Traumatic Asphyxia due to Automobile Accident. A Case Report

Introduction: Traumatic Asphyxia is probably much more common than the surgical literature shows and should always be kept in mind as a possible complication of injuries of the thorax and /or upper abdomen. Traumatic Asphyxia or Perthe’s syndrome is a result of a sudden and severe trauma of the thor...

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Main Authors: Elona Markeci, Admir Mustafa
Format: Article
Language:English
Published: Albanian Society for Trauma and Emergency Surgery 2025-01-01
Series:Albanian Journal of Trauma and Emergency Surgery
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Online Access:http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/436
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author Elona Markeci
Admir Mustafa
author_facet Elona Markeci
Admir Mustafa
author_sort Elona Markeci
collection DOAJ
description Introduction: Traumatic Asphyxia is probably much more common than the surgical literature shows and should always be kept in mind as a possible complication of injuries of the thorax and /or upper abdomen. Traumatic Asphyxia or Perthe’s syndrome is a result of a sudden and severe trauma of the thorax and /or upper abdomen. We report a case of traumatic Asphyxia due to an automobilistic accident. Our patient is a 62-year-old male who was brought to the emergency room due to thorax trauma related to a bicycle accident. He got under a van from one side, and while the shaft of the van rotated, it pulled and crushed the patient between the body of the van and the shaft. There was no direct trauma history on the face and neck area of the patient. In our case, we found associated injuries such as a fracture of the right 7th rib, displaced fracture of the right tibia, and bilateral pulmonary contusion. In our case, supportive therapy and specific treatment for the right tibial fracture were performed. Conclusion: Perthes syndrome should be considered in patients presenting with the associated ecchymoses mask with cutaneous petechial hemorrhages and subconjunctival bleeding as a complication of compression of the thorax. The outcome is variable depending on the severity and duration of compression. When characteristic findings of traumatic Asphyxia are detected in traumatic patients, other organ pathologies should be quickly eliminated, and supportive therapy should be initiated. If any other organ pathology is detected, treatment for the detected pathology should be administered because the prognosis of patients with timely and effective treatment is considerably good.
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spelling doaj-art-e0c3bba397844b32b2fbe16f3d3483232025-01-19T14:24:39ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222025-01-019110.32391/ajtes.v9i1.436Traumatic Asphyxia due to Automobile Accident. A Case ReportElona Markeci0Admir Mustafa1The University Hospital of Trauma, Tirana, ALBANIAThe University Hospital of Trauma, Tirana, ALBANIAIntroduction: Traumatic Asphyxia is probably much more common than the surgical literature shows and should always be kept in mind as a possible complication of injuries of the thorax and /or upper abdomen. Traumatic Asphyxia or Perthe’s syndrome is a result of a sudden and severe trauma of the thorax and /or upper abdomen. We report a case of traumatic Asphyxia due to an automobilistic accident. Our patient is a 62-year-old male who was brought to the emergency room due to thorax trauma related to a bicycle accident. He got under a van from one side, and while the shaft of the van rotated, it pulled and crushed the patient between the body of the van and the shaft. There was no direct trauma history on the face and neck area of the patient. In our case, we found associated injuries such as a fracture of the right 7th rib, displaced fracture of the right tibia, and bilateral pulmonary contusion. In our case, supportive therapy and specific treatment for the right tibial fracture were performed. Conclusion: Perthes syndrome should be considered in patients presenting with the associated ecchymoses mask with cutaneous petechial hemorrhages and subconjunctival bleeding as a complication of compression of the thorax. The outcome is variable depending on the severity and duration of compression. When characteristic findings of traumatic Asphyxia are detected in traumatic patients, other organ pathologies should be quickly eliminated, and supportive therapy should be initiated. If any other organ pathology is detected, treatment for the detected pathology should be administered because the prognosis of patients with timely and effective treatment is considerably good. http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/436TraumaTraumatic AsphyxiaInjury
spellingShingle Elona Markeci
Admir Mustafa
Traumatic Asphyxia due to Automobile Accident. A Case Report
Albanian Journal of Trauma and Emergency Surgery
Trauma
Traumatic Asphyxia
Injury
title Traumatic Asphyxia due to Automobile Accident. A Case Report
title_full Traumatic Asphyxia due to Automobile Accident. A Case Report
title_fullStr Traumatic Asphyxia due to Automobile Accident. A Case Report
title_full_unstemmed Traumatic Asphyxia due to Automobile Accident. A Case Report
title_short Traumatic Asphyxia due to Automobile Accident. A Case Report
title_sort traumatic asphyxia due to automobile accident a case report
topic Trauma
Traumatic Asphyxia
Injury
url http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/436
work_keys_str_mv AT elonamarkeci traumaticasphyxiaduetoautomobileaccidentacasereport
AT admirmustafa traumaticasphyxiaduetoautomobileaccidentacasereport