Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Jun;61(Suppl 1):84-87.
doi: 10.20471/acc.2022.61.s1.14.

BLUNT TRAUMA INTERCOSTAL LUNG HERNIATION AND DELAYED EXTRA PLEURAL HEMATOMA

Tino Klancir  1 , Višnja Nesek Adam  1   2   3 , Sanja Berić  1   3 , Martina Matolić  1 , Elvira Grizelj Stojčić  1 , Aleksandra Smiljanić  1
Affiliations
Case Reports

BLUNT TRAUMA INTERCOSTAL LUNG HERNIATION AND DELAYED EXTRA PLEURAL HEMATOMA

Tino Klancir et al. Acta Clin Croat. 2022 Jun.

Abstract

Blunt chest trauma is an important cause of morbidity and mortality in traumatized emergency patients. We report the case of a 74-year-old man who suffered a glenohumeral joint dislocation, trans trochanteric femur fracture, multiple rib fractures, diaphragmatic rupture with chest herniation of the spleen and stomach associated with herniation of the lung through an anterior chest wall defect after blunt trauma. Although immediate surgical repair was performed, he developed a delayed complication of multiple rib fracture in the form of large extrapleural hematoma that had to be surgically removed. Due to massive pulmonary contusion and prolonged pulmonary collapse, we used surfactant to facilitate alveolar opening after evacuation of the hematoma.

Keywords: Chest trauma; diaphragmatic rupture; extrapleural hematoma; lung herniation; surfactant.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflict of interest.

Figures

Figure 1
Figure 1
A. Ventral intercostal left lung herniation and Figure 1 B. Herniation of the stomach and spleen into the chest
Figure 2
Figure 2
3D reconstruction of left- side rib fractures that are significantly displaced
Figure 3
Figure 3
Complete left lung collapse due to extrapleural hematoma
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Mirvis SE. Imaging of acute thoracic injury: the advent of MDCT screening. Semin Ultrasound CT MR. 2005;26(5):305–31. 10.1053/j.sult.2005.08.001 - DOI - PubMed
    1. Chiang TY, Yin MF, Yang SM, Chen KC. Thoracoscopic management of incarcerated lung herniation after blunt chest trauma: a case report and literature review. J Thorac Dis. 2017;9(3):E253–7. 10.21037/jtd.2017.03.41 - DOI - PMC - PubMed
    1. Choi YS, Kim SJ, Ryu SW, Kang SK. Traumatic Extrapleural Hematoma Mimicking Hemotohorax. J Trauma Inj. 2017;30(4):202–5. 10.20408/jti.2017.30.4.202 - DOI
    1. Rashid MA. Value of video-assisted thoracic surgery in traumatic extrapleural hematoma. Thorac Cardiovasc Surg. 1999;47(4):255–7. 10.1055/s-2007-1013155 - DOI - PubMed
    1. Chung JH, Carr RB, Stern EJ. Extrapleural hematomas: imaging appearance, classification, and clinical significance. J Thorac Imaging. 2011;26:218–23. 10.1097/RTI.0b013e3181ebeaba - DOI - PubMed

Publication types

LinkOut - more resources