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KMID : 1144620190320020115
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Journal of Trauma and Injury
2019 Volume.32 No. 2 p.115 ~ p.117
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Large Focal Extrapleural Hematoma of Chest Wall: A Case Report
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Lee Ho-Hyoung
Han Sung-Ho
Lee Min-Koo
Kwon Oh-Sang
Kim Kyoung-Hwan
Kim Jung-Suk
Chon Soon-Ho
Shinn Sung-Ho
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Abstract
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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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KEYWORD
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Hemothorax, Blunt injury, Video assisted thoracoscopic surgery
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