sup] However, due to its anatomic characteristics, complications are relatively common, including pneumothorax, hemopneumothorax
, inadvertent subclavian artery puncture, brachial nerve plexus injury, subclavian crush syndrome, and electrode lead fracture.
4% Hemothorax 67 31% Hemopneumothorax
39 18% Lung contusion 38 17.
12) A diaphragmatic hernia should be suspected if X-ray chest shows absence of fundic gas in its normal position, elevation of the hemi diaphragm and absence of a sharp hemi diaphragm or presence of a hemopneumothorax
Tube thoracostomy was performed in all patients with pneumothorax or hemopneumothorax by a thoracic surgeon either at the emergency service or thoracic surgery clinic.
In term of thoracic pathologies; rib and sternum fractures, pneumothorax, hemopneumothorax, and coexisting injuries were observed in the patients.
2%) patients (15 right sided, 16 left sided and 5 bilateral), and hemopneumothorax was diagnosed in 38 (3.
requent in blunt traumas, whereas hemothorax and hemopneumothorax were observed more frequent in penetrating traumas.
Of these associated injuries, there were 6 cases of rib fractures with considerable amount of hemopneumothorax
which was managed by insertion of water sealed inter costal drainage tube to avoid pulmonary complications.
We report a case of rupture of esophagus presenting as hemopneumothorax.
CT thorax revealed Right hemopneumothorax, lower 1/3rd of esophagus was thickened and few tiny extra-luminal air pockets were noted in the mediastinum in the vicinity of lower esophagus (Image-1).
With the available history and investigations, a diagnosis of right hemopneumothorax secondary to esophageal rupture was made.
Other commonly associated abdominal injuries include pelvic and renal injuries and associated intrathoracic injuries include hemopneumothorax
and rib fractures.