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HOME > J Trauma Inj > Volume 26(4); 2013 > Article
Traumatic Asphyxia due to Blunt Chest Trauma with External Auditory Canal Bleeding
Je Ho Lee, Kyu Hyouck Kyoung, Jeong Won Kim, Hui Jun Yang, Eun Seog Hong
Journal of Trauma and Injury 2013;26(4):297-299
DOI: https://doi.org/
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1Trauma Center, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. ulsaner@gmail.com
2Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
3Department of Neurology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Received: 10 September 2013   • Revised: 21 October 2013   • Accepted: 19 December 2013

Traumatic asphyxia, also called 'Perthes syndrome', is characterized by subconjunctival hemorrhage, cervicofacialpetechiae and cyanosis resulting from venous hypertension caused by an abrupt, severe, compressive force to the thoracoabdominal region. A 37-year-old male patient who was transferred to the emergency room due to chest trauma by overturning of a forkcrane. His head, neck, and shoulders showed severe ecchymosis, and his upper chest was cyanotic. There was bilateral subconjunctival hemorrhage and bilateral ear bleeding without tympanic rupture. Perthes syndrome is a rare condition and we treated a patient with typical and atypical symptoms; thus we report this case of Perthes syndrome.

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