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Sung Ho Shinn 2 Articles
Bilateral Chylothorax Due to Blunt Spine Hyperextension Injury: A Case Report
Hohyoung Lee, Sung Ho Han, Min Koo Lee, Oh Sang Kwon, Kyoung Hwan Kim, Jung Suk Kim, Soon-Ho Chon, Sung Ho Shinn
J Trauma Inj. 2019;32(2):107-110.   Published online June 30, 2019
DOI: https://doi.org/10.20408/jti.2018.050
  • 3,155 View
  • 55 Download
  • 1 Citations
AbstractAbstract PDF

Bilateral chylothorax due to blunt trauma is extremely rare. We report a 74-year-old patient that developed delayed bilateral chylothorax after falling off a ladder. The patient had a simple 12th rib fracture and T12 lamina fracture. All other findings seemed normal. He was sent home and on the 5th day visited our emergency center at Halla Hospital with symptoms of dyspnea and lower back pain. Computer tomography of his chest presented massive fluid collection in his right pleural cavity and moderate amounts in his left pleural cavity with 12th rib fracture and T11-12 intervertebral space widening with bilateral facet fractures. Chest tubes were placed bilaterally and chylothorax through both chest tubes was discovered. Conservative treatment for 2 weeks failed, and thus, thoracic duct ligation was done by video assisted thoracoscopic surgery. Thoracic duct embolization was not an option. Postoperatively, the patient is now doing well and happy with the results. Early surgical treatment must be considered in the old patient, whom large amounts of chylothorax are present.

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  • Thoracic duct injury: An up to date
    JoséLuis Ruiz Pier, MohebA Rashid
    The Journal of Cardiothoracic Trauma.2021; 6(1): 15.     CrossRef
Large Focal Extrapleural Hematoma of Chest Wall: A Case Report
Hohyoung Lee, Sung Ho Han, Min Koo Lee, Oh Sang Kwon, Kyoung Hwan Kim, Jung Suk Kim, Soon-Ho Chon, Sung Ho Shinn
J Trauma Inj. 2019;32(2):115-117.   Published online June 30, 2019
DOI: https://doi.org/10.20408/jti.2019.001
  • 4,788 View
  • 46 Download
AbstractAbstract PDF

Although hemothorax and pneumothorax are common complications seen in rib fractures, focal extrapleural hematoma is quite rare. We report a 63-year-old female patient that developed large focal extrapleural hematoma after falling off a second floor veranda. The patient had sustained 3, 4, 5th costal cartilage rib fractures and a sternum fracture. She had developed suspected empyema with loculations with small amount of hemothorax. She underwent a planned early decortication/adhesiolysis by video assisted thoracoscopic surgery at the 12th post-trauma day due to failed drainage. Unexpectedly, she had no adhesions or any significant retained hematoma mimicking a mass, but was found with the focal extrapleural chest wall hematoma. She was discharged on postoperative 46th day for other reasons and is doing fine today.

Summary

J Trauma Inj : Journal of Trauma and Injury