We encountered 5 cases of delayed massive hemothorax due to diaphragmatic injury. Delayed hemothorax presented 2∼11 days after injury, with lower rib fractures seen all cases. We performed emergent video-assisted thoracic surgery with mini-thoracotomy for all patients. Lacerations could be clearly visualized in the diaphragm after evacuation of blood clots, which were then sutured. In four cases, the sharp edges of the broken ribs were thought to have caused the diaphragmatic lacerations. The mean blood loss volume was 2,905 ml, and all patients required blood transfusions. However, homeostasis was achieved after surgery, and all patients had an uneventful postoperative course. Although, delayed hemothorax is relatively uncommon, it needs to be considered a lethal condition.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Catamenial Pneumothorax-Still an Unveiled Disease.
Medicina (Kaunas)
December 2024
Department of Pneumonology, Medical University of Gdańsk, 80-210 Gdańsk, Poland.
This review presents current opinions on an uncommon condition called catamenial pneumothorax (CP), which is usually associated with thoracic endometriosis syndrome (TES). TES is characterized by the presence of endometriotic lesions in pleura and lung parenchyma and presents with various clinical signs and symptoms, including catamenial pneumothorax. Their diagnosis is often delayed.
View Article and Find Full Text PDFThoracobiliary Fistula Complications Following Concomitant Diaphragm and Liver Injury.
J Surg Res
December 2024
Department of Surgery, College of Medicine, University of Cincinnati, Cincinnati, Ohio. Electronic address:
Introduction: Thoracobiliary fistula (TBF) is a rare and highly morbid complication of hepatic trauma. There is a paucity of literature regarding incidence, disease course, and treatment. This study identifies etiologic factors and outcome patterns in patients at risk for TBF.
View Article and Find Full Text PDF[Delayed Cardiac Tamponade After Blunt Chest Trauma].
Kyobu Geka
October 2024
Department of Cardiovascular Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.
Delayed cardiac tamponade following blunt chest trauma is a rare incident, and we provide a report including a literature review for further discussion. The patient is a 56-year-old male. He fell off a motorcycle and sustained contusions to the left side of his chest.
View Article and Find Full Text PDF[Delayed Massive Hemothorax due to Non-absorbable Sutures Tips Used in Diaphragm Reconstruction for Thymoma Dissemination].
Kyobu Geka
October 2024
Department of Thoracic Surgery, Kurashiki Central Hospital, Kurashiki, Japan.
A 57-year-old man underwent partial resection of the right diaphragm with invasive thymoma dissemination. Fifteen days after surgery, he suddenly developed right-sided chest pain with dyspnea and was raced to the hospital. Chest computed tomography (CT) showed a massive right hemothorax, and emergency surgery was performed due to hemodynamic shock.
View Article and Find Full Text PDFCommentary: Prediction Model of Delayed Hemothorax in Patients with Traumatic Occult Hemothorax Using a Novel Nomogram.
J Chest Surg
November 2024
Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea.
See Article page 519
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!