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Journal of the Korean Society of Traumatology 2010;23(1):49-52.
Hemothorax Without Injury of the Pleural Cavity due to Diaphragmatic and Liver Laceration Caused by a Right Upper Anterior Chest Stab Wound
Kyu Seok Cho, Hyo Chul Youn, Jung Heon Kim, Sang Mok Lee
1Department of Thoracic and Cardiovascular Surgery, Kyung-Hee University College of Medicine, Seoul, Korea. kysukCho@khmc.or.kr
2Department of General Surgery, Kyung-Hee University College of Medicine, Seoul, Korea.
우상 전흉부 자상에서 흉막강 관통 없는 간손상 및 횡격막 손상에 의한 혈흉 치험 1례
경희대학교 의학대학교 흉부외과학교실, 외과학교실¹
A hemothorax usually occur, due to injuries to the intercostal and great vessels, pulmonary damage, and sometimes fractured ribs. We report a case in which the hemothorax that occurred, neither intrathoracic injury nor injury to internal thoracic vessels and organs, via lacerated diaphragmatic and liver laceration due to a right upper part of anterior chest stab injury caused by a sharp object. The patient's general conditions gradually worsened, so chest and abdominal computed tomogram were taken. The abdominal computed tomogram revealed diaphragmatic injuries and bleeding from the lacerated liver. We performed an exploratory laparotomy to control the bleeding from the lacerated liver with simple primary sutures. In addition exploration was performed in the right pleural space through the lacerated diaphragm with a thoracoscopic instrument. There were no bleeding foci in the right pleural space, the vessels, or the lung on the thoracoscopic video. Closure of the lacerated diaphragm was achieved with simple, primary sutures. The postoperative course of the patient was uneventful, and the patient was discharged.
Key Words: Stab wound; Thoracoscope; Hemothorax; Diaphragm; Liver
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