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J Trauma Inj > Volume 28(2); 2015 > Article
Journal of Trauma and Injury 2015;28(2):79-82.
DOI: https://doi.org/10.20408/jti.2015.28.2.79    Published online June 30, 2015.
Delayed Diaphragmatic Injury with Massive Hemothorax Due to Lower Rib Fracture
Woo Shik Kim, Joong Suck Kim
1Department of Thoracic and Cardiovascular Surgery, National Medical Center, Seoul, Korea. cureshow@hanmail.net
2Department of Trauma Surgery, National Medical Center, Seoul, Korea.
하부늑골 골절에 의한 지연성 대량혈흉을 동반한 횡격막 손상
김우식, 김중석1
국립중앙의료원 흉부외과,
1국립중앙의료원 외상외과
Received: 14 February 2015   • Revised: 19 March 2015   • Accepted: 15 May 2015
Abstract
Simple rib fracture is one of most common injury after blunt thoracic trauma found in approximately 7% to 40% of cases. Delayed traumatic diaphragmatic injury with massive hemothorax after rib fracture is rare but a potentially life-threatening condition. We present a rare case of a 79-year-old male with delayed diaphragmatic injury with massive hemothorax due to fracture of the lower ribs. Under thoracoscopy, hemothorax was evacuated, diaphragmatic rupture was identified and repaired, and the lower ribs were fixed with metal plate (s). Although simple lower rib fractures may be the only clinical finding, close observation and monitoring are required because of the possibility of diaphragmatic and/or intraabdominal organ injury.
Key Words: Thoracic injuries; Rib fractures; Hemothorax; Diaphragm laceration
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