EJMCR. 2020; 4(2): 84-87

Delayed massive hemothorax from pulmonary laceration complicating rib fractures: a rare case presentation

Authors: Lui Sze Yee, Nurkhairulnizam Abd Halim, Ida Zaliza Zainol Abidin.

ABSTRACT

Background: The incidence of delayed hemothorax from blunt chest trauma was only up to 7.4%, massive hemothorax being much rarer. Case Presentation: We report a case of this uncommon situation involving a 65-year old gentleman with alleged motor-vehicle accident (MVA) sustaining multiple right 2nd to 8th rib fractures. Despite initial in-patient monitoring, he presented to us again on Day-7 post-MVA with acute shortness of breath and chest pain. Chest radiograph showed homogenous opacity over right lung field with the blunting of costophrenic angle. Right thoracostomy tube drained 800 ml of frank blood upon insertion with a total of 1,250 ml within 12 hours. The patient was subsequently transferred to cardiothoracic center for definitive care. Conclusion: Therefore, the possibility of delayed sequelae following blunt chest trauma should be considered and communicated to the patient to encourage vigilance and home monitoring. Despite rarely requiring emergency surgery, delayed massive hemothorax is potentially life threatening.

Keywords:
Traffic accidents, hemothorax, thoracostomy, rib fractures, non-penetrating wounds, case report


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Delayed massive hemothorax from pulmonary laceration complicating rib fractures: a rare case presentation


Authors
Lui Sze Yee
Emergency and Trauma Department, Hospital Tuanku Fauziah, Perlis, Ministry of Health, Malaysia
PubMed articlesGoogle scholar articles

Nurkhairulnizam Abd Halim
Emergency and Trauma Department, Hospital Tuanku Fauziah, Perlis, Ministry of Health, Malaysia
PubMed articlesGoogle scholar articles

Ida Zaliza Zainol Abidin
Emergency and Trauma Department, Hospital Tuanku Fauziah, Perlis, Ministry of Health, Malaysia
PubMed articlesGoogle scholar articles


Correspondence to:
. Lui Sze Yee, Emergency and Trauma Department, Hospital Tuanku Fauziah, Jalan Tun Abdul Razak,Kangar, Perlis, Malaysia.; luiszeyee@hotmail.com

Publication history
Received 15 Jan 2020
Revised 20 Feb 2020
Accepted 01 Mar 2020
Published online 08 Mar 2020
Published in print 12 Mar 2020

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Pubmed Style

Yee LS, Halim NA, Abidin IZZ. Delayed massive hemothorax from pulmonary laceration complicating rib fractures: a rare case presentation. EJMCR. 2020; 4(2): 84-87. doi:10.24911/ejmcr/173-1579102779


Web Style

Yee LS, Halim NA, Abidin IZZ. Delayed massive hemothorax from pulmonary laceration complicating rib fractures: a rare case presentation. https://www.ejmcr.com/?mno=82164 [Access: June 04, 2020]. doi:10.24911/ejmcr/173-1579102779


AMA (American Medical Association) Style

Yee LS, Halim NA, Abidin IZZ. Delayed massive hemothorax from pulmonary laceration complicating rib fractures: a rare case presentation. EJMCR. 2020; 4(2): 84-87. doi:10.24911/ejmcr/173-1579102779


Vancouver/ICMJE Style

Yee LS, Halim NA, Abidin IZZ. Delayed massive hemothorax from pulmonary laceration complicating rib fractures: a rare case presentation. EJMCR. (2020), [cited June 04, 2020]; 4(2): 84-87. doi:10.24911/ejmcr/173-1579102779


Harvard Style

Yee, L. S., Halim, . N. A. & Abidin, . I. Z. Z. (2020) Delayed massive hemothorax from pulmonary laceration complicating rib fractures: a rare case presentation. EJMCR, 4 (2), 84-87. doi:10.24911/ejmcr/173-1579102779


Turabian Style

Yee, Lui Sze, Nurkhairulnizam Abd Halim, and Ida Zaliza Zainol Abidin. 2020. Delayed massive hemothorax from pulmonary laceration complicating rib fractures: a rare case presentation. European Journal of Medical Case Reports, 4 (2), 84-87. doi:10.24911/ejmcr/173-1579102779


Chicago Style

Yee, Lui Sze, Nurkhairulnizam Abd Halim, and Ida Zaliza Zainol Abidin. "Delayed massive hemothorax from pulmonary laceration complicating rib fractures: a rare case presentation." European Journal of Medical Case Reports 4 (2020), 84-87. doi:10.24911/ejmcr/173-1579102779


MLA (The Modern Language Association) Style

Yee, Lui Sze, Nurkhairulnizam Abd Halim, and Ida Zaliza Zainol Abidin. "Delayed massive hemothorax from pulmonary laceration complicating rib fractures: a rare case presentation." European Journal of Medical Case Reports 4.2 (2020), 84-87. Print. doi:10.24911/ejmcr/173-1579102779


APA (American Psychological Association) Style

Yee, L. S., Halim, . N. A. & Abidin, . I. Z. Z. (2020) Delayed massive hemothorax from pulmonary laceration complicating rib fractures: a rare case presentation. European Journal of Medical Case Reports, 4 (2), 84-87. doi:10.24911/ejmcr/173-1579102779


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