J Korean Soc Traumatol.
2019 Jun;32(2):115-117. 10.20408/jti.2019.001.
Large Focal Extrapleural Hematoma of Chest Wall: A Case Report
- Affiliations
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- 1Departments of Trauma Surgery and Thoracic and Cardiovascular Surgery, Cheju Halla Hospital, Jeju, Korea. sh.chon@hotmail.com
- KMID: 2462947
- DOI: http://doi.org/10.20408/jti.2019.001
Abstract
- Although hemothorax and pneumothorax are common complications seen in rib fractures, focal extrapleural hematoma is quite rare. We report a 63-year-old female patient that developed large focal extrapleural hematoma after falling off a second floor veranda. The patient had sustained 3, 4, 5th costal cartilage rib fractures and a sternum fracture. She had developed suspected empyema with loculations with small amount of hemothorax. She underwent a planned early decortication/adhesiolysis by video assisted thoracoscopic surgery at the 12th post-trauma day due to failed drainage. Unexpectedly, she had no adhesions or any significant retained hematoma mimicking a mass, but was found with the focal extrapleural chest wall hematoma. She was discharged on postoperative 46th day for other reasons and is doing fine today.
