Delayed cardiac tamponade following blunt thoracic trauma
نویسندگان
چکیده
An 18-year-old female was an unrestrained, front seat, passenger in a car involved in a head-on collision with a heavy goods vehicle. The car was estimated to be travelling at 110 km/h. The patient was ejected through the front windscreenandwas foundbyemergency services 30 mfromthecar. Initial management was according to advanced trauma life support protocol. Clinical findings included an oxygen saturation level of 92%, a sinus tachycardia of 108 beats/min, blood pressure of 110/70 mmHg and a Glasgow Coma Scale (GCS) score of 15/15. Tenderness was noted over the left clavicle and ribs with crepitations audible throughout the left lung. The heart sounds were normal. Tenderness was also demonstrated over the lower lumbar spine and left sacrum. Radiographs of the chest revealed left anterior rib fractures and pulmonary contusions. Cross-sectional imaging
منابع مشابه
Right Atrium Laceration with Pericardial Tamponade: A Rare Presentation of Blunt Cardiac Trauma
Cardiac laceration from blunt thoracic trauma is not a common presentation. The rate of mortality due to this injury is very high since it is not diagnosed and treated immediately. In this study, we present the case of a 65-year-old man with blunt cardiac trauma, causing right atrial rupture and pericardial tamponade. Successful management of this patient was firstly done with initial pericardi...
متن کاملLate onset hemopericardium with cardiac tamponade from minor blunt chest trauma – a case report
Hemopericardium with cardiac tamponade following minor blunt trauma is a rare, life-threatening condition in children. Without high index of suspicion, diagnosis and intervention may be delayed as the link between the trauma and illness may be missed. We present a 12-year-old female in Nigeria, and highlight challenges in diagnosis.
متن کاملCardiac tamponade associated with delayed ascending aortic perforation after blunt chest trauma: a case report
BACKGROUND Cardiac tamponade due to aortic injury after blunt trauma is a rare and potentially fatal injury. Most aortic injuries caused by blunt trauma present as aortic dissection or rupture of the aortic isthmus. Several cases of delayed aortic injury have been reported. However, all of these injuries were observed in the descending aorta because they had been caused by a posterior rib fract...
متن کاملDelayed cardiac tamponade in a patient with previous minor blunt chest trauma.
Hemopericardium with cardiac tamponade after non-penetrating chest trauma is a very rare but life-threatening condition. If this complication develops after an interval of several weeks following the non-penetrating chest trauma, the causal relation with the traumatic event is less evident, which may delay proper diagnosis and adequate treatment. We describe diagnosing and therapeutic managemen...
متن کاملA delayed presentation of cardiac tamponade after blunt trauma
Cardiac tamponade is a recognised complication of blunt trauma to the chest. It usually presents at the time of the acute event but there are rare cases of delayed presentations. We present such a case where the tamponade occurred six weeks following the trauma to the chest wall.
متن کاملDelayed hemopericardium with constrictive pericarditis after blunt trauma: a report of a surgical case.
Constrictive pericarditis (CP) following hemopericardium has been reported in the literature but its pathogenesis is open to question. Proposed mechanisms include trauma leading to damage of the mesothelial lining resulting in decreased fibrinolytic activity in the presence of blood. We present a patient who sustained blunt thoracoabdominal trauma in a car accident and subsequently developed de...
متن کامل