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Random snippets and thoughts - hopefully mostly trauma related!
- Karim Brohi
- trauma.org; London
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Very interesting case a couple of weeks ago. This patient suffered significant blunt force trauma to the chest and was secondarily transferred to us for management of a thoracic spinal fracture-dislocation with associated spinal cord injury. He arrived 12 hours or so following the injury on very large doses on inotropes to support his blood pressure. Here's his chest X-ray.
Something's not quite right here. Is there a clear diagnosis? What's your next move? Let's have some ideas in the comments...
Comments
AAT, June 27, 2009
Situs inversus?
josemayagoitia56, June 27, 2009
I would agree that the image brings up the possibility of situs inversus at first, there is no displacement of medial structures and both lungs look OK
docgizmo, June 29, 2009
cardiac herniation to the right cavity?