title: Phrenic Arterial Injury Presenting as Delayed Hemothorax Complicating Simple Rib Fracture.
abstract: Delayed hemothorax after blunt torso injury is rare, but might be associated with significant morbidity and mortality. We present a case of delayed hemothorax bleeding from phrenic artery injury in a 24-year-old woman. The patient suffered from multiple rib fractures on the right side, a right hemopneumothorax, thoracic vertebral injury and a pelvic bone fracture after a fall from a fourth floor window. Delayed hemothorax associated with phrenic artery bleeding, caused by a stab injury from a fractured rib segment, was treated successfully by a minimally invasive thoracoscopic surgery. Here, we have shown that fracture of a lower rib or ribs might be accompanied by delayed massive hemothorax that can be rapidly identified and promptly managed by thoracoscopic means.
authors.affiliation: Department of Emergency Medicine, Chungnam National University Hospital, Daejeon, Korea .
authors.forename: Hong Joon
authors.identifier: 0000-0001-6809-6246
authors.initials: HJ
authors.lastname: Ahn
authors.affiliation: Emergency Intensive Care Unit, Regional Emergency Center, Chungnam National University Hospital, Daejeon, Korea .
authors.forename: Jun Wan
authors.identifier: 0000-0003-4630-597X
authors.initials: JW
authors.lastname: Lee
authors.affiliation: Department of Emergency Medicine, Chungnam National University Hospital, Daejeon, Korea .
authors.forename: Kun Dong
authors.identifier: 0000-0002-7635-0942
authors.initials: KD
authors.lastname: Kim
authors.affiliation: Department of Emergency Medicine, Chungnam National University Hospital, Daejeon, Korea .
authors.forename: In Sool
authors.identifier: 0000-0003-3685-4561
authors.initials: IS
authors.lastname: You
mesh_terms: D000058:Accidental Falls; D005260:Female; D006491:Hemothorax / Q000150:complications* / Q000601:surgery; D006801:Humans; D012253:Rib Fractures / Q000150:complications / Q000175:diagnosis*; D013895:Thoracic Arteries / Q000000981:diagnostic imaging; D013997:Time Factors; D055815:Young Adult
keywords: Diaphragmatic Injury; Hemothorax; Thoracic Surgery, Video-Assisted; Thoracic Trauma