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Thoracic Trauma

  • Aortic Arch stab wound - Pledget repair

    Cervicosternotomy revealing haematoma in aorta, innominate trunk and left common carotid artery

    César Benítez Pozo ,Victor Vasquez ,Pamela Pedrero ,José Salinas .Equipo Cirugia Torax y Cardiaca y S Urgencia Hospital San Juan de Dios Universidad de Chile .Santiago de Chile

  • Drain sutured in place

    Trauma.org


  • Underwater Seal

    Trauma.org


  • Prehospital chest tube insertion

    Trauma.org


  • Drain insertion

    Trauma.org

  • Digital exploration

    Trauma.org



  • Site of insertion of Drain

    Trauma.org

  • Drain not fully inserted Last hole nearly out

    Trauma.org


  • Drains inserted too far into thoracic cavity

    Trauma.org


  • Lower chest CT showing tension pneumothorax

    Trauma.org


  • Drain in oblique fissure blocked by lung tissue

    Trauma.org

  • Gunshot wound to the heart

    Right auricle destruction by gunshot wound found at Emergency Room Thoracotomy in a moribund patient with electrical activity on ECG

    Dr D Allard, Trauma Surgeon, GF Jooste Hospital, Cape Town, South Africa



  • ARDS following right pulmonary contusion

    Radiograph or ARDS

    Trauma.org

  • Right pulmonary contusion

    CT chest showing a right pulmonary contusion

    Trauma.org


  • lung contusion at thoracotomy

    Trauma.org


  • L pulmonary contusion

    Trauma.org


  • Pulmonary Contusion 24 Hours

    Trauma.org

  • Pulmonary Contusion CXR

    Trauma.org



  • Computed Tomography

    Trauma.org

  • FAST: Haemothorax, diaphragm & liver

    Trauma.org


  • Penetrating (erect)

    Penetrating (erect)


  • Blunt (supine)

    Blunt (supine)

    Trauma.org


  • Right upper lobe collapse

    Right upper lobe collapse

    Trauma.org

  • Massive haemothorax

    Trauma.org



  • Open pneumothorax

    Trauma.org

  • Diaphragmatic rupture with abdominal viscera in left hemithorax

    Trauma.org


  • Right upper lobe collapse mimics left tension

    Trauma.org


  • Needle Thoracostomy

    Trauma.org


  • Bilateral tension pneumothoraces

    Trauma.org

  • Right tension pneumothorax clinical deformity

    Trauma.org



  • Upper thorax showing position of chest tubes clinical deformity

    Trauma.org

  • After chest tube insertion mediastinal shift clinical deformity After chest tube insertion mediastin

    After chest tube insertion mediastinal shift clinical deformity

    Trauma.org


  • Initial chest film clinical deformity

    Initial chest film clinical deformity

    Trauma.org


  • CT of tension pneumothorax

    CT of tension pneumothorax

    Trauma.org


  • Left tension pneumothorax

    tension pneumothorax

    Trauma.org

  • Depression of the hemi-diaphragm.

    Depression of the hemi-diaphragm.

    Trauma.org



  • post-op X-ray

    post-op_x-ray

    Trauma.org

  • operative stabilisation

    operative stabilisation

    Trauma.org


  • R chest injury

    R chest injury

    Trauma.org


  • R chest injury R rib fractures

    R chest injury R rib fractures

    Trauma.org


  • R chest injury clinical deformity

    R chest injury clinical deformity

    Trauma.org

  • positive pressure ventilation

    positive pressure ventilation

    Trauma.org



  • External stabilisation c1960b

    External stabilisation c1960b

    Trauma.org

  • External stabilisation c1960a

    External stabilisation c1960a

    Trauma.org


  • R flail chest

    R flail chest

    Trauma.org


  • R flail segment close-up

    R flail segment close-up

    Trauma.org


  • R flail segment L rib fractures

    R flail segment L rib fractures

    Trauma.org

  • Left ventricle injury 4

    Ventricular stab wound - pledget repair

    Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand



  • Left ventricle injury 3

    Ventricular stab wound - suture repair

    Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand

  • Left ventricle injury 2

    Ventricular stab wound - digital control

    Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand


  • Left ventricle injury

    Ventricular stab wound - median sternotomy

    Dr.Setthabutr Eaupanitcharoen, M.D. Trauma Division, Department of Surgery, Maharat Nakornratchasima Hospital, Nakornratchasima, Thailand


