ABSTRACT
Thoracic injuries are significant causes of morbidity and mortality in trauma patients, second only to head injuries. In addition to conventional radiography, multidetector computed tomography (CT) is increasingly being used, since it can quickly and accurately help diagnose a wide variety of injuries in trauma patients. Furthermore, multiplanar and MiNIP, volumetric reformatted CT images provide improved visualization of injuries, increased understanding of trauma-related diseases, and enhanced communication between the radiologist and the referring clinician. To identify and accurately a Aims: ssess variety of injuries in blunt thoracic trauma with multidetector Computed Tomography (MDCT). To find commonest pattern of intrathoracic injury related to blunt chest trauma. This Method: retrospective observational study included 50 patients who underwent Multidetector CT examination during the period from November 2020 to April 2021 at tertiary care trauma centre, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai. Blunt chest Conclusion: trauma injuries were classified into pleural injury, lung parenchymal injury, bony thorax, tracheobronchial and vascular injuries. The commonest injury detected was pleural (70%) followed by lung parenchymal injury (52%) and bony thorax injury in 50% cases. 50% of the pleural injury cases were associated with rib fractures. Multiple injuries were seen in the 47 patients, stating the importance of a detail evaluation of all chest components. No oesophageal and cardiac injury was detected in our CT studies' with its multiplanar, MinIP and volume reconstruction images increases the confidence in imaging diagnosis and play a critical role in understanding thoracic trauma related complications.
ABSTRACT
Antecedentes: La rotura traqueal completa y la lesión de conducto torácico representan complicaciones raras del trauma torácico cerrado. Método: Se presenta el caso de un paciente con rotura completa de la tráquea asociada a rotura del conducto torácico que fue operado en el Hospital del Trabajador. Discusión y conclusiones: La identificación y el manejo oportuno de estas lesiones disminuyen la morbimortalidad asociada a trauma.
Background: Tracheal rupture and thoracic duct lesion are rare complications of blunt thoracic trauma. Method: We present in this article the case of a patient with complete tracheal rupture and thoracic duct lesion treated in Hospital del Trabajador. Discussion and conclusions: Early identification and prompt management of this conditions reduce morbimortality associated with trauma.
Subject(s)
Humans , Male , Adult , Young Adult , Thoracic Injuries/complications , Trachea/surgery , RuptureABSTRACT
Cardiac injury occasionally occurs as a result of blunt chest trauma. Most cardiac complications in chest trauma are due to myocardial contusion rather than direct damage to the coronary arteries. Coronary artery injury rarely occurs after blunt chest trauma, but it can lead to extensive myocardial infarction and be frequently overlooked. However, traumatic coronary injury has been reported, and a variety of underlying pathophysiological mechanisms have been proposed. For young adults, blunt chest trauma is one of the non-atherosclerotic mechanisms leading to acute myocardial infarction. Not only a severe trauma, but also a mild trauma such as sports trauma can cause acute myocardial infarction. Myocardial infarction after blunt chest trauma, however, is an extremely rare entity with most cases received conservative therapy. Here two cases of acute myocardial infarction due to blunt thoracic trauma are described in patients who were previously healthy and had no symptoms suggestive of coronary artery disease.
ABSTRACT
Systemic air embolism occurs when air enters the pulmonary venous system as a result of a positive gradient caused by low pulmonary venous pressure or increased airway pressure, or both. Systemic air embolism has been frequently reported after penetrating thoracic trauma and can induce life-threatening complications. In blunt thoracic trauma, systemic air embolism has been rarely diagnosed. Because air embolism associated with blunt trauma is more insidious, diagnosis is usually not appreciated unless special circumstances allow discovery of air in major vessels or coronary arteries, such as during emergency resuscitative thoracotomy. We report a case of systemic air embolism in an 18-month-old girl after accidental thoracic blunt trauma and review related literature.