A Treatment Case of Delayed Aortic Injury: The Patient with Posterior Rib Fracture.
- Author:
Hyun Seok PARK
1
;
Se Min RYU
;
Seong Joon CHO
;
Sung Min PARK
;
Sun Hye LIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kangwon National University School of Medicine, Korea. bluecorr@naver.com
- Publication Type:Case Report
- Keywords:
Rib fractures;
Thoracic injuries;
Aortic rupture
- MeSH:
Aged;
Aorta;
Aorta, Thoracic;
Aortic Rupture;
Chest Tubes;
Drainage;
Emergency Service, Hospital;
Hematoma;
Hemorrhage;
Hemothorax;
Humans;
Intensive Care Units;
Lacerations;
Liver;
Male;
Patients' Rooms;
Rib Fractures*;
Ribs;
Thoracic Injuries;
Thoracostomy;
Thorax
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2014;47(4):406-408
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 66-year-old male patient arrived at the emergency room with a crush injury to his chest. Multiple rib fractures, hemothorax on both sides, left scapular fracture, liver laceration, and retroperitoneal hematoma were found upon the radiologic examination. After closed thoracostomy, the patient had been initially admitted to the intensive care unit, but he was transferred to the general ward on the next day. On the 4th post-trauma day, the patient complained of severe pain and there was bloody drainage through the chest tube. This case is an exploration with the consideration of the possibility of major bleeding and the subsequent repair of the descending thoracic aorta. This case is regarded as a case in which the aorta wall was damaged as the sharp margin of the fractured ribs caused continuous irritation.
