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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 9/2019

01-09-2019 | Case Report

Delayed massive hemothorax due to a diaphragmatic laceration caused by lower rib fractures

Authors: Hitoshi Igai, Mitsuhiro Kamiyoshihara, Ryohei Yoshikawa, Fumi Ohsawa, Tomohiro Yazawa

Published in: General Thoracic and Cardiovascular Surgery | Issue 9/2019

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Abstract

A delayed hemothorax requiring surgical treatment is considered a rare minor thoracic injury. We experienced four cases of delayed massive hemothorax due to a diaphragmatic laceration caused by lower rib fractures. A computed tomography scan on admission revealed multiple rib fractures in all patients, and at least one fractured lower rib was severely displaced, which injured the diaphragm. The duration between the injury and the diagnosis were 14 h–30 days. Emergency surgical treatment was performed, and intraoperative findings revealed a diaphragmatic laceration with oozing due to injury caused by the edge of a fractured rib. After the operation, all patients were successfully discharged.
Literature
1.
Emond M, Sirois MJ, Guimont C, et al. Functional impact of a minor thoracic injury. Ann Surg. 2015;262:1115–22.CrossRefPubMed
2.
Sharma OP, Hagler S, Oswanski MF. Prevalence of delayed hemothorax in blunt thoracic trauma. Am Surg. 2005;71:481–6.PubMed
3.
Kim S, Choi WJ, Lee KH, Byu CS, Bae KS, Park IH. The clinical implications of severe low rib fracture in the management of diaphragm injury: a case control study. Int J Surg. 2017;42:178–82.CrossRefPubMed
4.
Chen CL, Chang YL. Delayed massive hemothorax complicating simple rib fracture associated with diaphragmatic injury. Am J Emerg Med. 2014;32:818.e3-4.PubMed
5.
Chang SW, Ryu KM, Ryu JW. Delayed massive hemothorax requiring surgery after blunt thoracic trauma over a 5-year period: complicating rib fracture with sharp edge associated with diaphragm injury. Clin Exp Emerg Med. 2018;5:60–5.CrossRefPubMedPubMedCentral
Metadata
Title
Delayed massive hemothorax due to a diaphragmatic laceration caused by lower rib fractures
Authors
Hitoshi Igai
Mitsuhiro Kamiyoshihara
Ryohei Yoshikawa
Fumi Ohsawa
Tomohiro Yazawa
Publication date
01-09-2019
Publisher
Springer Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 9/2019
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-018-1033-8

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