Rare Complication Of Blunt Chest Trauma: Pulmonary Pseudocyst

10.5580/c3a ◽  
2009 ◽  
Vol 13 (1) ◽  

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
nazila naderi ◽  
Timothy Dao ◽  
Marvin Eng

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.



2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
N. K. Cheung ◽  
A. James ◽  
R. Kumar

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.



2015 ◽  
Vol 115 ◽  
pp. S159
Author(s):  
Kamuran Erkoc ◽  
Hakan Ozkan ◽  
Osman Tiryakioglu ◽  
Ahmet Seckin Cetinkaya ◽  
Selma Kenar Tiryakioglu ◽  
...  


2020 ◽  
Vol 07 + 07h + 07Sp (2. 2, 1) ◽  
Author(s):  
Mohammad Davood Sharifi ◽  
◽  
, Maryam Ziadi Lotfabadi ◽  
Behzad Shahi ◽  
◽  
...  




Author(s):  
Amr Abd-El Moneim Shalaby

Pneumopericardium is presence of air within the pericardial space. It is rare complication of blunt or penetrating chest trauma and may also occur iatrogenically. A case report of pneumopericarium caused by blunt chest trauma, condition was diagnosed by chest CT (Computed Tomography) scan; patient was vitally stable and managed conservatively with spontaneous resolution of pneumopericardium 10 days after admission.





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