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VOLUME 10 , ISSUE 4 ( October, 2006 ) > List of Articles

CASE REPORT

Delayed life-threatening hemothorax without rib fractures after blunt chest trauma

Nevin Kollannoor Chinnan, Ashraf Ibrahim Mohamed Shabaan, Sudheer D. Palkar

Keywords : Blunt chest trauma, delayed hemothorax

Citation Information : Chinnan NK, Mohamed Shabaan AI, Palkar SD. Delayed life-threatening hemothorax without rib fractures after blunt chest trauma. Indian J Crit Care Med 2006; 10 (4):254-256.

DOI: 10.4103/0972-5229.29845

License: CC BY-ND 3.0

Published Online: 01-10-2006

Copyright Statement:  Copyright © 2006; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Delayed hemothorax in blunt chest trauma is described as a late presentation of hemothorax after a normal chest X-ray on admission. To detect this clinical entity a repeat chest X-ray is advised after six hours, especially when the first radiograph reveals rib or thoracic vertebral fractures or any significant injury to the thoracic viscera. However, this repeats chest X-ray examination is often not done in patients in whom a significant thoracic trauma has been excluded in the primary and secondary survey. Here, we discuss a case of massive delayed hemothorax after 16 hours of the blunt chest trauma despite a near normal admission chest X-ray and absence of significant chest trauma in the primary and secondary surveys.


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