Ramzee Ahmed F, Bakhsh Zeenat, Peralta Ruben, Rizoli Sandro, El-Menyar Ayman, Al-Thani Hassan, Chughtai Talat
Department of Surgery, Trauma Surgery, Hamad Medical Corporation, Doha, Qatar.
Trauma and Vascular Surgery, Clinical Research, Hamad Medical Corporation, Doha, Qatar.
Trauma Case Rep. 2023 Jun 4;46:100862. doi: 10.1016/j.tcr.2023.100862. eCollection 2023 Aug.
Pulmonary lacerations caused by an avulsion force on an adhesion between the lung and chest wall following blunt thoracic injury are very rare. They may result in pneumothorax and/or hemothorax and may not be immediately apparent clinically or radiologically.
We present the case of a healthy 34-year-old male who sustained blunt thoracic injury. He was clinically stable, and his initial routine images were unremarkable. The patient was discharged home on the same day. He presented a week later with a massive hemothorax requiring surgical intervention which revealed bleeding from an avulsed adhesion between the lung and chest wall. Bleeding was successfully controlled by hemostatic agent, and the patient had an uneventful recovery.
Hemothorax requiring intervention from an avulsed adhesion may occur following blunt thoracic trauma. Initial imaging and clinical finding may be misleading. Close follow up and adequate patient education should be ensured prior to discharge following seemingly trivial trauma.
钝性胸部损伤后，肺与胸壁间粘连处因撕脱力导致的肺撕裂伤非常罕见。它们可能导致气胸和/或血胸，在临床或放射学上可能不会立即显现。
我们报告一例34岁健康男性钝性胸部损伤的病例。他临床情况稳定，最初的常规影像检查无异常。患者于同日出院。一周后，他因大量血胸前来就诊，需要手术干预，术中发现肺与胸壁间一处撕脱粘连处出血。出血通过止血剂成功控制，患者恢复顺利。
钝性胸部创伤后可能发生因撕脱粘连导致的需要干预的血胸。最初的影像学和临床发现可能具有误导性。在看似轻微的创伤后出院前，应确保密切随访并对患者进行充分的教育。
