Traumatic hemothorax due to chance fracture requiring emergency surgical management: A report of two cases

SAGE Open Medical Case Reports
Keigo OkamotoJun Hanaoka

Abstract

Traumatic hemothorax is usually caused by thoracic organ damage. Cases of atypical bleeding sources may be difficult to diagnose. Here we present two surgical cases of vertebral fracture that caused hemothorax. Case 1: an 81-year-old man was admitted to our hospital after a fall. Computed tomography showed right hemothorax without rib fractures. He suddenly developed shock and intrathoracic hemorrhage. Thoracotomy revealed the bleeding source as a transverse laceration in T7. Case 2: an 83-year-old woman fell on her back and was admitted. Computed tomography indicated an L1 vertebral fracture. A few days later, she suddenly developed a right hemothorax. An intrathoracic hemorrhage was sustained after transcatheter embolization. Thoracotomy revealed a diaphragmatic rupture. Total cross-fracture of the vertebral body solely caused the hemothorax. If bleeding source is unclear in elderly patients, this etiology should be considered. We saved both patients by performing spinal fusion surgery at the appropriate time.

References

Jun 1, 1986·The Journal of Trauma·R M Ross, A Cordoba
Mar 8, 2000·Injury·T M van RaaijC Ulrich
Jul 11, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mehmet SirmaliIrfan Taştepe
Sep 1, 1948·The British Journal of Radiology·G Q CHANCE
Jun 12, 2010·The Journal of Trauma·Ming-Shian LuChiung-Lung Kao

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Citations

Sep 13, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Kohei NinomiyaHayaki Uchino

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