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Haemopneumothorax rib fracture

Christina Kozul, Karishma Jassal, Rodney Judson
Chylothorax caused by blunt trauma is extremely rare. We present a case of bilateral massive chylothorax post blunt trauma and a review of the literature regarding the identification and management of this rare diagnosis. An eighteen-year-old male was involved in a motor vehicle crash where he sustained multiple injuries including a right, moderate to large, haemopneumothorax, a small left haemopneumothorax, left T8, T9, L1 and L2 acute transverse process fractures and fractures of bilateral 11th ribs. An intercostal catheter was inserted on the right side which initially drained blood-stained fluid however milky colour fluid was noted to be draining 11 h post insertion...
December 2017: Trauma Case Reports
Benjamin Hardy, Nicholas Sunderland, Mevan Perera, Kathryn Channing
A 56-year-old man presented having had two falls at home. He had a background of multiple sclerosis. After his second fall, during which he had fallen onto the toilet injuring his right chest, he was brought into the emergency department reporting pleuritic chest discomfort. Immediately evident was extensive swelling from his forehead to his thighs, which on palpation was found to be subcutaneous emphysema. A chest X-ray showed a large right-sided pneumothorax for which a chest drain was inserted. A CT revealed extensive surgical emphysema, pneumomediastinum, pneumoperitoneum and gas within the spinal canal...
December 2, 2016: BMJ Case Reports
I A Nwafor, J C Eze, N Ezemba, O C Onyekwulu, Adikwu Brown, C H Anyanwu
BACKGROUND: Globally, major chest injuries have both high morbidity and mortality. A detailed study of chest injuries in south-eastern Nigeria is here presented. AIMS: To determine the incidence, the predisposing factors, the pattern of presentation and the outcome of management of chest injuries. MATERIALS AND METHODS: This is a retrospective study spanning a period of 10 years (2002-2011). The medical records of all patients with documented chest injuries that presented to our hospital within the period under review, were retrieved and analysed, by simple arithmetic percentages...
April 2014: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
Shahzadi Samar Subhani, Mohammad Sultan Muzaffar, Farah Rashid Siddiqui
OBJECTIVE: To analyse the outcome in terms of morbidity and mortality in blunt thoracic trauma patients in tertiary care hospitals, Rawalpindi. METHODS: The prospective study was conducted from March 2008 to February 2012 in surgical wards of public and private sector hospitals in Rawalpindi. A total of 221 patients were included from the Combined Military Hospital during 2008-10, and 43 patients from the Heart's International during 2011-12. The patients reported to emergency department within 48 hours of trauma...
April 2014: JPMA. the Journal of the Pakistan Medical Association
Mustafa Inan, Suleyman Ayvaz, Necdet Sut, Burhan Aksu, Umit N Basaran, Turan Ceylan
BACKGROUND: Although thoracic injuries are uncommon in children, their rate of morbidity and mortality is high. The aim of this study was to evaluate the clinical features of children with blunt chest injury and to investigate the predictive accuracy of their paediatric trauma scores (PTS). METHODS: Between September 1996 and September 2006, children with blunt thoracic trauma were evaluated retrospectively. Clinical features and PTS of the patients were recorded...
August 2007: ANZ Journal of Surgery
N Bourguignon, S Godier, A Genevois, N Kaeffer, B Dureuil
A 60-year-old man, was admitted in the emergency ward, following a motor vehicle accident. At the time of arrival his clinical state was stable. The initial investigations showed a moderate left haemopneumothorax and fractured ribs. After insertion of a thoracostomy tube into the left pleural cavity he had to undergo surgery for an open fracture of the left arm. Following induction of anaesthesia, a cardiovascular collapse occurred rapidly. An emergency thoracotomy was performed which showed a right ventricular perforation by a rib fragment...
1996: Annales Françaises D'anesthèsie et de Rèanimation
C Baraneţchi, L Birta, A Iurea, E Zaharia
The authors recommend a simple procedure, efficient in cases with thoracic flaps, called voletopexia. The thoracic flaps are severe complications of thoracic trauma, accompanied by paradoxal respiration, mediastinal pendullation, severe respiratory failure, frequently in association with subcutaneous and/or mediastinal emphysema, parietal hematomas, haemothorax or haemopneumothorax, pulmonary tissue ruptures, or ruptures of the large vessels. The method proposed consists in a fixation of the mobile flap to the intact ribs above and under it by one or two knits with double thread, in a perpendicular direction with regard to the ribs...
March 1981: Revista de Chirurgie, Oncologie, Radiologie, O.r.l., Oftalmologie, Stomatologie. Chirurgie
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