#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Hromádka P., Škach J., Černohorský S., Křivohlávek M., Gaalová R.: Traumatic Rupture of the ­Pericardium – the Source of Massive Haemothorax, a Case Report


Authors: P. Hromádka;  J. Škach;  S. Černohorský *;  M. Křivohlávek **;  R. Gaalová
Authors‘ workplace: Chirurgické oddělení, Krajská nemocnice Liberec a. s., primář: MUDr. M. Baader ;  Chirurgické oddělení, Nemocnice na Homolce, primář: MUDr. M. Toběrný, MBA *;  Traumatologicko-ortopedické centrum, Krajská nemocnice Liberec a. s., primář: MUDr. R. Lukáš, Ph. D. **
Published in: Rozhl. Chir., 2011, roč. 90, č. 4, s. 213-215.
Category: Monothematic special - Original

Overview

Extensive traumatic haemothorax is a life-threatening condition that requires the surgeon’s resolute approach. Massive bleeding may first lead to hypovoleamic shock, then to haemorrhagic shock. The most common sources are bleeding from the chest wall (intercostal artery), bleeding when the lung parenchyma or major intrathoracic vessels are injured.

The case report describes a rare case of massive right-sided haemothorax in pericardial rupture with cardiac herniation in a patient with polytrauma when the source of bleeding was artery pericardium. The report draws attention to the treacherousness of the diagnosis in a polytraumatised patient; the report retrospectively evaluates the interpretation of imaging examinations that were carried out

Key words:
haemothorax – pericardium – pericardial rupture – cardiac herniation – polytrauma


Sources

1. Černý, J. Špeciálna chirurgia 3 – chirurgia hrudníka. Osveta, str. 130.

2. Šiler, J., Hlavlíče, K. Hemotorax při tupém poranění hrudníku Rozhl. Chir., 2009, roč. 88, č. 5, str. 277–281.

3. Wang, G., Baimbridge, D., Martin, J., Cheng, D. The Efficacy of an Intraoperative Cell Saver During Cardiac Surgery: A Meta-Analysis of Randomized Trials. A & A August 2009, vol. 109, no. 2, p. 320–330.

4 Galindo Gallego, M., López-Cambra, M. J., Fernandez-Acenero, M. J., Alvarez Perez, T. L., Tadeo Ruiz, G., Vázquez Santos, P., et al. Traumatic rupture of the pericardium. Case report and literature review. J. Cardiovasc. Surg., 1996; 37: 187–191.

5. Fulda, G., Brathwaite, C. E., Rodriguez, A., Turney, S. Z., Dunham, C. M., Cowley, R. A. Blunt traumatic rupture of the heart and pericardium: a ten-year experience (1979-1989). J. Trauma, 1991; 31: 167–172; discussion 172–173.

6. Sohn, J. H., Song, J. W., Seo, J. B., Do, K. H., Lee, J. S., Kim, D. K., Song, K. S., Lim, T. H. Pericardial rupture and cardiac herniation after blunt trauma: a case diagnosed using cardiac MRI. British Journal of Radiology, (2005) 78, 447–449.

Labels
Surgery Orthopaedics Trauma surgery

Article was published in

Perspectives in Surgery

Issue 4

2011 Issue 4

Most read in this issue
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#