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KMID : 0191120160310040641
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Journal of Korean Medical Science
2016 Volume.31 No. 4 p.641 ~ p.643
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Phrenic Arterial Injury Presenting as Delayed Hemothorax Complicating Simple Rib Fracture
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Ahn Hong-Joon
Lee Jun-Wan
Kim Kun-Dong
You In-Sool
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Abstract
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Delayed hemothorax after blunt torso injury is rare, but might be associated with significant morbidity and mortality. We present a case of delayed hemothorax bleeding from phrenic artery injury in a 24-year-old woman. The patient suffered from multiple rib fractures on the right side, a right hemopneumothorax, thoracic vertebral injury and a pelvic bone fracture after a fall from a fourth floor window. Delayed hemothorax associated with phrenic artery bleeding, caused by a stab injury from a fractured rib segment, was treated successfully by a minimally invasive thoracoscopic surgery. Here, we have shown that fracture of a lower rib or ribs might be accompanied by delayed massive hemothorax that can be rapidly identified and promptly managed by thoracoscopic means.
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KEYWORD
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Thoracic Trauma, Hemothorax, Diaphragmatic Injury, Thoracic Surgery, Video-Assisted
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