LATE-ONSET POST-TRAUMATIC SUBCLAVIAN VEIN INJURY ACCOMPANYING FIRST RIB FRACTURE : A CASE REPORT

A 42-year-old woman injured in a traffic accident was transferred to our hospital. Computed tomography (CT) demonstrated multiple rib fractures, including the right first rib, right hemopneumothorax, and spleen and left kidney injury. On hospital day 2, she developed circulatory collapse and cardiac...

Full description

Saved in:
Bibliographic Details
Published inJournal of the Japanese Association for the Surgery of Trauma Vol. 34; no. 3; pp. 75 - 78
Main Authors YOKONO, Yoshinori, HIROSE, Tomoya, OGAWA, Yoshihito, OOI, Kazuya, TOGAMI, Yuki, NOMA, Takashi, YAMADA, Tomoki, NAKAE, Haruhiko, MIZUSHIMA, Yasuaki
Format Journal Article
LanguageJapanese
Published The Japanese Association for the Surgery of Trauma 20.07.2020
Subjects
chest trauma
hemorrhagic shock
vascular injury
Online AccessGet full text

Cover

More Information
Summary:A 42-year-old woman injured in a traffic accident was transferred to our hospital. Computed tomography (CT) demonstrated multiple rib fractures, including the right first rib, right hemopneumothorax, and spleen and left kidney injury. On hospital day 2, she developed circulatory collapse and cardiac arrest. Cardiopulmonary resuscitation resulted in return of spontaneous circulation. Contrast CT revealed massive right hemothorax and extravasation from a right subclavian vein (SCV) varicosity. To control the massive hemorrhage, we exposed and removed the right clavicle diaphysis, which enabled us to access the SCV and obtain hemostasis. She was discharged on hospital day 60 with no neurological deficit and full range of motion of her shoulder. Supraclavicular incision and resection of the clavicle diaphysis may be a useful method to expose an injured SCV to obtain hemostasis.
ISSN:1340-6264
2188-0190
DOI:10.11382/jjast.34.3_10