Pulmonary Rehabilitation for Restrictive Lung Impairment Secondary to Osteoporotic Sternal Fracture: A Case Report

ABSTRACT Introduction Present a review of the case, management, and progress of an obstetric patient who suffered a car accident with subsequent severe blunt thoracic trauma (BTT) resulting in flail chest (FC). Case report This is a case of Hispanic female of 44 years involved in a car accident at 14 weeks of gestation, who presented with FC, sternal fracture, and severe respiratory compromise. This woman received surgical management and care in an intensive obstetric care unit management, presenting osteomyelitis as a complication, along with physical deconditioning and prolonged hospital stay, finally with an obstetric and functional favorable outcome. Conclusion Although severe BTT in pregnant patients is uncommon, it is important to highlight the appropriate medical management required for these patients in order to achieve a successful outcome, as was in this case. This is the only case report of FC surgical management in pregnancy that we have in our institution so far. How to cite this article Nieto AJ, Velásquez M, Escobar MF, Carvajal JA, Granados M. Unstable Chest Surgical Management in Pregnancy: Case Report and Literature Review. Panam J Trauma Crit Care Emerg Surg 2016;5(3):155-160.

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Pulmonary rehabilitation in multi-drug resistant tuberculosis (TB MDR): a case report

Colombia Medica ◽

10.25100/cm.v40i4.675 ◽

1969 ◽

Vol 40 (4) ◽

pp. 436-441

Author(s):

Esther Cecilia Wilches ◽

Julián Andrés Rivera ◽

Ricardo Mosquera ◽

Liliana Loaiza ◽

Lucely Obando

Keyword(s):

Case Report ◽

Pulmonary Rehabilitation ◽

Drug Resistant ◽

Drug Resistant Tuberculosis ◽

Resistant Tuberculosis ◽

Multi Drug Resistant Tuberculosis

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Unstable Chest Surgical Management in Pregnancy: Case Report and Literature Review

Panamerican Journal of Trauma, Critical Care & Emergency Surgery ◽

10.5005/jp-journals-10030-1173 ◽

2017 ◽

Vol 6 (1) ◽

pp. 52-57

Author(s):

Mauricio Velásquez ◽

María F Escobar ◽

Javier A Carvajal ◽

Albaro J Nieto

Keyword(s):

Case Report ◽

Literature Review ◽

Surgical Management ◽

Flail Chest ◽

Obstetric Care ◽

Successful Outcome ◽

Respiratory Compromise ◽

Sternal Fracture ◽

Car Accident ◽

In Pregnancy

ABSTRACT Introduction We present a review of the case, management, and progress of an obstetric patient, who suffered a car accident with subsequent severe blunt thoracic trauma (BTT) resulting in flail chest (FC). Case report This is a Hispanic female of 44 years involved in a car accident at 14 weeks of gestation, who presented with FC, sternal fracture, and severe respiratory compromise. This woman received surgical management and care in an intensive obstetric care management unit, presenting with osteomyelitis as a complication, along with physical deconditioning and prolonged hospital stay, finally with an obstetric and functional favorable outcome. Conclusion Although severe BTT in pregnant patients is uncommon, it is important to highlight the appropriate medical management required for these patients to achieve a successful outcome, as was in this case. This is the only case report of a FC surgical management in pregnancy that we have had in our institution so far. How to cite this article Nieto AJ, Velásquez M, Escobar MF, Carvajal JA, Granados M. Unstable Chest Surgical Management in Pregnancy: Case Report and Literature Review. Panam J Trauma Crit Care Emerg Surg 2017;6(1):52-57.

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Extra-Pericardial Tamponade due to Internal Thoracic Artery Rupture after Blunt Trauma: A Case Report

Journal of Trauma and Injury ◽

10.20408/jti.2021.0045 ◽

2021 ◽

Vol 34 (3) ◽

pp. 183-186

Author(s):

Donsub Noh ◽

Sung Wook Chang ◽

Dae Sung Ma

Keyword(s):

Case Report ◽

Cardiac Tamponade ◽

Blunt Trauma ◽

Traffic Accident ◽

Internal Thoracic Artery ◽

Pericardial Tamponade ◽

Sternal Fracture ◽

Mediastinal Hematoma ◽

Threatening Condition ◽

Life Threatening

Cardiac tamponade is an acute life-threatening condition that predominantly involves the intra-pericardial space; however, an expanding mediastinal hematoma can also sometimes cause cardiac tamponade. Here we describe the case of a 45-year-old male driver in whom a traffic accident resulted in rupture of the left internal thoracic artery (ITA), extra-pericardial hematoma, and sternal fracture. After resuscitation, he was scheduled to undergo angio-embolization to repair the ruptured left ITA, but he suddenly developed cardiac tamponade that required a decompressive sternotomy. Nevertheless, the patient had an uncomplicated recovery, and this case suggests that extra-pericardial cardiac tamponade should be considered as a possible consequence of retro-sternal hematoma due to traumatic ITA rupture.

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