Penetrating pulmonary vein laceration following blunt chest trauma.
Cardiothoracic
ED, Emegency department
FAST, Focused abdominal sonogram for trauma
General surgery
Intensive care
Orthopaedics
SSRF, Surgical stabilization of rib fractures
Shock
Journal
Trauma case reports
ISSN: 2352-6440
Titre abrégé: Trauma Case Rep
Pays: Netherlands
ID NLM: 101711730
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
accepted:
18
12
2021
entrez:
10
1
2022
pubmed:
11
1
2022
medline:
11
1
2022
Statut:
epublish
Résumé
Flail chest is a common injury in blunt trauma which is usually treated with analgesia, oxygen, and other conservative measures. In more severe cases mechanical ventilation and surgical stabilization of rib fractures (SSRF) may be warranted. Penetrating injury to the heart or great vessels due to rib fractures however, is much less common. Here we present a 33 year old male that was admitted to the Emergency department (ED) after a horse riding accident, demonstrating severe shock. Emergency computerized tomography scan showed multiple bilateral displaced rib fractures, Left hemothorax and possibly a penetrating injury to the left side of the heart by one of the ribs. Notably, no significant pericardial effusion was demonstrated. In addition, a grade V splenic injury was diagnosed. A Joined thoracic and abdominal emergent surgical treatment was successfully carried out and the patient survived and fully recovered.
Identifiants
pubmed: 35005170
doi: 10.1016/j.tcr.2021.100596
pii: S2352-6440(21)00201-6
pmc: PMC8717223
doi:
Types de publication
Case Reports
Langues
eng
Pagination
100596Informations de copyright
© 2021 The Authors. Published by Elsevier Ltd.
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