scholarly journals Penetrating Thoracic Trauma Arising From Knife Injuries Into the Hemithorax: A Case Report

2021 ◽  
Author(s):  
Jian Liu ◽  
Xinge Cheng ◽  
Xiaoyong Zhang ◽  
Rongpin Wang ◽  
Xianchun Zeng
Keyword(s):  
Thoracic Trauma ◽  
Left Lung ◽  
High Morbidity ◽  
Left Chest ◽  
Unenhanced Ct ◽  
Penetrating Thoracic Trauma ◽  
Great Vessels ◽  
Heart Injury ◽  
Serious Injury ◽  
Fourth Intercostal Space

Abstract BackgroundTrauma is associated with a high morbidity and mortality, and thoracic trauma accounts for a quarter of these deaths. This is due to the penetrating thoracic trauma that often causes serious injury to the heart and great vessels. Most penetrating thoracic wounds are caused by stabbing, which is usually caused by knives. Here, we report a patient who had penetrating thoracic trauma who was caused by a knife.Case presentationA 16-year-old girl was stabbed by a knife due to an accidental fall, which caused a penetrating injury in her left chest. Despite a decreased blood pressure (100/90 mmHg), the patient was conscious. The unenhanced CT at emergency clearly showed that the knife penetrated between the pericardium and the left lung without heart injury. Exploratory thoracotomy was performed in the fourth intercostal space in combination with thoracoscopy, confirmed that the knife penetrated between the pericardium and the left lung without causing any injury to the heart.ConclusionsCT can not only clearly display foreign bodies of knives, but also accurately judge the damage of important structures such as lungs, heart and great vessels. Therefore, CT can provide information for further diagnosis and intervention.

scholarly journals Pola trauma tembus toraks di Instalasi Rawat Darurat Bedah RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2013 – Juni 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Christianto Kissra ◽  
Adrian Tangkilisan ◽  
Heber B. Sapan
Keyword(s):  
Traffic Accidents ◽  
Thoracic Trauma ◽  
Public Health Problem ◽  
High Morbidity ◽  
Major Public Health Problem ◽  
Trauma Patients ◽  
Age Group ◽  
Penetrating Thoracic Trauma ◽  
Keywords Trauma ◽  
Common Causes

Abstract: Trauma continues to be major public health problem worldwide since it is associated with high morbidity and mortality in developed and developing countries. Penetrating thoracic trauma respresents a common and challenging problem whether it is caused either by gunshot or by non-gunshot-related accidents (stabs, traffic accidents). This study was aimed to obtain the profile of penetrating thoracic trauma in Surgery Emergency Unit of Prof. Dr. R. D. Kandou Hospital Manado from July 2013 to June 2015. This was a retrospactive descriptive study using the medical record data of penetrating thoracic trauma patients. The results showed that there were 31 patients of penetrating thoracic trauma out of 108 patients of thoracic trauma patients. Most cases occurred in 2014 (48.41%). Based on age group, the majority of patients were at the age group 16-30 years old (58.05%). Based on sex, most patients were males (96.80%). The most common causes of penetrating thoracic trauma was puncture wounds/stabs (80.64%) and the most common intrathoracic complication was hemothorax (58.1%).Keywords: trauma, penetrating thoracic trauma. Abstrak: Trauma merupakan masalah kesehatan masyarakat yang utama di seluruh dunia karena dikaitkan dengan morbiditas dan mortalitas yang tinggi baik di negara maju dan berkembang. Trauma tembus toraks merupakan masalah umum dan menantang, baik oleh tembakan atau non-tembakan-kecelakanaan (tikaman, kecelakaan lalu lintas). Penelitian ini bertujuan untuk mendapatkan pola trauma tembus toraks di IRDB RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2013 – Juni 2015. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan data rekam medik pasien trauma tembus toraks di IRDB RSU Prof. Dr. R. D. Kandou Manado. Hasil penelitian mendapatkan jumlah kasus trauma tembus toraks sebanyak 31 pasien dari 108 pasien trauma toraks. Kasus terbanyak terjadi pada tahun 2014 (48,41%). Berdasarkan kelompok usia mayoritas penderita trauma tembus toraks (58,05%)pada usia 16-30 tahun. Berdasarkan jenis kelamin sebagian besar penderita (96,80%) berjenis kelamin laki-laki. Penyebab trauma tembus toraks terbanyak karena luka tusukan/tikaman (80,64%), dan komplikasi intratoraks terbanyak yaitu hemotoraks (58,1%). Kata kunci: trauma, trauma tembus toraks

scholarly journals Penetrating Thoracic Trauma with Undetected Left Ventricular Injury Presenting as Sudden Hypotension during Surgery

