Abstract

MONTALVO-LOPEZ, Daniel A.; LOPEZ-RESENDIZ, José  and  GARCIA-ALVAREZ, Javier. Late massive hemothorax by transection of the pericardiophrenic artery by costal fracture. Report of a case. Cir. cir. [online]. 2020, vol.88, suppl.1, pp.124-128.  Epub Feb 08, 2022. ISSN 2444-054X.  https://doi.org/10.24875/ciru.20000053.

Up to 8% of patients undergoing urgent thoracotomy after closed trauma present a rib lesion that had initially gone unnoticed, such is the clinical case that we present, passing the inadvertent costal lesion in the initial evaluation, 72 hours later refers to pain level of left hemithorax, simple and contrasted chest tomography was requested, showing massive hemothorax and fractures of left costal arches in its lateral portion of 5th and 6th, in addition to fracture of the 7th and 8th costal arch in its parasternal portion, exploratory thoracotomy was performed with diaphragmatic repair and artery ligation

Keywords : Pericardiofrenic artery; Hemothorax; Closed chest trauma.

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