Management of massive hemothorax resulting from traumatic diaphragm rupture with kidney avulsion injury by combined anterior thoracoabdominal approaches

Abstract Blunt trauma resulting in diaphragm rupture, kidney avulsion injury, and subsequent hemothorax is rare and requires immediate surgical intervention. After diagnosis, urgent laparotomy with thoracotomy is needed to control renal bleeding. However, because of limitations in imaging studies, c...

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Published inFormosan journal of surgery : the official publication of the Surgical Association ... [et al.] Vol. 57; no. 2; pp. 70 - 72
Main Authors Lin, Keng-Li, Lin, Heng-Fu, Tseng, Yi-Shiou, Wu, Chien, Wang, Hu-Lin Christina
Format Journal Article
LanguageEnglish
Published 01.03.2024
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Summary:Abstract Blunt trauma resulting in diaphragm rupture, kidney avulsion injury, and subsequent hemothorax is rare and requires immediate surgical intervention. After diagnosis, urgent laparotomy with thoracotomy is needed to control renal bleeding. However, because of limitations in imaging studies, confirming this diagnosis is not straightforward, thus underscoring the importance of proper patient’s posturing. It is recommended that in cases of massive hemothorax combined with intra-abdominal bleeding, no matter performing thoracotomy or laparotomy first, the attending surgeons have to put patients in a position appropriate for simultaneous thoracoabdominal approach. It avoids surgical delays that could lead to fatal outcomes.
ISSN:2213-5413
1682-606X
DOI:10.1097/FS9.0000000000000103