Life- threatening hemothorax due to the inferior pulmonary ligament injury without obvious organ injuries: a case report

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• 作者：Jae Jun Kim (1)
  Yong Hwan Kim (1)
  Si Young Choi (1)
  Seong Cheol Jeong (1)
  Seok Whan Moon (2)
  
  1. Department of Thoracic and Cardiovascular Surgery ; Uijeongbu St. Mary鈥檚 Hospital ; The Catholic University of Korea College of Medicine ; 480-717 ; Geumo-dong ; Uijeongbu ; Gyeonggi-do ; South Korea
  2. Department of Thoracic and Cardiovascular Surgery ; St. Paul Hospital ; The Catholic University of Korea College of Medicine ; Seoul ; South Korea
  
• 关键词：Trauma ; Hemothorax ; Inferior pulmonary ligament
• 刊名：Journal of Cardiothoracic Surgery
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：10
• 期：1
• 全文大小：992 KB
• 参考文献：1. Dongel, I, Coskun, A, Ozbay, S, Bayram, M, Atli, B (2013) Management of thoracic trauma in emergency service: analysis of 1139 cases. Pak J Med Sci 29: pp. 58-63
  2. Mowery, NT, Gunter, OL, Collier, BR, Diaz, JJ, Haut, E, Hildreth, A (2011) Practice management guidelines for management of hemothorax and occult pneumothorax. J Trauma 70: pp. 510-8 CrossRef
  3. Ogawa, F, Naito, M, Iyoda, A, Satoh, Y (2013) Report of a rare case: occult hemothorax due to blunt trauma without obvious injury to other organs. J Cardiothorac Surg 8: pp. 205 CrossRef
  4. Bertin, F, Deslauriers, J (2011) Anatomy of the pleura: reflection lines and recesses. Thorac Surg Clin 21: pp. 165-71 CrossRef
  5. Sangster, GP, Gonzalez-Beicos, A, Carbo, AI, Heldmann, MG, Ibrahim, H, Carrascosa, P (2007) Blunt traumatic injuries of the lung parenchyma, pleura, thoracic wall, and intrathoracic airways: multidetector computer tomography imaging findings. Emerg Radiol 14: pp. 297-310 CrossRef
  
• 刊物主题：Cardiac Surgery; Thoracic Surgery;
• 出版者：BioMed Central
• ISSN：1749-8090

文摘

Traumatic hemothorax is usually associated with obvious organ injuries, such as rib fractures, pulmonary injuries, and other mediastinal injuries. We present a rare case in which a 42-year- old Korean man who fell off of a roof, approximately 3 meters in height, resulting in a life-threatening hemothorax without obvious injuries to the thoracic organs. Chest CT showed a large amount of hemothorax in the right side of the thoracic cavity, and an active bleeding, presumably from the posterior intercostal or the phrenic artery, with a focal aneurysmal change. The emergency thoracotomy was performed to bring the active bleeding under control. The operative findings showed there were only the inferior pulmonary ligament tears, and the active bleeding from it. The postoperative course was uneventful and the patient was discharged without any complications. We should consider the inferior pulmonary ligamental injury as one of causes for traumatic hemothorax.