AI Article Synopsis
- - A 50-something woman suffered a serious car accident that caused a major chest injury and blood loss due to a damaged neck blood vessel from her seat belt.
- - Imaging showed leaking contrast dye near her collarbone and fluid in her chest, leading to her being intubated and receiving a thoracic drainage catheter.
- - After stabilizing her condition, she had surgery to block the bleeding blood vessels, was extubated the next day, and it’s suggested that if immediate bleeding sources are known, embolization could be the first treatment option.
Article Abstract
A woman in her 50s was transported to our hospital after experiencing a road traffic crash that led to a massive haemothorax and haemorrhagic shock due to a cervical vascular injury caused by the seat belt. Contrast-enhanced CT of the chest showed extravascular leakage of the contrast medium from the vicinity of the right subclavicular area and fluid accumulation in the thoracic cavity. The patient was intubated, and a thoracic drainage catheter was placed. She underwent angiography and embolisation of the right costocervical trunk, right thyrocervical trunk and right suprascapular artery using a gelatine sponge and 25% -butylcyanoacrylate-Lipiodol. She was extubated on the second day after stabilisation of the respiratory and circulatory status. In cases where the bleeding vessel is known and an emergency thoracotomy can serve as a backup, embolisation by interventional radiology should be considered the initial treatment approach.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1136/bcr-2022-254265 | DOI Listing |
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10749156 | PMC |
Publication Analysis
Top Keywords
Similar Publications
Percutaneous closure of a traumatic ventricular septal defect: a case report and literature review.
Int J Emerg Med
January 2025
Departamento de Cardiología, Fundación Valle del Lili, Carrera 98 No. 18 - 49, Cali, 760032, Colombia.
Background: Penetrating cardiac trauma is an entity with high pre and intrahospital mortality due to complications such as cardiac tamponade and massive hemothorax. A ventricular septal defect (VSD) occurs in 1-5% of cases and can present early or late. The management strategy for VSD resulting from penetrating cardiac trauma is uncertain.
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 PDFBackground: Cardiac rupture is rare but has a high mortality rate. Cardiac rupture due to blunt trauma is generally caused by the heart being pinched into the bony thorax.
Case Presentation: A 90-year-old man in shock was transported to the hospital after his precordium was stepped on by a cow.
A Thoracic Complication of an Abdominal Procedure: Massive Hemothorax Following Percutaneous Transhepatic Portal Vein Angioplasty.
Arch Bronconeumol
November 2024
Department of Thoracic Surgery, Ramón y Cajal University Hospital, Madrid, Spain.
Iatrogenic Haemothorax: A Life-Threatening Complication Following A 12Fg Seldinger Intercostal Drain Insertion for Pneumothorax.
Eur J Case Rep Intern Med
October 2024
Respiratory Department, Barnsley District General Hospital, Barnsley, UK.
Unlabelled: A man in his 30s with no previous medical history presented to the emergency department with acute dyspnoea. His chest X-ray (CXR) showed a massive left-sided pneumothorax, and a 12Fg post-intercostal drain (ICD) was inserted. Twenty-four hours later there was evidence of blood in the drain, and he had a significant haemoglobin drop of 44 g/l in only one day.
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!