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Shotgun wound to chest - lung injury at thoracotomy

Shotgun wound to left chest

Luis Filipe Pinheiro, Hospital S㯠Teot󮩯, Viseu, Portugal


Stab chest, haemothorax, liver & diaphragm injury - chest radiograph

Haemothorax with diaphragm & liver injury

trauma.org


Stab chest, haemothorax, liver & diaphragm injury - abdominal CT

Grade 4 liver injury following stab to right chest

trauma.org


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


FAST view of haemothorax, diaphragm & liver

Haemothorax seen on FAST

Trauma.org


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Case Presentations

Traumatic diaphragmatic Injury (Right side)

b banga, December 22, 2010

A middle aged female presented with multiple # ribs and right side haemothorax after a road accident. A chest tube was put in to drain the hemothorax. She was comfortable, no respiratory distress and maintaining the oxygen saturation without oxygen supplementation. There is decrease air entry at base and check X-ray revealed markedly elevated diaphragm on Rt. Side.

C.T.Chest-suspicion of traumatic diaphragmatic hernia with herniation of liver in thorax. I planned lateral thoracotomy through 7th I.C.space. Before opening I put Laparoscope through chest tube site and confirmed the diagnosis. Liver and a part of colon were in thorax. After opening both structures could be reduced easily. Rent in diaphragm repaired with 1/0 Prolene suture. Post operative – uneventful recovery

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