Hemopneumothorax
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Randomized Clinical Trial of 14‐French (14F) Pigtail Catheters <i>versus</i> 28–32F Chest Tubes in the Management of Patients with Traumatic Hemothorax and Hemopneumothorax Open
Introduction Traditional management of traumatic hemothorax/hemopneumothorax (HTX/HPTX) has been insertion of large‐bore 32–40 French (Fr) chest tubes (CTs). Retrospective studies have shown 14Fr percutaneous pigtail catheters (PCs) are eq…
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Focused Assessment with Sonography for Trauma (FAST) Open
The main cause of death in traumas is hypovolemic shock. Physical examination is limited to detect hemopericardium, hemoperitoneum, and hemopneumothorax. Computed tomography (CT) is the gold standard for traumatic injury evaluation. Howeve…
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Potential benefit of early operative utilization of low profile, partial resuscitative endovascular balloon occlusion of the aorta (P-REBOA) in major traumatic hemorrhage Open
A 28-year-old man with multiple gunshot wounds to the chest and upper extremities was transported by private vehicle to a community hospital with limited trauma capabilities. On arrival he developed pulseless electrical activity and cardio…
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Late complications due to thoracıc traumas Open
It will be appropriate for the physicians who are interested in trauma to determine the treatment modalities of the patients by considering many factors such as the age of the patient and the trauma type in terms of the late complications …
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Risk Factors for Pneumonia in Ventilated Trauma Patients with Multiple Rib Fractures Open
Severe pulmonary contusion (pulmonary lung contusion score 6-12) is an independent risk factor for VAP in ventilated trauma patients with multiple rib fractures.
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Rib fixation in patients with severe rib fractures and pulmonary contusions: Is it safe? Open
BACKGROUND Pulmonary contusion has been considered a contraindication to surgical stabilization of rib fractures (SSRFs). This study aimed to evaluate the association between pulmonary contusion severity and outcomes after SSRF. We hypothe…
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Mortality rate and factors associated with death in traumatic chest injury patients: A retrospective study Open
Background: Traumatic chest injury is responsible for 10%–15% of all trauma-related hospital admissions across the world. It is also responsible for approximately 25% of trauma related death. Several predictors have been described for mort…
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Outcome of Concurrent Occult Hemothorax and Pneumothorax in Trauma Patients Who Required Assisted Ventilation Open
Background . The management and outcomes of occult hemopneumothorax in blunt trauma patients who required mechanical ventilation are not well studied. We aimed to study patients with occult hemopneumothorax on mechanical ventilation who co…
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Analysis of Injury Patterns and Outcomes of Blunt Thoracic Trauma in Elderly Patients Open
Introduction In the elderly population, trauma is a leading cause of utilization of healthcare, institutionalization, disability, and mortality. In this study, we will assess the injury patterns and the factors associated with the outcomes…
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Spinal Gunshot Wounds: Pattern and Associated Lesions in Civilians Open
The two main bone patterns are the vertebral body and posterior arch with pedicle fractures as modifiers, given that they are at a high risk for SCI. The spinal pattern and associated lesions were related to the bullet's path, with the ver…
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“POTENTIALLY SURVIVABLE” CASUALTIES — RESERVE TO REDUCE PRE-HOSPITAL LETHAILITY IN INJURIES AND TRAUMAS Open
Battlefield lethality remains the most underexplored problem from the surgical point of view. 540 battlefield fatalities during the military operation in the North Caucasus region of Russia (1994–1996) were analyzed. It was found that 25…
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Unusual case of primary spontaneous hemopneumothorax in a young man with atypical tension pneumothorax: a case report Open
The successful treatment of a large spontaneous hemopneumothorax depends on early recognition, proactive intervention, and early consideration by a cardiothoracic surgeon. Once the diagnosis is confirmed, early thoracotomy should be consid…
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Displaced Medial-End Clavicle Fractures Treated with Locking Plate Osteosynthesis Open
BACKGROUND The purpose of this study was to evaluate clinical efficacy of the medial-end clavicle fractures with a reversed lateral locking clavicle plate. MATERIAL AND METHODS Eleven male patients age 28 to 66 years old with medial-end cl…
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Phrenic Arterial Injury Presenting as Delayed Hemothorax Complicating Simple Rib Fracture Open
Delayed hemothorax after blunt torso injury is rare, but might be associated with significant morbidity and mortality. We present a case of delayed hemothorax bleeding from phrenic artery injury in a 24-year-old woman. The patient suffered…
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Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wounds: A Prospective cohort study Open
It is important to evaluate the diaphragm in left thoracoabdominal stab injuries, and diagnostic laparoscopy is still the safest and most feasible method.
