A patient with severe polytrauma with massive pulmonary contusion and hemorrhage successfully treated with multiple treatment modalities: a case report.

Journal of Medical Case Reports
Futoshi NagashimaMiho Ohta

Abstract

The mortality rate is very high for patients with severe multiple trauma with massive pulmonary contusion containing intrapulmonary hemorrhage. Multiple treatment modalities are needed not only for a prevention of cardiac arrest and quick hemostasis against multiple injuries, but also for recovery of oxygenation to save the patient's life. A 48-year-old Japanese woman fell down stairs that had a height of approximately 4 m. An X-ray showed pneumothorax, pulmonary contusion in her right lung, and an unstable pelvic fracture. A chest drain was inserted and preperitoneal pelvic packing was performed to control bleeding, performing resuscitative endovascular balloon occlusion of the aorta. A computed tomography scan revealed massive lung contusion in the lower lobe of her right lung, pelvic fractures, and multiple fractures and hematoma in other areas. An emergency thoracotomy was performed, and then we performed wide wedge resection of the injured lung, clamping proximal to suture lines with two Satinsky blood vessel clamps. The vessel clamps were left in the right thoracic cavity. The other hemorrhagic areas were embolized by transcatheter arterial embolization. However, since her respiratory functions deteriorated in the intensi...Continue Reading

References

Aug 11, 2004·Southern Medical Journal·Manuel CaceresGlenn Steeb
Mar 31, 2005·The Annals of Thoracic Surgery·James O'ConnorThomas Scalea
Aug 26, 2006·Journal of the American College of Surgeons·Matthew J MartinDemetrios Demetriades
Jun 22, 2013·Critical Care : the Official Journal of the Critical Care Forum·Michael RiedHans-Stefan Hofmann
Dec 11, 2014·The Journal of Trauma and Acute Care Surgery·James V O'ConnorThomas M Scalea

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Citations

Jan 8, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Marianne A ThrailkillAndriy I Batchinsky

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Methods Mentioned

BETA
X-ray

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