Traumatic chylothorax after blunt chest trauma alone is considered rare. Our patient was a 27-year-old female who was in a motorcycle accident and sustained blunt thoracic and traumatic thoracic aortic injuries with T1-T2 vertebral subluxation. She underwent thoracic endovascular aortic repair from T4 to T9 without any thoracic or spinal surgery. On postoperative day 7, the drainage from her le...

Penetrating trauma is a rare cause of myocardial infarction. Our report describes a 47-year-old female who presented with a gunshot wound from a shotgun and had an ST-elevation myocardial infarction. The patient received emergent coronary angiography, which demonstrated no evidence of coronary atherosclerotic disease but did show occlusion of a marginal vessel secondary to a pellet. The patient...

INTRODUCTION Pneumopericardium, defined as the presence of gas in the pericardial sac, is a rare condition caused mostly by trauma. Tension pneumopericardium is a cause of hemodynamic instability; hence, it consists in a life-threatening situation and should be regarded in blunt chest trauma. CASE REPORT A 51-year-old male was victim of a 4m fall and burial. He was stable upon admission and p...

Thoracic trauma is a common injury that has a high mortality rate. Fortunately, most can be treated by a simple maneuver as intercostal drainage (79.4%). During the decade 1997-2006, there were 897 admitted patients in the Trauma division of Siriraj Hospital. Most were men (85.5%) and the common age group was 21-30 years. Blunt trauma was the major type of injury (58.9%) and traffic accidents w...

Introduction: Diaphragmatic rupture is a relatively rare injury with a reported incidence of 1 to 7% of all patients following significant blunt trauma. 4 In a review of 1589 patients, Asensio et al reported that 75% had left sided injuries, 23% had right-sided injuries, and 2% had bilateral injuries. 1 This preponderance for left-sided injuries is thought to be related to the protective effect...

DOI 0.1093/bjacepd/mkg171 Trauma accounts for more than 9000 deaths per annum in the UK. One-third are due to road traffic accidents and chest injuries are responsible for one in four of these deaths. They also play a significant part in 25% of other trauma deaths. Patients admitted with chest injuries often have associated multiple injuries. It is usual for many specialities to share the care ...

Tracheal and bronchial injuries are life-threatening traumas that usually develop after traffic accidents or a fall from heights. The most common cause is motor vehicle accidents. Tracheobronchial injuries develop in 1% 2% of blunt thoracic traumas. The mortality rate is 30% in these patients and deaths usually occur within the first hours. Sixty five percent of surviving patients are diagnosed...

OBJECTIVES The indications for emergency thoracotomy are controversial for blunt trauma. The best results were seen in those patients who were stable enough to undergo thoracotomy in the operating theatre and survived the operation. METHODS The hospital records of 29 patients who underwent emergency thoracotomy for blunt thoracic trauma were reviewed. RESULTS Of 964 patients with thoracic t...

Rupture of thoracic aortic aneurysms and/or dissections is not rare, occurring in approximately 0.6% of all medicolegal autopsies. Most forensic pathologists are aware of the association between thoracic aortic aneurysms/dissections and trauma, atherosclerosis, inflammation and Marfan syndrome. In this report, we discuss a familial form of thoracic aortic dilatation and/or dissection that is di...

1 of 2 DESCRIPTION A 56-year-old male smoker sustained non-penetrating leftsided chest trauma, following a 2-m fall onto a fl at-topped wooden post. He was in severe pain and respiratory distress in the Emergency Department, with a dramatic degree of fl ail and marked subcutaneous emphysema (see video 1 ). A left side tube thoracostomy was inserted urgently with marked improvement in respirator...