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Acta clinica Croatica, Vol. 61. No. Supplement 1, 2022.

Book review

https://doi.org/10.20471/acc.2022.61.s1.14

Blunt Trauma Intercostal Lung Herniation and Delayed Extra Pleural Hematoma

Tino Klancir ; University Department of Anesthesiology, Resuscitation and Intensive Care, University Hospital Sveti Duh, Zagreb, Croatia
Višnja Nesek Adam orcid id orcid.org/0000-0002-6521-4136 ; University Department of Anesthesiology, Resuscitation and Intensive Care, University Hospital Sveti Duh, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Care, Osijek, Croatia
Sanja Berić ; University Department of Anesthesiology, Resuscitation and Intensive Care, University Hospital Sveti Duh, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Care, Osijek, Croatia
Martina Matolić ; University Department of Anesthesiology, Resuscitation and Intensive Care, University Hospital Sveti Duh, Zagreb, Croatia
Elvira Grizelj Stojčić ; University Department of Anesthesiology, Resuscitation and Intensive Care, University Hospital Sveti Duh, Zagreb, Croatia
Aleksandra Smiljanić ; University Department of Anesthesiology, Resuscitation and Intensive Care, University Hospital Sveti Duh, Zagreb, Croatia

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Abstract

Blunt chest trauma is an important cause of morbidity and mortality in traumatized
emergency patients. We report the case of a 74-year-old man who suffered a glenohumeral joint
dislocation, trans trochanteric femur fracture, multiple rib fractures, diaphragmatic rupture with chest
herniation of the spleen and stomach associated with herniation of the lung through an anterior chest
wall defect after blunt trauma. Although immediate surgical repair was performed, he developed a
delayed complication of multiple rib fracture in the form of large extrapleural hematoma that had to
be surgically removed. Due to massive pulmonary contusion and prolonged pulmonary collapse, we
used surfactant to facilitate alveolar opening after evacuation of the hematoma.

Keywords

Chest trauma; lung herniation; extrapleural hematoma; diaphragmatic rupture; surfactant

Hrčak ID:

281253

URI

https://hrcak.srce.hr/281253

Publication date:

1.6.2022.

Article data in other languages: croatian

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