Abstract
Massive haemothorax and tension pneumothorax due to injury of internal thoracic vein and second rib fracture after blunt trauma is very rare. Possible mechanisms of injury to the thoracic vein include fracture of an bony structure, such as a rib, clavicle and sternum or shearing forces acting on the vessel during period of extreme acceleration or decelerations. We presented an urgent thoracotomy and ligation of the internal thoracic vein ruptured by blunt trauma immediately.
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