title: [Delayed massive hemothorax due to diaphragmatic injury by lower rib fracture].
abstract: We report a case of delayed massive hemothorax, a 72-year-old women, due to diaphragmatic injury by multiple lower rib fracture on 4th day aftrer traffic injury. We tried to stop bleeding by transcatheter arterial embolization, but the control of bleeding was difficult, necessitating the emergency surgery. The diaphragmatic injury about 3 cm diameter was found, and was sutured with absorption thread. The post operative course was uncomplicated. Patient was discharged on 51th day after injury. Careful observation is important for delayed hemothorax after lower rib fracture.
authors.affiliation: Department of Thoracic Surgery, Beppu Medical Center, Beppu, Japan.
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Shikada
authors.forename: Genkichi
authors.initials: G
authors.lastname: Saitoh
authors.forename: Atsushi
authors.initials: A
authors.lastname: Narumi
authors.forename: Suehiro
authors.initials: S
authors.lastname: Nishio
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Miyoshi
mesh_terms: D000063:Accidents, Traffic; D000368:Aged; D003964:Diaphragm / Q000293:injuries* / Q000601:surgery; D005260:Female; D006491:Hemothorax / Q000209:etiology* / Q000601:surgery; D006801:Humans; D012253:Rib Fractures / Q000150:complications*; D013997:Time Factors