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

研究成果: 書貢獻/報告類型章節

3 引文 斯高帕斯(Scopus)

摘要

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.
原文英語
主出版物標題Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital
頁面343-346
頁數4
21
版本3
出版狀態已發佈 - 1998
對外發佈

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