Fatal delayed hemopericardium and hemothorax following blunt chest trauma
Language English Country United States Media print-electronic
Document type Case Reports, Journal Article
PubMed
30649692
DOI
10.1007/s12024-018-0069-5
PII: 10.1007/s12024-018-0069-5
Knihovny.cz E-resources
- Keywords
- Blunt trauma, Cardiac injury, Delayed hemopericardium, Delayed hemothorax, Stab wound,
- MeSH
- Time Factors MeSH
- Pedestrians MeSH
- Accidents, Traffic MeSH
- Rib Fractures complications pathology MeSH
- Shock, Hemorrhagic etiology MeSH
- Hemothorax etiology pathology MeSH
- Middle Aged MeSH
- Humans MeSH
- Pericardial Effusion etiology pathology MeSH
- Thoracic Injuries complications MeSH
- Heart Ventricles injuries pathology MeSH
- Thrombosis pathology MeSH
- Wounds, Nonpenetrating complications MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
Cardiac injury following blunt chest trauma is common in motor vehicle accidents due to a crush or blast injury. Severe cardiac trauma is associated with a very high mortality. If a cardiac injury develops several weeks after non-penetrating chest trauma, establishing a causal link between the traumatic event and the cardiac injury becomes complicated. This article reports a case of fatal delayed hemopericardium and hemothorax following a motor vehicle accident including blunt chest trauma 34 days prior to death. The cardiac injury was caused by displacement of a sharp irregular fragment of one of the decedents fractured ribs and the primary defect was sealed by blood clots. Subsequent bleeding occurred when the thrombus was displaced. Since the incidence of blunt high-energy chest injuries is relatively high, heart and large vessel injuries must be taken into account and a comprehensive examination needs to be done in order to prevent the delayed development of fatal complications.
Department of Anatomy Faculty of Medicine Masaryk University CZ 625 00 Brno Czech Republic
Department of Forensic Medicine University Hospital Ostrava CZ 708 52 Ostrava Czech Republic
Department of Radiology Ostrava City Hospital CZ 728 80 Ostrava Czech Republic
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