단순 갈비뼈 골절 후 발생한 지연성 혈흉에 의한 사망
Fatal Delayed Hemothorax after Simple Rib Fracture
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
We report the case of a 66-year-old man who died of fatal delayed hemothorax after blunt trauma to the chest. When the deceased was transferred to the hospital, his vital signs were stable; hence, medical attention was focused only on the fracture on right ankle. Three days after the orthopedic surgery, he became unsettled with symptoms similar to delirium and exhibited unstable vital signs; he then suddenly died. On autopsy, a beveled fracture was identified on the posterior aspect of the left second rib with hemothorax. It was because of a rupture in the intercostal artery at the fracture site that a simple fracture in a rib, following a blunt chest trauma can be a potentially life-threatening condition. We suggest that a meticulous examination should be performed at the rib fracture sites when a blunt trauma to the chest is suspected even when there are no internal organ injuries identified except hemothorax.
Abstract
We report the case of a 66-year-old man who died of fatal delayed hemothorax after blunt trauma to the chest. When the deceased was transferred to the hospital, his vital signs were stable; hence, medical attention was focused only on the fracture on right ankle. Three days after the orthopedic surgery, he became unsettled with symptoms similar to delirium and exhibited unstable vital signs; he then suddenly died. On autopsy, a beveled fracture was identified on the posterior aspect of the left second rib with hemothorax. It was because of a rupture in the intercostal artery at the fracture site that a simple fracture in a rib, following a blunt chest trauma can be a potentially life-threatening condition. We suggest that a meticulous examination should be performed at the rib fracture sites when a blunt trauma to the chest is suspected even when there are no internal organ injuries identified except hemothorax.
참고문헌 (8)
- Chen CL, "Delayed massive hemothorax complicating simple rib fracture associated with diaphragmatic injury", Am J Emerg Med, 32, pp.818.e3~818.e4 (2014)
- Sharma OP, "Prevalence of delayed hemothorax in blunt thoracic trauma", Am Surg, 71, pp.481~486 (2005)
- Kim WS, "Delayed diaphragmatic injury with massive hemothorax due to lower rib fracture", J Trauma Inj, 28, pp.79~82 (2015)
- Masuda R, "Delayed hemothorax superimposed on extrapleural hematoma after blunt chest injury:a case report", Tokai J Exp Clin Med, 38, pp.97~102 (2013)
- 안홍준, "Phrenic Arterial Injury Presenting as Delayed Hemothorax Complicating Simple Rib Fracture", Journal of Korean Medical Science, 31(4), pp.641~643 (2016), 대한의학회
- Misthos P, "A prospective analysis of occult pneumothorax, delayed pneumothorax and delayed hemothorax after minor blunt thoracic trauma", Eur J Cardiothorac Surg, 25, pp.859~864 (2004)
- Mihos P, "Huge extrapleural hematoma after a blunt chest trauma: an unusual presentation", Eur J Trauma Emerg Surg, 33, pp.651~653 (2007)
- Ezaki J, "The histopathological structures of the extrapleural hematoma wall: a case report", Forensic Sci Int, 266, pp.e68~e70 (2016)