  • An Arrow Post Extraction From a Patient’s Chest

    The Extracted Arrow

    Dr Mudassir A&E, Federal Medical centre Yola, Adamawa state, Nigeria


  • Chest Radiograph of a Patient Shot in the Chest with an Arrow

    Chest radiograph showing the arrow in-situ

    Dr Mudassir A&E, Federal Medical centre Yola, Adamawa state, Nigeria

  • Haemothorax CT scan

    Haemothorax CT scan

    Trauma.org



  • Thoracotomy following shotgun wound to the chest

    Thoracotomy following shotgun to the chest

    Trauma.org

  • Shotgun wound to the chest with haemothorax

    Shotgun wound to the chest. Haemothorax

    Trauma.org


  • Supine Chest Xray of Right Haemothorax

    Haemothorax chest X-ray supine

    Trauma.org


  • Haemothorax Chest Xray

    Chest Xray haemothorax

    Trauma.org


  • Haemothorax Erect

    Haemothorax chest Xray

    Trauma.org

  • FAST view of haemothorax, diaphragm & liver

    Haemothorax seen on FAST

    Trauma.org



  • FAST Ultrasound

  • Multiple stabbing to the back

    Stab wounds to the back


  • Multiple stabbing to the chest (Front view)


  • Total inflow occlusion manoeuvre of the heart

    Occlusion of the venous return to right cardiac chambers by clamping the superior and inferior vena cava

    Lt Col Luis Manuel Garcia-Nunez MD Military Central Hospital, Mexico City.


  • Empyema following blunt thoracic trauma

    Phase-II (suppurative) empyema of the thorax

    Lt Col Luis Manuel Garcia-Nunez MD Central Military Hospital, Mexico City.

  • A stab injury to the neck 05

    Closure of the neck wound

    Dr Antonio di Muria, San Giovanni Bosco Hospital, Naples, Italy



  • A stab injury to the neck 04

    The lacerated trachea

    Dr Antonio di Muria, San Giovanni Bosco Hospital, Naples, Italy

  • A stab injury to the neck 03

    A laceration of the trachea

    Dr Antonio di Muria, San Giovanni Bosco Hospital, Naples, Italy


  • A stab injury to the neck 02

    Ligation of the anterior jugular veins

    Dr Antonio di Muria, San Giovanni Bosco Hospital, Naples, Italy


  • A stab injury to the neck 01

    A neck laceration from a knife wound

    Dr Antonio di Muria, San Giovanni Bosco Hospital, Naples, Italy


  • Thoraco-phreno-laparotomy for a delayed presentation of a left diaphragmatic hernia

    Delivery of the necrotic colon

    Denis Allard, Trauma Surgeon, GF Jooste, Cape Town

  • A Left sided diaphragmatic hernia

    Radiograph showing a left diaphragmatic hernia

    Dr. Gabriel Mejia Consuelos, MD, SF, ACS, COT Hospital General Balbuena, Mexico City



  • Pulmonary contusion injury in blunt trauma

    A pulmonary contusion

    Dr. Gabriel Mejia Consuelos, SF, ACS, COT Hospital General Balbuena, Mexico City

  • Hypertrophic scarring

    Hypertrophic scarring post thoracoabdominal incision

    Sushma Sagar, AIIMS, Delhi


  • Right Atrial Injury

    Injury to the right atrium

    Juan C Duchesne MD, FACS, FCCP Spirit of Charity Hospital, New Orleans


  • Sternotomy Post Stab Wound to the Heart

    Stab wound to the heart

    Juan C Duchesne MD, FACS, FCCP


  • Open pneumothorax

    An open pneumothorax after a stab wound to the back

    Vicente Scopel e Jorge Carlotto. Serviço de Cirurgia Geral e do Trauma do Hospital da Cidade - Passo Fundo - RS – Brasil

