scholarly journals Cardiac tamponade as a late complication of a minor trauma due to syncope: A case report and literature review

2018 ◽  
Vol 27 (2) ◽  
pp. 103-106 ◽  
Author(s):  
Matteo Guarino ◽  
Alessandra Bologna ◽  
Alfredo De Giorgi ◽  
Michele D Spampinato ◽  
Christian Molino ◽  
...  

Haemopericardium with cardiac tamponade following minor blunt trauma is a rare, life-threatening condition. The diagnosis of cardiac tamponade as well as therapeutic management may be delayed, since the link between trauma and illness is often overlooked. We report the case of an old woman who developed a relatively delayed cardiac tamponade due to an otherwise minor blunt chest trauma following syncope.

2019 ◽  
Vol 6 (10) ◽  
pp. 3880
Author(s):  
Vidhi Mehta ◽  
Pallavi Shambhu ◽  
S. Prabhakar

Traumatic cardiac tamponade due to blunt chest injury is a life threatening and time-critical emergency that requires early recognition and prompt management often alongside other resuscitative considerations. We present here a case of 25 year old male with history of blunt chest trauma with hypotension and raised central pressures. The patient was taken up for exploratory laparotomy which proved negative and the central tendon bulge of diaphragm was seen. Hence, the decision was made to examine the pericardial space via thoracotomy to find cardiac tamponade of 400 cc. Immediate intra- operative stabilization of vitals was seen on relieving the intra pericardial pressures. Any patient with severe blunt chest trauma, disproportionate hypotension that is not responding to fluid resuscitation along with elevated central venous pressures should be thoroughly evaluated for cardiac tamponade.


Ultrasound ◽  
2021 ◽  
pp. 1742271X2199460
Author(s):  
Serena Rovida ◽  
Daniele Orso ◽  
Salman Naeem ◽  
Luigi Vetrugno ◽  
Giovanni Volpicelli

Introduction Bedside lung sonography is recognized as a reliable diagnostic modality in trauma settings due to its ability to detect alterations both in lung parenchyma and in pleural cavities. In severe blunt chest trauma, lung ultrasound can identify promptly life-threatening conditions which may need direct intervention, whereas in minor trauma, lung ultrasound contributes to detection of acute pathologies which are often initially radio-occult and helps in the selection of those patients that might need further investigation. Topic Description We did a literature search on databases EMBASE, PubMed, SCOPUS and Google Scholar using the terms ‘trauma’, ‘lung contusion’, ‘pneumothorax’, ‘hemothorax’ and ‘lung ultrasound’. The latest articles were reviewed and this article was written using the most current and validated information. Discussion Lung ultrasound is quite accurate in diagnosing pneumothorax by using a combination of four sonographic signs; absence of lung sliding, B-lines, lung pulse and presence of lung point. It provides a rapid diagnosis in hemodynamically unstable patients. Lung contusions and hemothorax can be diagnosed and assessed with lung ultrasound. Ultrasound is also very useful for evaluating rib and sternal fractures and for imaging the pericardium for effusion and tamponade. Conclusion Bedside lung ultrasound can lead to rapid and accurate diagnosis of major life-threatening pathologies in blunt chest trauma patients.


2017 ◽  
Vol 9 (S14) ◽  
pp. AB028-AB028
Author(s):  
Ting-Yen Chiang ◽  
Ming-Fang Yin ◽  
Shun-Mao Yang ◽  
Ke-Cheng Chen

2016 ◽  
Vol 101 (2) ◽  
pp. 766-769
Author(s):  
Ikram Chaudhry ◽  
Fozan W. Aldulaijan ◽  
Zahra Alhajji ◽  
Ahsan Cheema ◽  
Hadi Mutairi

2017 ◽  
Vol 31 (1) ◽  
pp. 20-26
Author(s):  
Shinsuke Matsumoto ◽  
Yukio Umeda ◽  
Yoshio Mori ◽  
Hiroshi Takiya

2021 ◽  
Vol 34 (3) ◽  
pp. 183-186
Author(s):  
Donsub Noh ◽  
Sung Wook Chang ◽  
Dae Sung Ma

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.


2017 ◽  
Vol 9 (3) ◽  
pp. E253-E257
Author(s):  
Ting-Yen Chiang ◽  
Ming-Fang Yin ◽  
Shun-Mao Yang ◽  
Ke-Cheng Chen

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