[Right uncontrollable haemothorax revealing a liver injury with diaphragmatic rupture].
We report a case of a woman with a blunt thoracic trauma and haemorrhagic shock after a road traffic accident. The clinical and complementary examinations revealed an isolated right haemothorax, which was compressive and uncontrollable. The source of bleeding was discovered with delay and during a surgical exploration: it was a liver injury with diaphragmatic rupture but without hepatic herniation and peritoneal effusion. The diagnostic features of blunt diaphragmatic rupture are discussed.
Genotelle
N
N
Service de réanimation polyvalente, hôpital Gilles-de-Corbeil, centre hospitalier Sud-Francilien, 59, boulevard Henri-Dunant, 91106 Corbeil-Essonnes cedex, France.
Lherm
T
T
Gontier
O
O
Le Gall
C
C
Caen
D
D
D000063:Accidents, Traffic; D000368:Aged; D005260:Female; D006491:Hemothorax / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006549:Hernia, Diaphragmatic, Traumatic / Q000139:chemically induced / Q000150:complications* / Q000601:surgery; D006801:Humans; D008099:Liver / Q000293:injuries*; D013898:Thoracic Injuries / Q000150:complications; D014057:Tomography, X-Ray Computed; D014140:Tracheotomy; D014949:Wounds, Nonpenetrating / Q000150:complications