Delayed Diagnosis of Pericardial Hematoma Compressing the Right Ventricle After Blunt Chest Trauma

2013 ◽  
Vol 28 (6) ◽  
pp. 701-701 ◽  
Author(s):  
Mariusz Kuśmierczyk ◽  
Anna Drohomirecka ◽  
Ilona Michałowska ◽  
Piotr Michałek ◽  
Zbigniew Juraszyński ◽  
...  
2021 ◽  
pp. 1-3
Author(s):  
Seyed Mohammad Saeid Ghiasi ◽  
Seyed Tayeb Moradian ◽  
Seyed Mohammad Saeid Ghiasi

Blunt chest trauma could lead to the cardiac valves damage. Flail anterior leaflet with severe tricuspid regurgitation is usually due to blunt chest trauma. This condition is very rare and can lead to deformation and failure of the right ventricle. The tricuspid regurgitation is usually easily diagnosed with transthoracic echocardiography. In this study, we want to present a case with delayed tricuspid damage following blunt chest trauma.


2017 ◽  
Vol 25 (7-8) ◽  
pp. 540-543 ◽  
Author(s):  
Ali Reza Mohammadzadeh ◽  
Hamid Kayalha

Diagnosis of blunt tracheobronchial injuries can be challenging. These injuries may appear within months or years following the initial trauma. In general, diagnosis and treatment of delayed presentation of tracheobronchial injuries are uncommon. Herein, we present the case of a 48-year-old woman with complete transection of the right bronchus that was diagnosed 50 days after the initial trauma. Reconstructive surgery of the bronchus was performed successfully without any need for pulmonary resection.


2003 ◽  
Vol 51 (12) ◽  
pp. 696-698
Author(s):  
Noriyuki Murai ◽  
Masahito Saito ◽  
Tomohumi Chiba ◽  
Shuichi Okada ◽  
Takao Imazeki

Injury ◽  
2005 ◽  
Vol 36 (1) ◽  
pp. 213-217 ◽  
Author(s):  
Theodore Vougiouklakis ◽  
Dimitrios Peschos ◽  
Apostolos Doulis ◽  
Anna Batistatou ◽  
Antigone Mitselou ◽  
...  

2016 ◽  
Vol 3 (2) ◽  
pp. K21-K24
Author(s):  
Francesca Tedoldi ◽  
Maximilian Krisper ◽  
Clemens Köhncke ◽  
Burkert Pieske

SummaryWe present a very rare example of chronic right heart failure caused by torrent tricuspid regurgitation. Massive right heart dilatation and severe tricuspid regurgitation due to avulsion of the tricuspid valve apparatus occurred as a result of a blunt chest trauma following the explosion of a gas bottle 20 years before admission, when the patient was a young man in Vietnam. After this incident, the patient went through a phase of severe illness, which can retrospectively be identified as an acute right heart decompensation with malaise, ankle edema, and dyspnea. Blunt chest trauma caused by explosives leading to valvular dysfunction has not been reported in the literature so far. It is remarkable that the patient not only survived this trauma, but had been managing his chronic heart failure well without medication for over 20 years.Learning pointsThorough clinical and physical examination remains the key to identifying patients with relevant valvulopathies.With good acoustic windows, TTE is superior to TEE in visualizing the right heart.Traumatic avulsion of valve apparatus is a rare but potentially life-threatening complication of blunt chest trauma and must be actively sought for. Transthoracic echocardiography remains the method of choice in these patients.


Radiology ◽  
1982 ◽  
Vol 143 (3) ◽  
pp. 605-608 ◽  
Author(s):  
J H Woodring ◽  
C M Pulmano ◽  
R K Stevens

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Eftychios Lostoridis ◽  
Konstantinos Gkagkalidis ◽  
Nikolaos Varsamis ◽  
Nikolaos Salveridis ◽  
Georgios Karageorgiou ◽  
...  

Introduction. Pneumoscrotum is a rare clinical entity. It presents with swollen scrotal sac and sometimes with palpable crepitus. It has many etiologies. One of them is due to blunt trauma of the thoracic cage, causing pneumothorax and/or pneumomediastinum.Case Presentation. We report the case of an 82-year-old male who was transferred to the Emergency Department with signs of respiratory distress after a blunt chest trauma. A CT scan was obtained, and bilateral pneumothoraces with four broken ribs were disclosed. Subcutaneous emphysema expanding from the eyelids to the scrotum was observed, and a chest tube was inserted on the right side with immediate improvement of the vital signs of the patient.Discussion. Pneumoscrotum has three major etiologies: (a) local introduction of air or infection from gas-producing bacteria, (b) pneumoperitoneum, and (c) air accumulation from lungs, mediastinum, or retroperitoneum. These sources account for most of the cases described in the literature. Treatment should be individualized, and surgical consultation should be obtained in all cases.Conclusion. Although pneumoscrotum itself is a benign entity, the process by which air accumulates in the scrotum must be clarified, and treatment must target the primary cause.


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