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- 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
- 5,773 View
- 54 Download
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Abstract
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.
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SummaryTOP
- 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
- 3,867 View
- 67 Download
- 1 Citations
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Abstract
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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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Summary
Citations
Citations to this article as recorded by
- Thoracic Duct Injury
José Luis Ruiz Pier, Moheb A. Rashid
Journal of Cardiothoracic Trauma.2021; 6(1): 15. CrossRef
- Thoracoscopic Resection of the First Rib for Thoracic Outlet Syndrome: A Case Report
- Jae Gul Kang, Soon Ho Chon, Kilsoo Yie, Min Koo Lee, Oh Sang Kwon, Song Hyun Lee, June Raphael Chon
- J Trauma Inj. 2017;30(2):63-65. Published online June 30, 2017
- DOI: https://doi.org/10.20408/jti.2017.30.2.63
- 2,237 View
- 21 Download
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Abstract
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- Standard open procedures for resection of the first rib in thoracic outlet syndrome can prove to be quite difficult with extensive incisions. A minimal invasive procedure can also be painstaking, but provides an attractive alternative to the more radical open procedures. We report the details of the technique with direct video footage of the procedure performed in a 41-year-old man with thoracic outlet syndrome done entirely by thoracoscopic methods.
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SummaryOriginal Article
- Thoracoscopy in Management of Chest Trauma: Our Three-year Jeju Experience
- Sung Hyun Lee, Kilsoo Yie, Jong Hyun Lee, Jae Gul Kang, Min Koo Lee, Oh Sang Kwon, Soon Ho Chon
- J Trauma Inj. 2017;30(2):33-40. Published online June 30, 2017
- DOI: https://doi.org/10.20408/jti.2017.30.2.33
- 2,908 View
- 28 Download
- 1 Citations
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Abstract
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- PURPOSE
The role for minimally invasive surgery in chest trauma is vague, one that recently is more frequently performed, and one attractive option to be considered. Thoracoscopic surgery may improve morbidity, mortality, hasten recovery and shorten hospital stay.
METHODS
A total of 31 patients underwent video assisted thoracoscopic surgery for the treatment of blunt and penetrating chest trauma from June 9th, 2013 to March 21st, 2016 in Jeju, South Korea.
RESULTS
Twenty-three patients were males and eight patients were females. Their ages ranged from 23 to 81 years. The cause of injury was due to traffic accident in 17 patients, fall down in 5 patients, bicycle accident in 2 patients, battery in 2 patients, crushing injury in 2 patients, and slip down, kicked by horse, and stab wound in one patient each. Video assisted thoracoscopic exploration was performed in the 18 patients with flail chest or greater than 3 displaced ribs. The thoracoscopic procedures done were hematoma evacuation in 13 patients, partial rib fragment excision in 9 patients, lung suture in 5 patients, bleeding control (ligation or electrocautery) in 3 patients with massive hemothorax, diaphragmatic repair in two patients, wedge resection in two patients and decortication in 1 patient. There was only one patient with conversion to open thoracotomy.
CONCLUSION
There is a broad range of procedures that can be done by thoracoscopic surgery and a painful thoracotomy incision can be avoided. Thoracoscopic surgery can be done safely and swiftly in the trauma patient. -
Summary
Citations
Citations to this article as recorded by- Video assisted thoracoscopic surgery vs thoracotomy in management of post traumatic retained hemothorax: a randomized study
Abd Elrahman Mohammed Khalaf, Ahmed Emadeldeen Ghoneim, Alaa Basiouni Mahmoud, Amr Abdelmonem Abdelwahab
The Cardiothoracic Surgeon.2023;[Epub] CrossRef
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