Massive Hemothorax Caused by a Single Intercostal Artery Bleed Ten Days after Solitary Minimally Displaced Rib Fracture
Delayed hemothorax (DHX) following blunt thoracic trauma is a rare occurrence with an extremely variable incidence and time to diagnosis that is generally associated with clinically insignificant blood loss. In this report, we present a case of acute onset DHX ten days after a relatively mild trauma...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/120140 |
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| author | Karleigh R. Curfman R. Jonathan Robitsek Gregory G. Salzler Katherine D. Gray Charles S. Lapunzina Ravi K. Kothuru Sebastian D. Schubl |
| author_facet | Karleigh R. Curfman R. Jonathan Robitsek Gregory G. Salzler Katherine D. Gray Charles S. Lapunzina Ravi K. Kothuru Sebastian D. Schubl |
| author_sort | Karleigh R. Curfman |
| collection | DOAJ |
| description | Delayed hemothorax (DHX) following blunt thoracic trauma is a rare occurrence with an extremely variable incidence and time to diagnosis that is generally associated with clinically insignificant blood loss. In this report, we present a case of acute onset DHX ten days after a relatively mild traumatic event that resulted in a single minimally displaced rib fracture. The patient awoke from sleep suddenly with acute onset dyspnea and chest pain and reported to the emergency department (ED). The patient lost over six and a half liters of blood during the first 9 hours of his admission, the largest volume yet reported in the literature for DHX, which was eventually found to be due to a single intercostal artery bleed. Successful management in this case entailed two emergent thoracotomies and placement of multiple thoracostomy tubes to control blood loss. The patient was discharged home on postoperative day 5. |
| format | Article |
| id | doaj-art-e1f4d8b3a4d645488617be2f538d7922 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-e1f4d8b3a4d645488617be2f538d79222025-02-03T05:59:42ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/120140120140Massive Hemothorax Caused by a Single Intercostal Artery Bleed Ten Days after Solitary Minimally Displaced Rib FractureKarleigh R. Curfman0R. Jonathan Robitsek1Gregory G. Salzler2Katherine D. Gray3Charles S. Lapunzina4Ravi K. Kothuru5Sebastian D. Schubl6Ross University School of Medicine, Portsmouth, DominicaDepartment of Surgery, Jamaica Hospital Medical Center, Jamaica, NY 11418, USADepartment of Surgery, Weill Cornell Medical College, New York, NY 10065, USADepartment of Surgery, Weill Cornell Medical College, New York, NY 10065, USADepartment of Surgery, Jamaica Hospital Medical Center, Jamaica, NY 11418, USADepartment of Surgery, Jamaica Hospital Medical Center, Jamaica, NY 11418, USADepartment of Surgery, Jamaica Hospital Medical Center, Jamaica, NY 11418, USADelayed hemothorax (DHX) following blunt thoracic trauma is a rare occurrence with an extremely variable incidence and time to diagnosis that is generally associated with clinically insignificant blood loss. In this report, we present a case of acute onset DHX ten days after a relatively mild traumatic event that resulted in a single minimally displaced rib fracture. The patient awoke from sleep suddenly with acute onset dyspnea and chest pain and reported to the emergency department (ED). The patient lost over six and a half liters of blood during the first 9 hours of his admission, the largest volume yet reported in the literature for DHX, which was eventually found to be due to a single intercostal artery bleed. Successful management in this case entailed two emergent thoracotomies and placement of multiple thoracostomy tubes to control blood loss. The patient was discharged home on postoperative day 5.http://dx.doi.org/10.1155/2015/120140 |
| spellingShingle | Karleigh R. Curfman R. Jonathan Robitsek Gregory G. Salzler Katherine D. Gray Charles S. Lapunzina Ravi K. Kothuru Sebastian D. Schubl Massive Hemothorax Caused by a Single Intercostal Artery Bleed Ten Days after Solitary Minimally Displaced Rib Fracture Case Reports in Surgery |
| title | Massive Hemothorax Caused by a Single Intercostal Artery Bleed Ten Days after Solitary Minimally Displaced Rib Fracture |
| title_full | Massive Hemothorax Caused by a Single Intercostal Artery Bleed Ten Days after Solitary Minimally Displaced Rib Fracture |
| title_fullStr | Massive Hemothorax Caused by a Single Intercostal Artery Bleed Ten Days after Solitary Minimally Displaced Rib Fracture |
| title_full_unstemmed | Massive Hemothorax Caused by a Single Intercostal Artery Bleed Ten Days after Solitary Minimally Displaced Rib Fracture |
| title_short | Massive Hemothorax Caused by a Single Intercostal Artery Bleed Ten Days after Solitary Minimally Displaced Rib Fracture |
| title_sort | massive hemothorax caused by a single intercostal artery bleed ten days after solitary minimally displaced rib fracture |
| url | http://dx.doi.org/10.1155/2015/120140 |
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