Traumatic thoracic aortic injury caused by a sharp edge of left fractured rib on body position change: case report.

Y. P. Hsu, R. J. Chen, M. J. Bullard, J. F. Fang, B. C. Lin

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Citations (Scopus)

Abstract

Aortic injury caused by penetration of a fractured rib is very rare. We present a patient with aortic injury demonstrated using serial imaging studies. A 66-year-old woman fell from a ladder and sustained multiple left-side rib fractures. There was a small left hemothorax and widened mediastinum on the initial chest roentgenogram in the emergency department. Chest computed tomography (CT) revealed a posterior segmental fracture of the sixth rib on the left side with a sharp edge penetrating into the posterior aspect of the thoracic aorta. It was initially missed. More than 1000 cc of fresh blood suddenly gushed out of the chest tube 7 hours after the traumatic event. After resuscitation, an aortogram was performed which showed blood extravasation from the thoracic aorta at the rib fracture site. Unfortunately, surgical intervention was delayed and she died. Early detection and early surgical intervention are necessary in patients with a widened mediastinum and positive results on imaging studies.

Original languageEnglish
Title of host publicationChanggeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital
Pages343-346
Number of pages4
Volume21
Edition3
Publication statusPublished - 1998
Externally publishedYes

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    Hsu, Y. P., Chen, R. J., Bullard, M. J., Fang, J. F., & Lin, B. C. (1998). Traumatic thoracic aortic injury caused by a sharp edge of left fractured rib on body position change: case report. In Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital (3 ed., Vol. 21, pp. 343-346)