Large Focal Extrapleural Hematoma of Chest Wall: A Case Report
- Author:
Hohyoung LEE
1
;
Sung Ho HAN
;
Min Koo LEE
;
Oh Sang KWON
;
Kyoung Hwan KIM
;
Jung Suk KIM
;
Soon Ho CHON
;
Sung Ho SHINN
Author Information
- Publication Type:Case Report
- From:Journal of the Korean Society of Traumatology 2019;32(2):115-117
- CountryRepublic of Korea
- Language:English
- Abstract: Although hemothorax and pneumothorax are common complications seen in rib fractures, focal extrapleural hematoma is quite rare. We report a 63-year-old female patient that developed large focal extrapleural hematoma after falling off a second floor veranda. The patient had sustained 3, 4, 5th costal cartilage rib fractures and a sternum fracture. She had developed suspected empyema with loculations with small amount of hemothorax. She underwent a planned early decortication/adhesiolysis by video assisted thoracoscopic surgery at the 12th post-trauma day due to failed drainage. Unexpectedly, she had no adhesions or any significant retained hematoma mimicking a mass, but was found with the focal extrapleural chest wall hematoma. She was discharged on postoperative 46th day for other reasons and is doing fine today.
