scholarly journals Large Traumatic Pneumatocele in a 2-Year-Old Child

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
N. K. Cheung ◽  
A. James ◽  
R. Kumar
Keyword(s):  
Current Literature ◽  
Conservative Management ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Surgical Intervention ◽  
Rare Complication ◽  
Paediatric Population ◽  
Surgical Exploration

Traumatic pneumatoceles are a rare complication of blunt chest trauma in children. Although they characteristically present as small, regular shaped lesions which can be safely treated nonoperatively, larger traumatic pneumatoceles pose diagnostic and management difficulties for clinicians. This case study reports one of the largest traumatic pneumatoceles reported to date in the paediatric population, which resulted in aggressive surgical intervention for both diagnostic and treatment reasons. This case adds further evidence to the current literature that significantly large traumatic pneumatoceles with failure of initial conservative management warrant surgical exploration and management to optimise recovery and prevent complications.

Abstract 11787: Traumatic Acute Myocardial Infarction Following Blunt Chest Trauma

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
nazila naderi ◽  
Timothy Dao ◽  
Marvin Eng
Keyword(s):  
Ejection Fraction ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Rare Complication ◽  
Anticoagulation Therapy ◽  
Injury Pattern ◽  
Artery Dissection ◽  
Coronary Artery Dissection ◽  
Concomitant Injuries ◽  
Long Term Outcome

Coronary artery dissection is a rare complication following blunt chest trauma, accounting for <2% of blunt cardiac injuries. The diagnosis is frequently missed likely due to intervening concomitant injuries or sudden death. We report a case of motorcycle collision causing multiple injuries including blunt chest trauma associated with new inferior injury pattern on ECG in 43-year-old previously healthy man. Initially the patient was hypertensive and tachycardic. Electrocardiogram showed inferior ST elevation, bedside echocardiogram revealed distal apical and inferoapical hypokinesis with normal ejection fraction without pericardial effusion. Given the mechanism of injury, CT angiography and TEE first excluded the initial working diagnosis of aortic dissection. Urgent angiography showed a distal dissection of a wrap around LAD. Attempted revascularization was unsuccessful due to the inability to find the true lumen. Concomitant multiple fractures, lung contusion and a small mediastinal hematoma prevented anticoagulation therapy and conservative management ensued. Follow-up echocardiogram confirmed a sustained infarction with distal anterior and apical akinesis but preserved ejection fraction. No arrhythmia or recurrent ischemia noted during hospital admission, however he was chosen to manage conservatively for his wrist fracture due to recent infarction. This case report underscores need for a high index of suspicion for cardiac injury and the need to maintain a broad differential following chest trauma. Additionally, presence of an injury pattern should prompt confirmatory angiography to differentiate coronary injury from cardiac contusion as they have different long-term outcome.

Blunt Trauma to Brachiocephalic Artery: Presentation and Management

2021 ◽  
pp. 000313482110562
Author(s):  
Parvez M. U. Din Dar ◽  
Supreet Kaur ◽  
Vivek Kumar ◽  
Soumya Ghoshal ◽  
Junaid Alam ◽  
...  
Keyword(s):  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Innominate Artery ◽  
Brachiocephalic Artery ◽  
Dacron Graft ◽  
Surgical Exploration ◽  
Postoperative Course ◽  
Artery Injury ◽  
Arch Of The Aorta ◽  
Isolated Innominate Artery

Isolated innominate artery injury is very rare and accounts for less than 3% of recognized arterial injuries. Surgical exploration of the artery, especially at the origin of the artery from the arch of the aorta, is surgically challenging. Due to its rarity, any 1 surgeon’s experience in dealing with innominate artery injury is bound to be limited. We report 2 cases of innominate artery injury post-blunt chest trauma. Both patients underwent thoracotomy and innominate artery Dacron graft repair and both had an uneventful postoperative course.

PP-139 A Rare Complication of Chest Trauma; Saccular Aortic Aneurysm Induced by Blunt Chest Trauma and Successful Endovascular Treatment

2015 ◽  
Vol 115 ◽  
pp. S159
Author(s):  
Kamuran Erkoc ◽  
Hakan Ozkan ◽  
Osman Tiryakioglu ◽  
Ahmet Seckin Cetinkaya ◽  
Selma Kenar Tiryakioglu ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Endovascular Treatment ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Rare Complication

scholarly journals Blunt Chest Trauma and Pulmonary Thromboembolism, as a Rare Complication

2020 ◽  
Vol 07 + 07h + 07Sp (2. 2, 1) ◽  
Author(s):  
Mohammad Davood Sharifi ◽  
◽  
, Maryam Ziadi Lotfabadi ◽  
Behzad Shahi ◽  
◽  
...  
Keyword(s):  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Pulmonary Thromboembolism ◽  
Rare Complication

Intercostal Hernia due to Forceful Coughing With Protrusion of the Lung

2021 ◽  
pp. 000313482110110
Author(s):  
Mohamed H. El-Farra ◽  
Mir Wasif Ali ◽  
Nahidh Hasaniya
Keyword(s):  
Thoracic Surgery ◽  
Male Patient ◽  
Lung Tissue ◽  
Conservative Management ◽  
Chest Trauma ◽  
Surgical Intervention ◽  
Thoracic Cavity ◽  
Intercostal Hernia

Intercostal herniation is an abnormal protrusion of lung tissue through the boundaries of the thoracic cavity. It is commonly seen after chest trauma or thoracic surgery but rarely occurs spontaneously. We report a male patient who presented with an intercostal herniation after vigorous coughing for over 2 weeks. Treatment of post-coughing intercostal hernias is either conservative management or surgical intervention, which is dictated by the signs, symptoms, site, and presence of strangulation.

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