Journal of Trauma and Injury

Traumatic Extrapleural Hematoma Mimicking Hemothorax: Yong Seon Choi, Soon Jin Kim, Sang Woo Ryu, Seung Ku Kang; J Trauma Inj. 2017;30(4):202-205. Published online December 30, 2017; DOI: https://doi.org/10.20408/jti.2017.30.4.202

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After blunt chest injuries, extrapleural hematoma may result in a collection of blood between the parietal pleura and the endothoracic fascia. Extrapleural hematoma is frequently misdiagnosed as hemothorax. Extrapleural fat sign, the inward displacement of strip of extrapleural fat on computed tomography, is typical radiological findings of extrapleural hematoma. We encountered a case of extrapleural hematoma with a presentation similar to hemothorax after blunt chest injury.

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Hemothorax or not: Use of extrapleural fat sign
Rajat Dahiya, Thaker Nirav, Jaggi Sunila, Talwar Inder
West African Journal of Radiology.2021; 28(1): 18. CrossRef

Missed Traumatic Rupture of the Diaphragm: Sang Woo Ryu, Jaykey Chekar, In Ho Yi, Bo Ra Seo, Seong Huek Park, Seong Ju Go; J Trauma Inj. 2017;30(1):16-20. Published online March 31, 2017; DOI: https://doi.org/10.20408/jti.2017.30.1.16

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A 48-year-old man came to the emergency department with altered consciousness and hemoperitoneum following a pedestrian traffic accident. He underwent immediate emergency laparotomy, and on the second day, he required craniectomy because of increase of intracranial hemorrhage. A chest radiograph taken 7 days after admission, showed elevation of the right hemi-diaphragm, and follow-up chest CT showed a right-sided rupture of the diaphragm, which was surgically repaired. Rupture of the diaphragm can be easily overlooked and the diagnosis delayed, especially in unstable patients with multiple trauma or altered level of consciousness, as in the case reported here.

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Identification of Delayed Traumatic Diaphragmatic Injury: A Concise Review
Patricia J. Bartzak
Journal of Trauma Nursing.2022; 29(1): 47. CrossRef

Stent Graft Repair of Penetrated Injury of the Common Carotid Artery: Soon Jin Kim, Sang Woo Ryu, Jaykey Chekar, Yong Tae Kim, Bo Ra Seo; J Trauma Inj. 2016;29(4):172-175. Published online December 31, 2016; DOI: https://doi.org/10.20408/jti.2016.29.4.172

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Abstract PDF: Penetrated injury of common carotid artery (CCA) is rare and extremely lethal. Carotid artery injury tends to bleed actively and potentially occlude the trachea. It can cause fatal neurological complications. An accurate diagnosis and adequate treatment are very needed to the successful outcome of the penetrating vascular injury in zone 1, 2, and 3 of the neck. Open surgical treatment is more invasive and complicated than endovascular treatment. We experienced a case with penetrating injury in neck zone 2. Here, we report the case successfully treated with endovascular stent graft technique.; Summary

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