Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Large Focal Extrapleural Hematoma of Chest Wall: A Case Report

  • Lee, Hohyoung (Departments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital) ;
  • Han, Sung Ho (Departments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital) ;
  • Lee, Min Koo (Departments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital) ;
  • Kwon, Oh Sang (Departments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital) ;
  • Kim, Kyoung Hwan (Departments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital) ;
  • Kim, Jung Suk (Departments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital) ;
  • Chon, Soon-Ho (Departments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital) ;
  • Shinn, Sung Ho (Departments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital)
  • Received : 2019.01.18
  • Accepted : 2019.04.21
  • Published : 2019.06.30
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Abstract

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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References

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