Traumatic right ventricular laceration complicated with hemopericardium, cardiac tamponade, cardiac contusion and epicardial hematoma

Cheng-Hsien Hsieh

doi:10.1186/2036-7902-7-s1-a33

Abstract

Background High-energy blunt chest injury will bring out severe cardiac and pulmonary injuries. It may cause cardiac contusion, rupture, cardiac valve dysfunction, and aortic laceration [1]. As traumatic hemopericardium occurs, ultrasound is a convenient and reliable tool for diagnosis. We presented a 55-year-old male victim of blunt chest trauma complicated with hemopericardium, cardiac tamponade, cardiac contusion and epicardial hematoma.

Highlights

High-energy blunt chest injury will bring out severe cardiac and pulmonary injuries
Case presentation A 55-year-old drunken male victim presented to the emergency department with chest injury after a car collision accident
The blood pressure checked immediately was 75/49 mmHg. He regained conscious within 30 seconds and the blood pressure recovered

Summary

Introduction

High-energy blunt chest injury will bring out severe cardiac and pulmonary injuries. It may cause cardiac contusion, rupture, cardiac valve dysfunction, and aortic laceration [1]. Case presentation A 55-year-old drunken male victim presented to the emergency department with chest injury after a car collision accident. The triage showed normal vital sign, and he fell unconscious after standing up. The blood pressure checked immediately was 75/49 mmHg. He regained conscious within 30 seconds and the blood pressure recovered. Focused assessment with sonography for trauma (FAST) performed promptly showed pericardial effusion without fluid around abdominal organs.

Results

Conclusion