open access

Vol 14, No 2 (2008)
Case reports
Published online: 2008-04-30
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Rare sequelae of blunt chest trauma

Tomasz Brzeziński, Ryszard Pogorzelski, Wawrzyniec Jakuczun, Maciej Skórski
Acta Angiologica 2008;14(2):72-76.

open access

Vol 14, No 2 (2008)
Case reports
Published online: 2008-04-30

Abstract

Blunt chest trauma can lead to massive retrosternal haematoma due to injury to blood vessels. A 25-year-old male showed a plain chest x-ray two hours after he had experienced a blunt impact to his sternum. The result was normal. Twelve hours later a second x-ray revealed massive effusion in his right pleural cavity. Computed tomography showed large retrosternal haematoma, but all intrathoracic arteries seemed intact. Operation revealed an injury to the left internal mammary artery. All patients with blunt chest trauma should be diagnosed by means of computed tomography because of the possibility of delayed haematoma and difficulties in assessing the severity of the trauma.

Abstract

Blunt chest trauma can lead to massive retrosternal haematoma due to injury to blood vessels. A 25-year-old male showed a plain chest x-ray two hours after he had experienced a blunt impact to his sternum. The result was normal. Twelve hours later a second x-ray revealed massive effusion in his right pleural cavity. Computed tomography showed large retrosternal haematoma, but all intrathoracic arteries seemed intact. Operation revealed an injury to the left internal mammary artery. All patients with blunt chest trauma should be diagnosed by means of computed tomography because of the possibility of delayed haematoma and difficulties in assessing the severity of the trauma.
Citation Formats

Keywords

trauma; haematoma; internal mammary artery; blunt chest

About this article
Title

Rare sequelae of blunt chest trauma

Journal

Acta Angiologica

Issue

Vol 14, No 2 (2008)

Pages

72-76

Published online

2008-04-30

Bibliographic record

Acta Angiologica 2008;14(2):72-76.

Keywords

trauma
haematoma
internal mammary artery
blunt chest

Authors

Tomasz Brzeziński
Ryszard Pogorzelski
Wawrzyniec Jakuczun
Maciej Skórski

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