Abstract
Blunt thoracic trauma is among the major causes of mortality in setting of acute trauma. Early mortality in chest trauma is often preventable; however, chest trauma can lead to delayed complications. Extra pleural hematoma is among one of them. Owing to the scarcity of literature present on the extra pleural hematoma and its management after blunt thoracic trauma, we, hereby, report a case of 50 year old man who sustained bilateral multiple rib fractures with no hemothorax after blunt thoracic trauma. Patient developed large radio-opaque shadow in right hemithorax four days after injury which later was diagnosed as extra pleural hematoma and was successfully managed with limited thoracotomy.
Highlights
Thoracic trauma accounts for 25-50% of all traumatic injuries, with a high mortality in all age groups [1]
85% of all thoracic trauma can be managed by supplemental oxygen, tube thoracostomy, chest physiotherapy and pain control [3]
We report a case of 50 year old man who sustained bilateral multiple rib fractures with no hemothorax after blunt thoracic trauma
Summary
Thoracic trauma accounts for 25-50% of all traumatic injuries, with a high mortality in all age groups [1]. Patient developed large radio-opaque shadow in right hemithorax four days after injury which later was diagnosed as extra pleural hematoma and was successfully managed with limited thoracotomy. Patient was stable with no cardiorespiratory compromise; his haematological parameters did show a fall in haemoglobin level from 14 gm/dl to 10 gm/dl, all other blood parameters including platelet count (2.2 lac/cubic mm), INR (1.10), kidney function test and liver function test were within normal limits. He was maintaining saturation (SpO2) of 100% on room air. The right lung field became clear on 5th postoperative day and patient was discharged on 10th postoperative day (Figure 5)
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