control Study
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