2020 ◽  
Vol 49 (2) ◽  
pp. 72-76
Author(s):  
Shinya Masuda ◽  
Kota Itagaki ◽  
Keisuke Kanda ◽  
Masaharu Hatakeyama ◽  
Masaaki Naganuma ◽  
...  
Keyword(s):  
Thoracic Trauma ◽  
Left Ventricular ◽  
Penetrating Thoracic Trauma

Biportal VATS approach in the treatment of penetrating thoracic trauma: a case report

2017 ◽  
Vol 2 ◽  
pp. 8-8
Author(s):  
Felice Lo Faso ◽  
Fabio Davoli ◽  
Paolo Bagioni ◽  
Luca Bertolaccini ◽  
Piergiorgio Solli
Keyword(s):  
Case Report ◽  
Thoracic Trauma ◽  
Penetrating Thoracic Trauma

Pulmonary clearance of 99mTc-DTPA: influence of background activity

1988 ◽  
Vol 64 (3) ◽  
pp. 1045-1049 ◽  
Author(s):  
M. P. Barrowcliffe ◽  
C. Otto ◽  
J. G. Jones
Keyword(s):  
Background Activity ◽  
Left Lung ◽  
Scintillation Detectors ◽  
Half Time ◽  
Left Chest ◽  
Tissue Accumulation ◽  
Pulmonary Clearance ◽  
Significant Difference ◽  
Left And Right ◽  
The Right

We examined the effect of intravascular and tissue accumulation of tracer when measuring pulmonary clearance of sodium pertechnetate-labeled diethylenetriamine pentaacetate (99mTc-DTPA). Pigs were intubated with endobronchial tubes, permitting deposition of an aerosol of 99mTc-DTPA only into the left lung. Scintillation detectors recorded radioactivity separately from one thigh and from the lung and chest wall on the left and right side. 99mTc-DTPA was given intravenously after 30 min, so that the chest counts from the left lung could be corrected for background activity in either the right lung or the thigh. The uncorrected clearance half time (t1/2) mean± SE from the left chest was 118.5 ± 14.4 min. When corrected for background activity in the right chest, the t1/2 was 82.1 ± 10.5 min, and when corrected for background activity in the thigh, the t1/2 was 80.9 ± 10.6 min. There was no significant difference between t1/2 corrected by the measurements from the right chest or the thigh, and in four of five animals the corrected t1/2 by either method was significantly different from the uncorrected t1/2 (P less than 0.05). There was no correlation between the uncorrected t1/2 and the magnitude of the required correction. We conclude that correction for intravascular and tissue accumulation of tracer is an important refinement of the technique and can easily be accomplished by measuring accumulation of tracer in the thigh.

scholarly journals Penetrating thoracic trauma producing cardiac shunts

1981 ◽  
Vol 81 (4) ◽  
pp. 569-573 ◽  
Author(s):  
Francis T. Thandroyen ◽  
Rodney E. Matisonn
Keyword(s):  
Thoracic Trauma ◽  
Penetrating Thoracic Trauma

scholarly journals Management of air embolism in blunt and penetrating thoracic trauma

1983 ◽  
Vol 85 (5) ◽  
pp. 661-668 ◽  
Author(s):  
Edward S. Yee ◽  
Edward D. Verrier ◽  
Arthur N. Thomas
Keyword(s):  
Thoracic Trauma ◽  
Air Embolism ◽  
Penetrating Thoracic Trauma

scholarly journals Atraumatic bleeding of the subclavian artery 20 years after surgical treatment of pneumothorax

