J Korean Soc Traumatol.
2013 Dec;26(4):297-299.
Traumatic Asphyxia due to Blunt Chest Trauma with External Auditory Canal Bleeding
- Affiliations
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- 1Trauma Center, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. ulsaner@gmail.com
- 2Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
- 3Department of Neurology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Abstract
- Traumatic asphyxia, also called 'Perthes syndrome', is characterized by subconjunctival hemorrhage, cervicofacialpetechiae and cyanosis resulting from venous hypertension caused by an abrupt, severe, compressive force to the thoracoabdominal region. A 37-year-old male patient who was transferred to the emergency room due to chest trauma by overturning of a forkcrane. His head, neck, and shoulders showed severe ecchymosis, and his upper chest was cyanotic. There was bilateral subconjunctival hemorrhage and bilateral ear bleeding without tympanic rupture. Perthes syndrome is a rare condition and we treated a patient with typical and atypical symptoms; thus we report this case of Perthes syndrome.
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