Chest Radiography after Minor Chest Trauma

The results of chest radiography in 581 patients with blunt minor thoracic trauma were reviewed. Frontal and lateral views of the chest indicated pathology in 72 patients (12.4%). Pneumothorax was present in 16 patients; 4 had hemothorax. The physical examination and the results of chest radiography were not in accordance because in 6 (30%) of the 20 patients with hemo/-pneumothorax the physical examination was normal. Consequently there is wide indication for chest radiography after minor blunt chest trauma.

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Primary Lung Hernia After Blunt Chest Trauma: Chest Wall Repair Strategies

The American Surgeon ◽

10.1177/00031348211023439 ◽

2021 ◽

pp. 000313482110234

Author(s):

Leonid A. Belyayev ◽

William J. Parker ◽

Emad S. Madha ◽

Elliot M. Jessie ◽

Matthew J. Bradley

Keyword(s):

Decision Making ◽

Chest Wall ◽

Surgical Management ◽

Blunt Chest Trauma ◽

Thoracic Trauma ◽

Chest Trauma ◽

Blunt Thoracic Trauma ◽

Lung Herniation ◽

Lung Hernia

Lung herniation is a rare pathology seen after trauma. A case of acquired lung hernia is presented after blunt thoracic trauma that was repaired primarily. Surgical management and decision-making for this process are discussed.

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Pneumomediastinum in Blunt Chest Trauma: A Case Report and Review of the Literature

Case Reports in Emergency Medicine ◽

10.1155/2014/685381 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

Gregory Mansella ◽

Roland Bingisser ◽

Christian H. Nickel

Keyword(s):

Case Report ◽

Physical Examination ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Common Mechanism ◽

Cervical Trauma ◽

X Ray ◽

Retrosternal Pain ◽

Chest X Ray ◽

Bedside Diagnosis

Blunt trauma is the most common mechanism of injury in patients with pneumomediastinum and may occur in up to 10% of patients with severe blunt thoracic and cervical trauma. In this case report we present a 24-year-old man with pneumomediastinum due to blunt chest trauma after jumping from a bridge into a river. He complained of persistent retrosternal pain with exacerbation during deep inspiration. Physical examination showed only a slight tenderness of the sternum and the extended Focused Assessment with Sonography for Trauma (e-FAST) was normal. Pneumomediastinum was suspected by chest X-ray and confirmed by computed tomography, which showed a lung contusion as probable cause of the pneumomediastinum due to the “Mackling effect.” Sonographic findings consistent with pneumomediastinum, like the “air gap” sign, are helpful for quick bedside diagnosis, but the diagnostic criteria are not yet as well established as for pneumothorax. This present case shows that despite minimal findings in physical examination and a normal e-FAST a pneumomediastinum is still possible in a patient with chest pain after blunt chest trauma. Therefore, pneumomediastinum should always be considered to prevent missing major aerodigestive injuries, which can be associated with a high mortality rate.

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Derivation of a Clinical Decision Guideline for Chest Radiography in Blunt Chest Trauma

Academic Emergency Medicine ◽

10.1197/j.aem.2005.03.364 ◽

2005 ◽

Vol 12 (Supplement 1) ◽

pp. 129-130

Author(s):

G. Marek

Keyword(s):

Chest Radiography ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Clinical Decision

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Pneumoscrotum as Complication of Blunt Thoracic Trauma: A Case Report

Case Reports in Surgery ◽

10.1155/2013/392869 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Eftychios Lostoridis ◽

Konstantinos Gkagkalidis ◽

Nikolaos Varsamis ◽

Nikolaos Salveridis ◽

Georgios Karageorgiou ◽

...

Keyword(s):

Emergency Department ◽

Blunt Chest Trauma ◽

Thoracic Trauma ◽

Chest Trauma ◽

Vital Signs ◽

Rare Clinical Entity ◽

Blunt Thoracic Trauma ◽

Thoracic Cage ◽

Case Presentation ◽

The Right

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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