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Case Reports
. 2019 Apr;47(2):161-163.
doi: 10.5152/TJAR.2019.73669. Epub 2019 Jan 29.

Breast Implants and Bilateral Tension Pneumothorax Following Blunt Chest Trauma

Mathieu Martin  1 , David Lobo  1 , Jennifer Jaubert  1 , Paul Henri Jost  1 , Fabrice Cook  1
Affiliations
Case Reports

Breast Implants and Bilateral Tension Pneumothorax Following Blunt Chest Trauma

Mathieu Martin et al. Turk J Anaesthesiol Reanim. 2019 Apr.

Abstract

A 38-year-old woman was admitted to our trauma centre with a complete left pneumothorax. The chest tube implementation procedure was aborted quickly because of a very difficult dissection (subcutaneous emphysema over two voluminous breast implants). The patient was transferred to the imaging room without chest tube insertion due to respiratory and haemodynamic stability. During transfer, the patient presented with cardiac arrest due to tension pneumothorax. The time benefit with the use of immediate total body computed tomography has been reported. A simple and rapid initial imaging assessment including chest and pelvic X-rays and four-chamber view and 'swing technique' ultrasound protocol enables the appropriate emergency decisions. While this diagnostic approach is time consuming, it nevertheless allows a reduction in the time needed to initiate life-saving interventions for the most severe patients. This case reminds us that even if patients are stable, drainage of a complete pneumothorax under mechanical ventilation should not be delayed, especially in case of technical difficulties.

Keywords: Blunt chest trauma; breast implants; tension pneumothorax.

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Conflict of interest statement

Conflict of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
a, b. Chest X-ray. (a) Thoracic computed tomography scan (b)
See this image and copyright information in PMC

References

    1. Martin M, Ait-Mamar B, Cook F, Deux JF, Dhonneur G. A place that is easier to get into than to get out of! Can J Anaesth. 2016;63:1100–1. - PubMed
    1. Vera-Merchancano R, Hernández-Palazón J, Fuentes-García D, Fernández-Rodríguez LE. Intraoperative bilateral tension pneumothorax in a patient undergoing breast augmentation surgery with general anesthesia. J Plast Reconstr Aesthet Surg. 2014;67:e165–6. - PubMed
    1. Sierink JC, Treskes K, Edwards MJ, Beuker BJ, den Hartog D, Hohmann J, et al. Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial. Lancet. 2016;388:673–83. doi: 10.1016/S0140-6736(16)30932-1. - DOI - PubMed
    1. Huber-Wagner S, Lefering R, Qvick LM, Körner M, Kay MV, Pfeifer KJ, et al. Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study. Lancet. 2009;373:1455–61. doi: 10.1016/S0140-6736(09)60232-4. - DOI - PubMed
    1. Peytel E, Menegaux F, Cluzel P, Langeron O, Coriat P, Riou B. Initial imaging assessment of severe blunt trauma. Intensive Care Med. 2001;27:1756–61. doi: 10.1007/s00134-001-1119-z. - DOI - PubMed

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