Shock requiring thoracotomy after penetrating thoracic trauma: A case report

Authors

DOI:

https://doi.org/10.28982/josam.697034

Keywords:

Thorax, trauma, penetrating injuries

Abstract

Thoracic trauma is one of the leading causes of 25-50% of all traumatic injuries and death in the entire population. The main problem in thoracic traumas is the disruption of respiratory and hemodynamic functions. We aimed to investigate emergency thoracotomy performed in thoracic injury and its effect on patient mortality. In this case, we examined the time from the arrival of a 41-year-old woman with penetrating multiple injuries to the thorax to the decision to perform an emergency thoracotomy. Although the shock approach and resuscitation protocols were properly applied, an emergency thoracotomy was decided on, since there was no improvement in the patient's clinical condition and active bleeding was observed in FAST ultrasonography. The patient, whose vital values improved after thoracotomy, was discharged from the hospital after 1 week of intensive care and service follow-up. It should not be forgotten that performing an emergency thoracotomy in intrathoracic penetrating injuries is a key point in the patient’s survival.

Downloads

Download data is not yet available.

References

Haberal MA, Dikiş ÖŞ, Lewis Jakar E. Thoracic Trauma: Analysis of 440 Cases. Kafkas J Med Sci. 2019;9(2):97–102. doi: 10.5505/kjms.2019.02223

Emircan Ş, Özgüç H, Aydın ŞA, Özdemir F, Köksal Ö. Factors affecting mortality in patients with thorax trauma. Ulus Travma Acil Cerrahi Derg. 2011;17(4):329-33. doi: 10.5505/tjtes.2011.76158.

Demetriades D, Murray J, Charalambides K, Alo K, Velmahos G, Rhee P, et al. Trauma fatalities: time and location of hospital deaths. J Am Coll Surg. 2004;198(1):20-6. doi:10.1016/j.jamcollsurg.2003.09.003.

Baumgartner FJ, Thoracic Trauma. In: Baumgartner FJ, editors. Cardiothoracic Surgery, 3rd ed. Texas: Landes Bioscience, 2004:245-262.

Brock MV, Mason DP, Yang SC, Thoracic trauma. In: del Nido PJ, Swanson SJ, editors. Sabiston, Spencer Surgery of the Chest, 7th ed. Philadelphia: Elsevier Saunders, 2005:79-102.

Çobanoğlu U, Kara V, Yalçınkaya İ, Er M, Işık AF, Sayır F, et al. traumatic diaphragmatic ruptures: diagnostic and therapeutic approaches. Türk Göğüs Kalp Dama. 2012;20(1):85-93. doi: 10.5606/tgkdc.dergisi.2012.014.

Downloads

Published

2020-08-01

Issue

Section

Case Report

How to Cite

1.
Koçkara E, Akça H Şeyma, Algın A, Özdemir S, Eroğlu SE. Shock requiring thoracotomy after penetrating thoracic trauma: A case report. J Surg Med [Internet]. 2020 Aug. 1 [cited 2022 Jun. 26];4(8):704-6. Available from: https://jsurgmed.com/article/view/697034