Right or Left Traumatic Pericardial Rupture: Report of a Thought-Provoking Case
-
- Kamiyoshihara Mitsuhiro
- Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan
-
- Igai Hitoshi
- Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan
-
- Kawatani Natsuko
- Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan
-
- Ibe Takashi
- Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan
この論文をさがす
抄録
A 62-yr-old man was transferred to our institution with blunt chest trauma after being pinched between a car and a wall. Chest computed tomography revealed left-sided rib fractures, bilateral pneumothorax, and pneumopericardium, but no displacement of the heart. The pneumopericardium caused us to suspect a tear in the pericardium. Since the left pneumothorax was slightly more marked than the right, we planned a left-sided thoracoscopic exploration. As a result, a right-sided pericardial rupture was found and repaired under thoracotomy. It was difficult to judge the injured side of the pericardial tear. We learned a valuable lesson from this case: The extent of pleural air may be, but is not always, reliable for identification of the injured side of a pericardial rupture. Direct observation of the pleural space using a thoracoscope is necessary for definitive diagnosis.
収録刊行物
-
- Annals of Thoracic and Cardiovascular Surgery
-
Annals of Thoracic and Cardiovascular Surgery 22 (1), 49-51, 2016
Annals of Thoracic and Cardiovascular Surgery 編集委員会