Hemotórax Masivo. – Tórax Inestable. – Taponamiento Cardiaco. Feliciano DV, Mattox KL et al. Trauma. 6th edition. McGraw Hill; Trauma. Download Citation on ResearchGate | On Jan 31, , María José Valenzuela Martínez and others published Hemotórax masivo posterior a trauma torácico. Se describe el caso de un paciente de 55 anos afecto de un tromboembolismo pulmonar que desarrollo un hemotorax masivo mientras estaba sometido a.

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Another chest radiograph verified the correct placement of the chest drain but no lung re-expansion. After 72 h, the patient started to sit up.

On chest radiography, unipolar fractures were observed in the left ribs 5th—9th with no consolidations, collections or signs of pneumothorax. Free text at pubmed – Pubmed citation 3. The chest should be studied in detail, as the pain from the rib trauma can camouflage injury to the diaphragm. Thank you for updating your details. Subscribe to our Newsletter. Synonyms or Alternate Spellings: There were no images of pneumothorax, signs of laceration or important foci of pulmonary contusion.

We confirmed displaced fractures of the 5th to 7th ribs. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Delayed life-threatening hemothorax associated with rib fractures. The rib edges were trimmed and smoothed. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.

We madivo that, in patients with multiple trauma injuries and displaced lower rib fractures, 7 undetected diaphragm injuries can result in massive haemothorax, hemotoax when the patient starts to move and the pain hemotorx disguised by the fractured rib pain.

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. The use of CT scans in massive haemothorax is excluded because of the patient instability with this condition. A hemothorax can also result without any trauma and, in these situations, it is termed a spontaneous hemothorax.


There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery. The approach we chose was lateral thoracotomy in the 5th intercostal space, which provided good visualisation of the diaphragm surface and rib fractures in order to control any bleeding and for stabilisation.

Sinha P, Sarkar P.

Radiographics full text – doi: Thoracoabdominal CT scan with intravenous contrast confirmed these rib fractures and that the 5th, 6th and 7th were displaced. Delayed massive hemothorax due to diaphragmatic injury by lower rib fracture. Print Send to a friend Export reference Mendeley Statistics. Surg Clin North Am, 87pp. Initial management involves rapid substitution of blood loss and decompression of the thoracic cavity using a chest drain.

Radiology at a Glance.

HEMOTÓRAX – Definition and synonyms of hemotórax in the Spanish dictionary

During the examination of multiple trauma patients, haemodynamic instability associated with hypovolemic shock, accompanied by absence of vesicular murmur and dullness to percussion in the hemithorax, are diagnostic of massive haemothorax all of which were present in this case.

Una herida penetrante en el traumatismo cerrado. It usually occurs mqsivo penetrating or blunt trauma 3 to the chest traumatic hemothorax. Please cite this article as: Delayed hemothorax after blunt thoracic trauma: Edit article Share article View revision history.

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Support Radiopaedia and see fewer ads. On the hospital ward, his condition continued to improve and the patient was discharged on the 4th day after surgery with normalised parameters. It also enabled us to explore the entire chest cavity, parenchyma and hilum in order to rule out any concomitant injuries. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.


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Massive haemothorax involves the sudden accumulation of more than cc of blood or one-third the patient’s blood volume in the thoracic cavity. Given these findings and the haemodynamic instability of the patient, urgent exploratory thoracotomy was indicated when the drained content hemoorax already reached cc. Physical examination showed a permeable airway and sharp pain in the ribs during inspiration, with crepitation of the left ribcage and no observed flail chest.

The 7th had splintered edges, with one of the edges aimed towards the diaphragm and laceration of its corresponding dome measuring 4 cm, which was bleeding profusely Fig. It is essential to always monitor early signs of hypovolemic shock and maintain a high index of suspicion.

Chest radiographic appearance of a large hemothorax may be jemotorax to that of pleural effusion. Multidetector CT of blunt thoracic trauma. Simultaneously, the patient had another hypotensive episode, which he overcame with fluid therapy. Log in Sign up.

The patient remained stable during surgery and required cc crystalloids and the transfusion of 3 units of blood. The patient stayed in the ICU for 24 h, where he was haemodynamically stable.

Check for errors and try again. The exact management strategy will depend on underlying etiology. Se continuar a navegar, consideramos que aceita o seu uso. This is especially true in the case of penetrating wounds in blunt chest trauma, as in the case we present.

CT is useful in maeivo the nature of the pleural fluid in the setting of trauma by assessing the attenuation value. Mil Med,pp. The patient reported no cranial trauma or injuries to other areas.

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