A case of hemothorax caused by traumatic rupture of schwannoma is rarely reported. We present a case of thorax injury of an 18-year-old woman who had fallen from a high place with a Glasgow Coma Score 13. Chest X-ray showed a left-sided massive pleural effusion. Chest tomography revealed a 105×80 mm formation in the left lung basal region. The patient underwent an emergency thoracotomy after 2000 cc blood drainage with intercostal tube placement. Tumor's pathologic diagnosis was schwannoma (neurilemmoma). In this case study, we would like to present a traumatic hemothorax for the previously unknown mediastinal mass with the relevant literature.
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http://dx.doi.org/10.14744/tjtes.2020.62290 | DOI Listing |
Medicine (Baltimore)
December 2024
Department of Ultrasound, Peking University First Hospital - MiYun Hospital, Beijing, China.
Rib fractures are a common injury following blunt chest trauma, accounting for approximately 10% of all traumatic injuries and up to 50% of blunt chest trauma cases. These fractures are associated with a high risk of complications, such as pneumothorax, hemothorax, and pulmonary infections, and can significantly impact respiratory function. This study analyzes the risk factors for poor healing and long-duration pain in the conservative treatment of rib fractures, providing a reference for clinicians in choosing conservative treatment and formulating treatment plans.
View Article and Find Full Text PDFAm Surg
December 2024
Department of Surgery, Wake Forest School of Medicine, Atrium Health Carolinas Medical Center, Charlotte, NC, USA.
Background: The traditional treatment of traumatic hemothorax (HTX) is large bore chest tubes (CT) ≥28Fr. Recent evidence shows 14Fr pigtail catheters are as effective in drainage of HTX as larger CT. However, this has not been shown in 14Fr Thal tubes, a straight chest tube placed utilizing Seldinger technique.
View Article and Find Full Text PDFAm J Case Rep
November 2024
Department of Thoracic Surgery, Kanazawa Medical University, Uchinada, Ishikawa, Japan.
BACKGROUND Coagulopathy caused by trauma itself is defined as trauma-induced coagulopathy (TIC). The pathophysiology of TIC is considered to consist of coagulation activation, hyperfibrinolysis, and consumption coagulopathy, similar to disseminated intravascular coagulation (DIC). This report describes a 68-year-old man with a history of epilepsy presenting with TIC associated with multiple traumatic fractures and hemothorax.
View Article and Find Full Text PDFJ Trauma Acute Care Surg
November 2024
From the Divisions of Trauma, Surgical Critical Care, and Burns, DeWitt Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami Miller School of Medicine, Miami, Florida.
Multimed Man Cardiothorac Surg
November 2024
Cardiothoracic Surgery Department, Assiut University Heart Hospital, Assiut University, Faculty of Medicine Assiut, Egypt.
A discussion of an internal mammary artery aneurysm is a rare finding in the literature. This condition can cause serious complications, including haemothorax and pneumo-haemothorax, and can lead to haemorrhagic shock; it can also be fatal. These effects can be explained by the rate of flow of the blood in the internal mammary artery, that is, 150 ml/minute, which leads to a blood loss of one litre in minutes.
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