Department of Plastic and Reconstructive Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Ann R Coll Surg Engl. 2021 Mar;103(3):e98-e100. doi: 10.1308/rcsann.2020.7038.
Pneumothorax resulting from traumatic thoracic injury is a potentially life-threatening emergency requiring prompt recognition and management with an intercostal drain. A 34-year-old woman was brought into the emergency department after sustaining a stab injury to the right upper outer quadrant of the right breast. She described noticing a jelly-like substance from her wound, on the background of a prior cosmetic breast augmentation. On examination, it was noted that the right breast was significantly swollen. Computed tomography demonstrated a large right sided pneumothorax with associated punctured right breast implant, a 'pneumocapsule' and extensive subcutaneous emphysema of the breast. This case highlights that the fibrous tissue capsule around a breast implant can function as an anatomical space in continuity with the thoracic cavity, masking the diagnosis of pneumothorax in penetrating trauma.
创伤性胸部损伤导致的气胸是一种潜在的危及生命的紧急情况，需要及时识别和处理，方法是放置肋间引流管。一名 34 岁女性因右侧乳房右上象限刺伤被送入急诊室。她描述说，在之前进行美容隆胸后，她注意到从伤口中流出一种果冻状物质。体格检查发现右侧乳房明显肿胀。计算机断层扫描显示右侧气胸，右侧乳房植入物被刺破，形成“气袋”，乳房皮下广泛积气。本病例强调，乳房植入物周围的纤维组织囊可以作为与胸腔连续的解剖空间，从而掩盖穿透性创伤导致的气胸的诊断。
