Life-Threatening Chest Injuries in Children

Pitetti, Raymond D.; Walker, Sonya R.

doi:10.1016/j.cpem.2005.01.001

Cited by 4 publications

(4 citation statements)

References 28 publications

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“…The anatomic properties of the pediatric chest play a significant role in the injury sustained from this type of trauma mechanism. Principally, the pediatric thorax is more pliable, allowing for compression of the ribs, which results most commonly in contusions rather than fractures [2]. Indeed, the presence of rib fractures has been shown to be associated with other pathology, including intracranial and intraabdominal injuries, [5] and their presence should alert the clinician to this possibility.…”

Section: Discussionmentioning

confidence: 99%

“…This trauma mechanism, however, can be significant and is second to head injury as a cause of significant morbidity and mortality among the pediatric population [2,3]. The majority of cases in children are due to blunt injury, although penetrating injury occurs more frequently in the adolescent population.…”

Section: Introductionmentioning

confidence: 99%

“…In adolescents, motor vehicle crashes or gunshot injuries predominate [2]. The data regarding the use of imaging in the pediatric patient with thoracic trauma is sparse and the method of repair of pediatric thoracic injuries is evolving.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pediatric traumatic pulmonary herniation: A case report

Vezzetti¹,

Cosgrove²,

Sanchez³

et al. 2016

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comPediatric traumatic pulmonary herniation: A case report Robert Vezzetti, Peter Cosgrove, Julie Sanchez, Gael Lonergan ABSTRACT Introduction: Blunt thoracic trauma is not common in the pediatric population and usually results in pulmonary contusion, but other injuries may be present, especially in the presence of rib fractures. Case Report: We describe a case of blunt thoracic trauma that was complicated by rib fractures and associated lung herniation, which is a rare complication of such an injury. Imaging modalities as well as repair options are discussed. Conclusion: Thoracic trauma in children, while rare, can be associated with significant injury. Often, associated clinical symptoms may be subtle in children, making detection difficult. Recognition of injuries associated with non-penetrating thoracic trauma is critical to ensure proper treatment and recovery in children.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pediatric traumatic pulmonary herniation: A case report

Vezzetti¹,

Cosgrove²,

Sanchez³

et al. 2016

IJCRI

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“…Se debe tener un alto índice de sospecha clínica, en especial cuando hay un mecanismo de alta energía y trauma asociado en abdomen, cráneo o esqueleto (6). En TT durante esta evaluación se deben detectar y tratar aquellas lesiones con riesgo inminente de muerte, cuyo diagnóstico es clínico y requieren un manejo inmediato, habitualmente punción por drenaje pleural o pericárdico (7)(8)(9).…”

Section: Evaluación Primariaunclassified

Traumatismo Torácico en Pediatría

O¹

2016

Neumol Pediatr

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El traumatismo torácico es la segunda causa de muerte por trauma en niños. Es causado por mecanismos de alta energía, principalmente accidentes de tránsito, siendo frecuentes las lesiones multisistémicas, lo que aumenta su gravedad. Un manejo adecuado requiere conocer y entender como la anatomía, fisiología y los patrones de las lesiones cambian a distintas edades y difieren del comportamiento en adultos. Los traumatismos de tórax pediátricos son mayormente contusos aumentando los traumatismos penetrantes en adolescentes. Las lesiones más comunes son la contusión pulmonar, hemotórax, neumotórax y fracturas costales las cuales pueden coexistir. Las lesiones de vía aérea, corazón y grandes vasos son raras pero muy graves. La mayoría de los traumatismos torácicos se resuelven con medidas de soporte hemodinámico, respiratorio y drenaje pleural. Es vital reconocer en evaluación inicial aquellas lesiones potencialmente letales, que no dan tiempo a evaluación radiológica.

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