Clavicle fracture and subclavian vessels disruption with massive haemothorax mimic intrathoracic injury.
نویسندگان
چکیده
We report a case of open fracture of the clavicle with subclavian artery and vein laceration and perforation of the parietal pleural below the first rib that caused massive haemothorax. Emergency thoracotomy and exploration followed by repair of both vessels were able to salvage the patient and the extremity.
منابع مشابه
Clavicle fracture with intrathoracic displacement.
Clavicle fractures are common, and most are isolated injuries. Injury to the nearby subclavian vessels and brachial plexus have classically been described as potential complications of clavicle fractures. However, in the setting of a substantially displaced clavicle fracture, concomitant thoracic trauma is relatively frequent. Injury to the thorax can be difficult to identify on physical examin...
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Paediatric clavicle fractures are common injuries presenting to orthopaedic surgeons. The majority of these represent midshaft low energy fractures, which in the vast majority of cases are treated non-operatively and recover rapidly. The main indications to consider operative intervention include high energy of injury, >2 cm shortening, open fractures and associated vascular or neurological inj...
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Lesions of the subclavian vessels due to closed chest injury are rare. Berga et all, reported during a five year period a 0.2 per cent incidence of lesions of the subclavian artery, in patients with closed chest injury. Pain and swelling were consistent findings in patients with traumatic lesions of the subclavian artery. Absence of peripheral pulsations or murmurs were occasionally found. In s...
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Subclavian arterial injury is rare and potentially life-threatening, particularly when it leads to arterial occlusion, causing limb ischemia, retrograde thromboembolization and cerebral infarction within hours after injury. Here we report a blunt trauma case with subclavian arterial injury, upper extremity ischemia, and the need for urgent treatment to salvage the limb and prevent cerebral infa...
متن کاملIntrathoracic lipoma masquerading as subclavian artery trauma.
A 58 year old man was admitted to the accident and emergency department following an industrial accident in which he sustained a three part fracture dislocation of his right humerus. Chest radiography revealed a large mass in the right upper hemithorax and, when the patient became hypotensive, an emergency thoracotomy was performed. The mass was found to be a massive intrathoracic lipoma. This ...
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ورودعنوان ژورنال:
- The Malaysian journal of medical sciences : MJMS
دوره 18 2 شماره
صفحات -
تاریخ انتشار 2011