in any patient with a history of penetrating thoracic trauma, cardiac injury must be kept in mind. here, we describe a 36 years-old female referred to this hospital with severe chest pain and hypotension. after primary evaluation and suggestion of ami, streptokinase was started for the patient and because of deterioration of vital signs, cardiac surgery consultation was requested. after perform...

AIMS To evaluate thoracic ultrasound for the detection of haemothorax in patients with thoracic trauma against established investigations. METHODS Thoracic ultrasound was performed as an extension of the standard focused assessment with sonography for trauma (FAST) protocol used at the Queen's Medical Centre for the assessment of adult patients with torso trauma. Fluid was sought in both pleu...

Thoracic splenosis is rare and consists of ectopic implantation of splenic tissue into the chest after concomitant thoracic and abdominal trauma with diaphragm injury. It occurs in about 18% of cases of splenic ruptures. In almost all cases, diagnosis is given incidentally once patients are usually asymptomatic. Thoracic splenosis should be considered as a differential diagnosis in all patients...

BACKGROUND Blunt thoracic trauma can rarely result in coronary artery injury. Blunt trauma can result in occlusion of any of the coronary arteries or can lead to its rupture and bleeding. Traumatic coronary artery occlusion can lead to myocardial infarction, while its rupture and bleeding can result in hemopericardium and cardiac tamponade, and can be rapidly fatal. Survival after coronary arte...

Objectives: Chest trauma in childhood is uncommon in clinical practice. The management and treatment principles of children with thoracic trauma were discussed with the data reported in the literature. Methods: Of the chest injury diagnosed in 1653 patients, 225 were children in the last 17-year period. There were 199 boys (88.44%) and 26 girls (11.55%). The most common causes were blunt injuri...

results the evaluation of eps was identical to that of the radiologists in 89.5% of the cases. ninety-eight percent (98%) indicated total agreement and 1.5 percent total disagreement. conclusions there is a high agreement between eps and radiologists in cxr interpretations in shohadaye tajrish hospital. thus, eps can substitute radiologists in the emergency department. more improvements are rec...

BACKGROUND The role of video-assisted Thoracoscopic Surgery (VATS) is still being defined in the management of thoracic trauma. We report our trauma cases managed by VATS and review the role of VATS in the management of thoracic trauma. MATERIALS AND METHODS All the trauma patients who underwent VATS from 2000 to 2007 at Cedars-Sinai Medical Center were retrospectively studied. RESULTS Twen...

blunt injury to the chest can affect any one or all components of the chest wall and thoracic cavity. the clinical presentation of patients with blunt chest trauma varies widely and ranges from minor reports of pain to florid shock. traumatic tricuspid valve regurgitation is a rare cardiovascular complication of blunt chest trauma. tricuspid valve regurgitation is usually begotten by disorders ...