J Korean Soc Emerg Med.  2015 Apr;26(2):198-200. 10.0000/jksem.2015.26.2.198.

Delayed Diagnosis of Pulmonary Artery Injury, Due to Blunt Trauma, which Mimicked Traumatic Lung Pseudocyst

• Chang SW
• Ryu KM
• Ryu JW

• KMID: 2191803
• DOI: http://doi.org/10.0000/jksem.2015.26.2.198

Abstract

A 67-year-old female presented to the emergency department with complaints of dyspnea and chest wall pain after a fall from a cultivator. Initial chest CT showed multiple left rib fractures, a loculated hematoma without active bleeding, and hemothorax. On the third day of admission, the chest X-ray showed an abrupt aggravation of haziness and the chest CT showed that the size of the hematoma had increased with active bleeding from the pulmonary artery. In cases of loculated hematomas adjacent to the hilum on CT scan, the diagnosis of pulmonary artery injury should be considered.

Keyword

Pulmonary artery injury; Trauma; Blunt

MeSH Terms

Aged
Delayed Diagnosis*
Diagnosis
Dyspnea
Emergency Service, Hospital
Female
Hematoma
Hemorrhage
Hemothorax
Humans
Lung*
Pulmonary Artery*
Rib Fractures
Thoracic Wall
Thorax
Tomography, X-Ray Computed