scholarly journals A case of delayed massive hemothorax due to diaphragm injury caused by rib fracture

2011 ◽  
Vol 25 (7) ◽  
pp. 747-750
Author(s):  
Daisuke Okutani ◽  
Shigeharu Moriyama
2020 ◽  
Vol 77 ◽  
pp. 133-137
Author(s):  
Tomohiro Muronoi ◽  
Akihiko Kidani ◽  
Kazuyuki Oka ◽  
Madoka Konishi ◽  
Shunsuke Kuramoto ◽  
...  

2017 ◽  
Vol 42 ◽  
pp. 178-182 ◽  
Author(s):  
Seongyup Kim ◽  
Woo Jin Choi ◽  
Kawng Ho Lee ◽  
Chun Sung Byun ◽  
Keum Seok Bae ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Karleigh R. Curfman ◽  
R. Jonathan Robitsek ◽  
Gregory G. Salzler ◽  
Katherine D. Gray ◽  
Charles S. Lapunzina ◽  
...  

Delayed hemothorax (DHX) following blunt thoracic trauma is a rare occurrence with an extremely variable incidence and time to diagnosis that is generally associated with clinically insignificant blood loss. In this report, we present a case of acute onset DHX ten days after a relatively mild traumatic event that resulted in a single minimally displaced rib fracture. The patient awoke from sleep suddenly with acute onset dyspnea and chest pain and reported to the emergency department (ED). The patient lost over six and a half liters of blood during the first 9 hours of his admission, the largest volume yet reported in the literature for DHX, which was eventually found to be due to a single intercostal artery bleed. Successful management in this case entailed two emergent thoracotomies and placement of multiple thoracostomy tubes to control blood loss. The patient was discharged home on postoperative day 5.


2019 ◽  
Vol 7 ◽  
pp. 2050313X1984604
Author(s):  
Luis Arturo Camarillo-Reyes ◽  
Roberto Ivan Marquez-Córdova ◽  
Salim Surani ◽  
Joseph Varon

Massive hemothorax resulting from cough-induced rib fracture is a condition in which blood accumulates in the chest, compromising the lungs and mediastinal structures. The most common cause of massive hemothorax is acute pro-traumatic injury. We present a case of a 47-year-old gentleman with morbid obesity and psoriasis, who was admitted to the emergency department due to shortness of breath that has been increased progressively after coughing for a period of 2 weeks. Chest radiograph demonstrated a large density in the left hemithorax, collapsing the left lung. Chest computerized tomography showed a left seventh rib fracture and massive pleural effusion. A closed chest tube thoracostomy was performed draining 3 L of hemorrhagic effusion, likely due to bleeding from the intercostal artery tear due to severe and prolonged cough. Cough-induced hemothorax due to spontaneous rib fractures are rare and clinicians should be well aware of this entity to prevent hemorrhagic shock and organ damage.


2018 ◽  
Vol 32 (5) ◽  
pp. 606-609
Author(s):  
Keigo Sekihara ◽  
Fumi Yokote ◽  
Yoshihito Arimoto ◽  
Satoshi Nagasaka ◽  
Satsuki Kina

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