LUNG CONTUSION PRESENTING AS OPAQUE HEMITHORAX

TOPIC: Imaging TYPE: Global Case Reports INTRODUCTION: A pulmonary contusion refers to an interstitial and/or alveolar lung injury without any frank laceration. It usually occurs secondary non-penetrating trauma. Pulmonary in 25–35% of all blunt chest traumas. we report a case with respiratory failure domestic fall from head down 5 meters. CASE PRESENTATION: 18 yrs old boy was admitted the hospital breathing difficulty following fell He unconscious for short duration (few minutes) accident. At time admission after 2 hours later incident, he conscious, oriented, and responding oral commands. But had no nausea, vomiting, bleeding nose, major injury. Physical examination showed Temperature 37 degrees celsius, pulse 88 beats/minute, respirate 38 breaths /minute, blood pressure 110/70 mmHg, Spo2 88% on room air, 95 % l oxygen. Computed tomography revealed nonsegmental areas consolidation ground glass opacities right sparing 1-2 mm subpleural parenchyma adjacent wall consistent contusion.He started oxygen other supportive medications closely monitored progressing acute distress syndrome ( ARDS).He improved above said measures discharged fair radiological resolution. DISCUSSION: is most common trauma [1,2]. may develop accidental injuries such as traffic accidents, falls, bumps, crushes, characterized by parenchymal hemorrhage, edema, collapse, which potentially lead compromised function(3). generally begins mild edema injury; hemorrhage h, becomes apparent 4 subsequently exudation monocytes neutrophils. Protein, red cells, many inflammatory cells appear alveoli, normal structure disappear. Normally, starts be absorbed within 7-10 d, could return leaving traces. CONCLUSIONS: Tomography CT) very sensitive diagnosing Contusion.The goal treatment prevent hypoxia failure. REFERENCE #1: Allen GS, Coates NE: contusion: collective review. Am Surg. 1996, 62: 895-900. #2: Cohn SM: review clinical entity. J Trauma. 1997, 42: 973-979. #3: Hoff SJ, Shotts SD, Eddy VA, Morris JA Jr. Outcome isolated patients. Surg 1994;60(2):138-42. DISCLOSURES: No relevant relationships Nagarajan Appusamy, source=Web Response