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Kentaro Miura ◽  
Nobutaka Kobayashi
Keyword(s):  
Surgical Treatment ◽  
Subclavian Artery ◽  
Collateral Circulation ◽  
Left Subclavian Artery ◽  
Left Lung ◽  
Bleeding Point ◽  
Left Chest ◽  
Collateral Arteries ◽  
Contrast Enhanced ◽  
Left Apex

Abstract Background Bleeding of the subclavian artery is a fatal condition. Adhesion between the pleura and staple line may develop after surgical treatment of pneumothorax, and collateral arteries often develop from the subclavian artery toward the adhesion at the lung apex; however, atraumatic tearing and bleeding of these collateral arteries into the extrapleural and intrathoracic cavities is rare. Case presentation A 70-year-old man visited the hospital for evaluation of left chest pain. Contrast-enhanced chest computed tomography showed a huge tumor in the left apex of the lung. It was suspected to be an extrapleural huge hematoma, and it ruptured into the thoracic cavity. Bleeding from the left subclavian artery was suspected; therefore, emergency angiography was performed. Angiography showed some collateral circulation from the left subclavian artery to the apex of the left lung. Distal and proximal bleeding points were identified. The distal bleeding point was embolized using coils. The proximal bleeding point was blown out, and stents were placed in the left subclavian artery. He had undergone pneumothorax surgery 20 years previously, and the present bleeding episode was strongly suspected to be associated with that surgery. The collateral circulation from the subclavian artery could have developed because of post-pneumothorax inflammation, eventually rupturing and bleeding into the extrapleural space. Conclusions This report described an important case of atraumatic subclavian artery bleeding considered to have been caused by surgical treatment of pneumothorax 20 years previously. Emergency angiography and percutaneous stent placement or coil embolization should be considered first in such cases.

The Mei mini-maze procedure

2020 ◽  
Vol 28 (7) ◽  
pp. 416-420
Author(s):  
Zhaolei Jiang ◽  
Nan Ma ◽  
Min Tang ◽  
Hao Liu ◽  
Shiao Ding ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Maze Procedure ◽  
Surgical Trauma ◽  
High Morbidity ◽  
Radiofrequency Energy ◽  
Thoracoscopic Approach ◽  
Left Chest ◽  
Video Assisted ◽  
Left Pulmonary Vein ◽  
The Right

Atrial fibrillation is a common clinical arrhythmia with high morbidity and a risk of stroke. The Cox-maze IV procedure that uses radiofrequency energy for ablation is established as an effective way to eliminate atrial fibrillation. Compared to the Cox-maze IV procedure, the video-assisted Wolf mini-maze procedure is associated with reduced surgical trauma, but still requires bilateral thoracotomies, and the ablation line connecting the right and left pulmonary vein isolations cannot be created with a bipolar ablation clamp. We have developed a novel video-assisted mini-maze technique that uses a unilateral (left chest) thoracoscopic approach (the Mei mini-maze procedure).

Pediatric Thoraco-Abdominal Trauma

2020 ◽  
pp. 405-409
Author(s):  
Christopher S. Amato
Keyword(s):  
Abdominal Trauma ◽  
Thoracic Trauma ◽  
Pediatric Trauma ◽  
Medical Personnel ◽  
Abdominal Injury ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Common Cause ◽  
Thoracic And Abdominal ◽  
Trauma Deaths

In children, injury is the most common cause of death. Thoracic and abdominal trauma are both associated with high morbidity and mortality, and they warrant a thorough evaluation. Abdominal trauma occurs in 25% of children with major trauma and is responsible for 9% of all trauma deaths. Because it can delay care, lack of recognition of intra-abdominal injury increases morbidity and mortality. Thoracic trauma comprises only 4–6% of pediatric trauma but is related to 14% of pediatric trauma-related deaths and is the second most common cause of mortality in pediatric trauma. This chapter discusses the keys to the evaluation of the pediatric trauma patient with thoraco-abdominal injury, including the evidence-based approach and algorithms to be utilized by medical personnel.

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