Extensive traumatic pneumomediastinum. without injuries of organs in the thorax: report of a case

D. Okutani, M. Aoe, Masaomi Yamane, S. Hatoh, Shinichi Toyooka, Y. Sano, H. Date

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 57-year-old man was accidentally hit by concrete blocks weighing 3 tons on his right side, and was admitted to a hospital. The radiologic findings taken immediately after trauma demonstrated pneumo-mediastinum, subcutaneous emphysema with multiple rib fractures and right clavicle fracture. At computed tomography (CT) scan 16 hours after trauma, pneumomediastinum and subcutaneous emphysema turned out to be worsened with an increased bilateral pleural effusion. An emergency thoracotomy revealed no abnormalities of trachea or esophagus, and neither bronchoscopy or esophagogastroscopy, showed injuries anywhere inside. The chest cavities and mediastinum were washed well with 3 liters of saline solution. The patient had a good course after surgery without any complications, and was discharged at the 18th hospital day. Mediastinal drainage by an emergency operation should always be a choice to a patient having a progressively worsening pneumomediastinum which might cause tachycardia, low blood pressure, and severe dyspnea due to compression of blood vessels and trachea.

Original languageEnglish
Pages (from-to)942-945
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume60
Issue number10
Publication statusPublished - Sep 2007

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Mediastinal Emphysema
Subcutaneous Emphysema
Thorax
Mediastinum
Trachea
Wounds and Injuries
Emergencies
Rib Fractures
Clavicle
Bronchoscopy
Pleural Effusion
Thoracotomy
Tachycardia
Sodium Chloride
Dyspnea
Hypotension
Esophagus
Blood Vessels
Drainage
Tomography

ASJC Scopus subject areas

  • Medicine(all)

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Extensive traumatic pneumomediastinum. without injuries of organs in the thorax : report of a case. / Okutani, D.; Aoe, M.; Yamane, Masaomi; Hatoh, S.; Toyooka, Shinichi; Sano, Y.; Date, H.

In: Kyobu geka. The Japanese journal of thoracic surgery, Vol. 60, No. 10, 09.2007, p. 942-945.

Research output: Contribution to journalArticle

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