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Traumatic lung laceration secondary to avulsed lung adhesion - A case report

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submitted on 2024-02-01, 05:11 and posted on 2024-02-04, 09:29 authored by Ahmed F. Ramzee, Zeenat Bakhsh, Ruben Peralta, Sandro Rizoli, Ayman El-Menyar, Hassan Al-Thani, Talat Chughtai

Background

Pulmonary lacerations caused by an avulsion force on an adhesion between the lung and chest wall following blunt thoracic injury are very rare. They may result in pneumothorax and/or hemothorax and may not be immediately apparent clinically or radiologically.

Case presentation

We present the case of a healthy 34-year-old male who sustained blunt thoracic injury. He was clinically stable, and his initial routine images were unremarkable. The patient was discharged home on the same day. He presented a week later with a massive hemothorax requiring surgical intervention which revealed bleeding from an avulsed adhesion between the lung and chest wall. Bleeding was successfully controlled by hemostatic agent, and the patient had an uneventful recovery.

Conclusion

Hemothorax requiring intervention from an avulsed adhesion may occur following blunt thoracic trauma. Initial imaging and clinical finding may be misleading. Close follow up and adequate patient education should be ensured prior to discharge following seemingly trivial trauma.

Other Information

Published in: Trauma Case Reports
License: https://creativecommons.org/licenses/by/4.0/
See article on publisher's website: https://doi.org/10.1016/j.tcr.2023.100862


Funding

Open Access funding provided by the Qatar National Library.

History

Language

  • English

Publisher

Elsevier

Publication Year

  • 2023

License statement

This Item is licensed under the Creative Commons Attribution 4.0 International License.

Institution affiliated with

  • Hamad Medical Corporation
  • Hamad General Hospital - HMC
  • Weill Cornell Medicine - Qatar
  • Qatar University
  • Qatar University Health - QU
  • College of Medicine - QU HEALTH

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