  • Towel clip closure of the chest and abdomen

    Towel clip closure for damage control post thoracotomy and laparotomy

    Luciano Pereira e Jorge Carlotto Serviço de Cirurgia Geral e do Trauma do Hospital da Cidade - Passo Fundo - RS – Brasil



  • Emergency Department Thoracotomy

    ED thoracotomy on a patient post firearm injury with damage to the ascending aorta

    Vicente Scopel, Jorge Carlotto e Danielle Negrello. Serviço de Cirurgia Geral e do Trauma do Hospital da Cidade - Passo Fundo - RS - Brasil

  • Tension Pneumothorax

    Servicio de Urgencias Hospital La Moraleja Madrid-Spain Dr. Santiago Doménech

    Santiago Domenech MD Hospital La Moraleja. Madrid-Spain Emergency Dpt.


  • Knife wound in the back

    Stab to the back with knife in place

    Felipe Ribeiro


  • Simple pneumothorax closeup2

    Simple pneumothorax - close-up

    Dirk Soulliert


  • A cardiac lesion caused by a firearm 02

    Cardiac firearm injury - at time of thoracotomy

    Camilo Villalta Rodriguez M.D. El Salvador

  • A cardiac lesion caused by a firearm 01

    Cardiac firearm injury - at time of thoracotomy

    Camilo Villalta Rodriguez M.D. El Salvador



  • Right sided tension pneumothorax after kick from horse

    Right tension pneumothorax post kick from horse

    Bjørn Håvard Wold

  • Right sided tension pneumothorax after kick from horse

    Resolved tension pneumothorax post chest drain insertione

    Bjørn Håvard Wold


  • Pneumopericardium

    High energy blunt trauma

    Leonardo Hassegawa - Curitiba, Brazil


  • Abdominothoracic trauma due to impalement by an iron bar

    Abdominal and thoracic trauma caused by iron bar impalement

    Dr Biplab Mishra


  • Abdominothoracic trauma due to impalement by an iron bar

    Abdominal and thoracic trauma caused by iron bar impalement

    Dr Biplab Mishra

  • Stab Wound to the Heart = Balloon Occlusion of Right Ventricle Wound

    Ballon Occlusion Right Ventricle Stab Wound

    Juan C Duchesne MD, NO, Tulane



  • Stab Wound to the heart - Sternotomy & Balloon Occlusion

    Fogarty Catheter Ballon Occlusion of Right Ventricle Stab Wound

    Juan Duchesne, NO, Tulane

  • Right Chest Impalement

    Right chest impalement

    Equipe de Cirurgia Geral, Hospital Regional - Itapetininga, São Paulo, Brazil.


  • Cardiac Trauma - Stab Wound

    Cardiac knife wound

    Dr. Bernardo Ketzer


  • Right sided diaphragmatic hernia secondary to blunt abdominal trauma

    Right sided diaphragmatic injury secondary to blunt trauma

    Fernando Joglar, MD, San Juan, Puerto Rico


  • Suprasternal notch stab wound

    Zone 1 stab wound to neck.

    Fernando Joglar, MD, Subdirector, Puerto Rico Trauma Center, San Juan, Puerto Rico

  • Thoracic gunshot - retroaortic bullet 03

    Retroaortic bullet

    trauma.org



  • Thoracic gunshot - retroaortic bullet 02

    Anterior column vertebral fracture (gunshot)

    trauma.org

  • Thoracic gunshot - retroaortic bullet 01

    Lung contusion & pneumothorax from gunshot

    trauma.org


  • Subxiphoid pericardial window

    Subxiphoid pericardial window (negative)

    Rafael Andrade-Alegre, Santo Tomás Hospital, Panamá


  • Tension pneumothorax

    Left tension pneumothorax

    Rafael Andrade-Alegre, MD. Thoracic Surgery. Panamá, Republic of Panamá