Large Focal Extrapleural Hematoma of Chest Wall: A Case Report

Although hemothorax and pneumothorax are common complications seen in rib fractures, focal extrapleural hematoma is quite rare. We report a 63-year-old female patient that developed large focal extrapleural hematoma after falling off a second floor veranda. The patient had sustained 3, 4, 5th costal...

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Main Authors: Hohyoung Lee, Sung Ho Han, Min Koo Lee, Oh Sang Kwon, Kyoung Hwan Kim, Jung Suk Kim, Soon-Ho Chon, Sung Ho Shinn
Format: Article
Language:English
Published: Korean Society of Traumatology 2019-06-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://www.jtraumainj.org/upload/pdf/jti-32-115.pdf
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author Hohyoung Lee
Sung Ho Han
Min Koo Lee
Oh Sang Kwon
Kyoung Hwan Kim
Jung Suk Kim
Soon-Ho Chon
Sung Ho Shinn
author_facet Hohyoung Lee
Sung Ho Han
Min Koo Lee
Oh Sang Kwon
Kyoung Hwan Kim
Jung Suk Kim
Soon-Ho Chon
Sung Ho Shinn
author_sort Hohyoung Lee
collection DOAJ
description Although hemothorax and pneumothorax are common complications seen in rib fractures, focal extrapleural hematoma is quite rare. We report a 63-year-old female patient that developed large focal extrapleural hematoma after falling off a second floor veranda. The patient had sustained 3, 4, 5th costal cartilage rib fractures and a sternum fracture. She had developed suspected empyema with loculations with small amount of hemothorax. She underwent a planned early decortication/adhesiolysis by video assisted thoracoscopic surgery at the 12th post-trauma day due to failed drainage. Unexpectedly, she had no adhesions or any significant retained hematoma mimicking a mass, but was found with the focal extrapleural chest wall hematoma. She was discharged on postoperative 46th day for other reasons and is doing fine today.
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series Journal of Trauma and Injury
spelling doaj-art-e83ba40ab888427fb8e7b7241ff4ea002025-08-20T03:24:48ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832019-06-0132211511710.20408/jti.2019.001989Large Focal Extrapleural Hematoma of Chest Wall: A Case ReportHohyoung Lee0Sung Ho Han1Min Koo Lee2Oh Sang Kwon3Kyoung Hwan Kim4Jung Suk Kim5Soon-Ho Chon6Sung Ho Shinn7Departments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital, Jeju, KoreaDepartments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital, Jeju, KoreaDepartments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital, Jeju, KoreaDepartments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital, Jeju, KoreaDepartments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital, Jeju, KoreaDepartments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital, Jeju, KoreaDepartments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital, Jeju, KoreaDepartments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital, Jeju, KoreaAlthough hemothorax and pneumothorax are common complications seen in rib fractures, focal extrapleural hematoma is quite rare. We report a 63-year-old female patient that developed large focal extrapleural hematoma after falling off a second floor veranda. The patient had sustained 3, 4, 5th costal cartilage rib fractures and a sternum fracture. She had developed suspected empyema with loculations with small amount of hemothorax. She underwent a planned early decortication/adhesiolysis by video assisted thoracoscopic surgery at the 12th post-trauma day due to failed drainage. Unexpectedly, she had no adhesions or any significant retained hematoma mimicking a mass, but was found with the focal extrapleural chest wall hematoma. She was discharged on postoperative 46th day for other reasons and is doing fine today.http://www.jtraumainj.org/upload/pdf/jti-32-115.pdfhemothoraxblunt injuryvideo assisted thoracoscopic surgery
spellingShingle Hohyoung Lee
Sung Ho Han
Min Koo Lee
Oh Sang Kwon
Kyoung Hwan Kim
Jung Suk Kim
Soon-Ho Chon
Sung Ho Shinn
Large Focal Extrapleural Hematoma of Chest Wall: A Case Report
Journal of Trauma and Injury
hemothorax
blunt injury
video assisted thoracoscopic surgery
title Large Focal Extrapleural Hematoma of Chest Wall: A Case Report
title_full Large Focal Extrapleural Hematoma of Chest Wall: A Case Report
title_fullStr Large Focal Extrapleural Hematoma of Chest Wall: A Case Report
title_full_unstemmed Large Focal Extrapleural Hematoma of Chest Wall: A Case Report
title_short Large Focal Extrapleural Hematoma of Chest Wall: A Case Report
title_sort large focal extrapleural hematoma of chest wall a case report
topic hemothorax
blunt injury
video assisted thoracoscopic surgery
url http://www.jtraumainj.org/upload/pdf/jti-32-115.pdf
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