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Factors affecting mortality in traumatic diaphragm ruptures Open
Traumatic diaphragm ruptures (TDR) are rarely seen. Although TDR does not cause morbidity in the acute period, undiagnosed TDR may cause clinical states, such as herniation, strangulation, pneumonia, pleural effusion, empyema, and cardiac …
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Endometriosis of the lung: A case report and review of literature Open
We propose diagnosing lung endometriosis by thoroughly taking reproductive history, clinical details, imaging, and histopathology followed by treatment with surgical resection.
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Delayed right chylothorax after left blunt chest trauma: a case report Open
In this case, as our patient was in old age and had multiple traumas, surgical treatment for chylothorax needed to be performed in the early phase.
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Patterns and Short Term Outcomes of Chest Injuries at Mbarara Regional Referral Hospital in Uganda Open
Background: This study was conducted to establish the causes, injury patterns and short-term outcomes of chest injuries at Mbarara Regional Referral Hospital. Methods: This was a prospective study involving chest injury patients admitted t…
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Spontaneous Hemopneumothorax: A Rare Cause of Unexplained Hemodynamic Instability in a Young Patient Open
Spontaneous hemopneumothorax is a rare and potentially life-threatening disorder which complicates about 1-12% of patients presenting with spontaneous pneumothorax and has a remarkable predilection for male patients. It may present with si…
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Catamenial pneumothorax recurrence due to endometriosis Open
Catamenial pneumothorax (CP) is considered to be the most common form of thoracic endometriosis syndrome, which also includes catamenial hemothorax, catamenial hemopneumothorax, catamenial hemoptysis, and endometriosis lung nodules. Diagno…
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Minimally invasive surgical management of penetrating chest injury from kinetic impact bean bag projectile Open
Bean bag guns are considered "non-lethal" weapons used by law enforcement. There are emerging reports in the medical literature on management of penetrating, intrathoracic injuries and none were found that involve potential cardiac complic…
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Application of transesophageal echocardiography for localization in totally implantable venous access port implantation through subclavian approach in children Open
A totally implantable venous access port (TIVAP) is important in children who need intravenous infusion for a long time. A number of studies have shown methods for locating the tip of the TIVAP catheter. To explore whether transesophageal …
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Minimally invasive management of thoracic trauma: current evidence and guidelines Open
Minimally invasive procedures are being increasingly proposed for trauma. Injuries to the chest wall and/or lung have historically been managed by drainage with a large bore thoracostomy tube, while cardiac injuries have mandated sternotom…
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A case of spontaneous hemopneumothorax in which the condition worsened after chest drainage Open
A 45-year-old woman was referred to our hospital with sudden chest pain. She came on foot with normal vital signs. Computed tomography (CT) revealed right mild pneumothorax with niveau level. We suspected spontaneous hemopneumothorax (SHP)…
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Non-heparinized Veno-venous ECMO Applied to Patient with Severe Lung Contusion and Hypovolemic shock due to Trauma Open
Veno-venous extracorporeal membrane oxygenation (VV-ECMO) plays a crucial role when the lung is extensively damaged and when conventional management has failed. ECMO provides adequate tissue oxygenation and an opportunity for lung recovery…
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Bilateral catamenial hemopneumothorax: Diagnostic & management challenges Open
This case demonstrate the extensive bilateral catamenial hemopnemothorax which is limitedly described in the literature index of suspicion & early diagnosis and management would ensure multiple admission & recurrence.
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Radiation diagnostics of thoracic gunshot wounds Open
The frequency of thoracic injuries in the general structure of combat surgical trauma remains at the level of 7-12 % and unchanged from the time of the Second World War to the current armed conflicts. The overwhelming majority of them (up …
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A Case of Unrecognized Intrathoracic Placement of a Subclavian Central Venous Catheter in a Patient with Large Traumatic Hemothorax Open
Traditional recommendations suggest placement of a subclavian central venous catheter (CVC) ipsilateral to a known pneumothorax to minimize risk of bilateral pneumothorax. We present the case of a 65-year-old male with a right hemopneumoth…
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Transthoracic Migration of a Foreign Body into the Diaphragm from the Gunshot Injury and Its Management in a Child: A Case Report Open
Intrapleural foreign bodies (FB) are rare and uncommon, while diaphragmatic FB secondary to gunshot injury in a child is still rarer. We now describe a 9-year-old male with a history of self-inflicted accidental air gun injury on the right…