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Diagnosis and Treatment of Deep Pulmonary Laceration With Intrathoracic Hemorrhage From Blunt Trauma  Noboru Nishiumi, MD, Sadaki Inokuchi, MD, Kana Oiwa,

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Presentation on theme: "Diagnosis and Treatment of Deep Pulmonary Laceration With Intrathoracic Hemorrhage From Blunt Trauma  Noboru Nishiumi, MD, Sadaki Inokuchi, MD, Kana Oiwa,"— Presentation transcript:

1 Diagnosis and Treatment of Deep Pulmonary Laceration With Intrathoracic Hemorrhage From Blunt Trauma 
Noboru Nishiumi, MD, Sadaki Inokuchi, MD, Kana Oiwa, MD, Ryouta Masuda, MD, Masayuki Iwazaki, MD, Hiroshi Inoue, MD  The Annals of Thoracic Surgery  Volume 89, Issue 1, Pages (January 2010) DOI: /j.athoracsur Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Initial plain chest roentgenogram obtained with the patient supine 38 minutes after injury. The patient is a 25-year-old male motorcycle rider. There is mild right pneumothorax (triangle), the right mediastinal pleura is located 2 cm from the left edge of the thoracic vertebra (arrow), and the mediastinal shadow deviates toward the left side. The right lung is not collapsed, and the right upper and middle fields contain severe infiltrative shadows. The right thoracic cavity shows heterogeneously decreased radiolucency (reflecting air) and about 1000 mL of right intrathoracic hemorrhage. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Section of an extracted right lower lobe of the lung shows deep redundant laceration. The right lobe is reddish-brown and bulges due to intrapulmonary hemorrhage combined with pulmonary parenchymal edema. A 7-cm-deep laceration extends from S8 to the hilum. Hematoma and many traumatic pulmonary cysts around the S8 laceration and pulmonary parenchymal edema around S6 are seen. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

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