First case of cough-induced combined intercostal artery rupture with partial diaphragm tear.

Indian J Thorac Cardiovasc Surg

Department of Cardiothoracic Surgery, Ahalia Hospital, Abu Dhabi, United Arab Emirates.

Published: November 2020

We describe a case of vigorous cough-induced left intercostal artery rupture with partial diaphragmatic tear in a 60-year-old obese male with chronic obstructive pulmonary disease. He presented with left hemothorax, a rapidly spreading chest and abdominal wall hematoma, and progression of anemia. Computed tomography (CT) scan revealed a bleeding focus from the left 8th intercostal artery. CT-guided surface marking of the bleeding point was done over the chest wall. The patient underwent open thoracotomy with drainage of clotted hemothorax and ligation of bleeding intercostal artery. Incidentally, a partial diaphragm tear was detected during the surgery which was repaired. The combined presentation of cough-induced intercostal artery rupture with partial diaphragm tear is not reported earlier. Awareness of these co-existing pathologies can facilitate timely diagnosis and appropriate life-saving management.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7573052PMC
http://dx.doi.org/10.1007/s12055-020-01004-0DOI Listing

Publication Analysis

Top Keywords

intercostal artery
20
artery rupture
12
rupture partial
12
partial diaphragm
12
diaphragm tear
12
intercostal
5
artery
5
case cough-induced
4
cough-induced combined
4
combined intercostal
4

Similar Publications

Want 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!