Risk Factors for Retained Hemothorax after Trauma: A 10-Years Monocentric Experience from First Level Trauma Center in Italy

Rossmann, Marta; Altomare, Michele; Pezzoli, Isabella; Abruzzese, Arianna; Spota, Andrea; Vettorello, Marco; Cioffi, Stefano Piero Bernardo; Virdis, Francesco; Bini, Roberto; Chiara, Osvaldo; Cimbanassi, Stefania

doi:10.3390/jpm12101570

Cited by 3 publications

(3 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mokslinės literatūros duomenimis, 17,6-28,9 proc. atvejų pasireiškia sukrešėjęs hemotoraksas, apibrėžiamas kaip liekamieji krešuliai, kurių dydis yra ne mažesnis kaip 500 ml [3,7]. Šiai patologijai patvirtinti atliekama krūtinės KT.…”

Section: Diskusijaunclassified

Hemothorax Caused by Liver Biopsy – Rare Iatrogenic Complication

Samiatina-Morkūnienė,

Silickytė,

Jankauskaitė

2023

View full text Add to dashboard Cite

Liver biopsy is the most accurate interventional procedure to diagnose hepatic diseases. According to the information provided by the Institute of Hygiene, 968 percutaneous liver biopsies were performed in Lithuania in 2022. The Lithuanian scientific literature does not, however, publish information on complications associated with this procedure. According to international literature, the frequency of complications after this procedure ranges from 2.4% to 9.5%. The most common are mild complications: hematomas, fever, pain at the biopsy site. Particularly rare are hemothorax, pneumothorax, damage to the organs of the thoracic and abdominal cavity, which occur in up to 0.04% of cases. This article presents an extremely rare complication – liver biopsy induced hemothorax, whose success was determined by early diagnosis and timely surgical intervention.

show abstract

Section: Diskusijaunclassified

Hemothorax Caused by Liver Biopsy – Rare Iatrogenic Complication

Samiatina-Morkūnienė,

Silickytė,

Jankauskaitė

2023

View full text Add to dashboard Cite

show abstract

“…Thoracic trauma is one of the most fatal cases of patients admitted to emergency departments. Although the majority of these traumas are blunt, there is an increase in penetrating injuries.Thoracic trauma occurs in 20-25% of all trauma patients worldwide and is the third cause of trauma-related deaths [1]. The most common consequences of thoracic trauma are rib fractures, pulmonary contusion, diaphragmatic injuries, pneumothorax and hemothorax [2].…”

Section: Introductionmentioning

confidence: 99%

Hemothorax Due to Transdiaphragmat-ic Liver Penetrating Injury Caused by Broken Knife

Emre,

Çağlar,

Emrah

et al. 2024

IJMPCR

View full text Add to dashboard Cite

Thoracic trauma is one of the most fatal cases of patients admitted to emergency departments. Thoracic trauma occurs in 20–25% of all trauma patients worldwide and is the third cause of trauma-related deaths. Approximately 5% of trauma admissions are liver injuries. In some blunt or penetrating injuries, both intrathoracic and intra-abdominal organs may be injured. It is aimed to present the case of a broken knife entering from the right paravertebral location, causing hemothorax as a result of diaphragm and liver injury without injuring the lungs, due to the importance of the multidisciplinary approach among surgical departments in the study. A 44-year-old male patient was admitted to the emergency department due to penetrating injury. An oblique injury of approximately 5 cm was seen in the posterior part of the right hemithorax. Radiologically, It was detected that the knife, which entered through the 10th intercostal space, was stuck inside and the knife handle was broken. It was observed that the broken blade entered from the paravertebral region, passed into the intrathoracic area, causing hemothorax, and passed from the edge of the inferior vena cava and embedded itself in the liver. Multidisciplinary operation planning was made among the departments. All department surgeons were present in the operating room at the same time. The paravertebral space was assessed and the embedded blade was slowly withdrawn by the neurosurgeon. Explorative laparotomy was done by the general surgeon and gastroenterology surgeon. Transdiaphragmatic injury was evaluated by the thoracic surgeon and major vascular structures were evaluated by the cardiovascular surgeon. In the postoperative period, the patient was discharged on the 5th postoperative day with full recovery without any complications. Penetrating trauma is one of the most fatal cases of patients admitted to emergency departments. In some cases, intrathoracic and intra-abdominal penetrating injury may occur together, rarely from a single entrance location. The timing of critical intervention varies depending on whether the patient's vitals are stable or unstable. If the hemodynamics are stable in penetrating injuries, all affected anatomical structures should be evaluated with radiological examinations. For successful, uncomplicated surgical treatments, controlled techniques, interdepartmental consensus and, when necessary, simultaneous presence of surgeons in the surgery are essential

show abstract

“…Retained hemothorax (RH), a residual collection of blood persisting after 72 h of attempted chest tube drainage [ 1 ], is a commonly encountered consequence of intrapleural hemorrhage that is associated with early organization of the retained clot [ 2 ]. Pleural bleeding arises in penetrating or blunt thoracic trauma, which occurs in 20–25% of all trauma patients and contributes to about 30% of trauma-related mortality [ 1 , 3 ]. It also occurs after thoracic surgery and with bleeding diatheses associated with malignancy, drugs, or collagen vascular diseases [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

A Novel Rabbit Model of Retained Hemothorax with Pleural Organization

De Vera,

Emerine,

Girard

et al. 2023

IJMS

View full text Add to dashboard Cite

Retained hemothorax (RH) is a commonly encountered and potentially severe complication of intrapleural bleeding that can organize with lung restriction. Early surgical intervention and intrapleural fibrinolytic therapy have been advocated. However, the lack of a reliable, cost-effective model amenable to interventional testing has hampered our understanding of the role of pharmacological interventions in RH management. Here, we report the development of a new RH model in rabbits. RH was induced by sequential administration of up to three doses of recalcified citrated homologous rabbit donor blood plus thrombin via a chest tube. RH at 4, 7, and 10 days post-induction (RH4, RH7, and RH10, respectively) was characterized by clot retention, intrapleural organization, and increased pleural rind, similar to that of clinical RH. Clinical imaging techniques such as ultrasonography and computed tomography (CT) revealed the dynamic formation and resorption of intrapleural clots over time and the resulting lung restriction. RH7 and RH10 were evaluated in young (3 mo) animals of both sexes. The RH7 recapitulated the most clinically relevant RH attributes; therefore, we used this model further to evaluate the effect of age on RH development. Sanguineous pleural fluids (PFs) in the model were generally small and variably detected among different models. The rabbit model PFs exhibited a proinflammatory response reminiscent of human hemothorax PFs. Overall, RH7 results in the consistent formation of durable intrapleural clots, pleural adhesions, pleural thickening, and lung restriction. Protracted chest tube placement over 7 d was achieved, enabling direct intrapleural access for sampling and treatment. The model, particularly RH7, is amenable to testing new intrapleural pharmacologic interventions, including iterations of currently used empirically dosed agents or new candidates designed to safely and more effectively clear RH.

show abstract

Risk Factors for Retained Hemothorax after Trauma: A 10-Years Monocentric Experience from First Level Trauma Center in Italy

Cited by 3 publications

References 23 publications

Hemothorax Caused by Liver Biopsy – Rare Iatrogenic Complication

Hemothorax Caused by Liver Biopsy – Rare Iatrogenic Complication

Hemothorax Due to Transdiaphragmat-ic Liver Penetrating Injury Caused by Broken Knife

A Novel Rabbit Model of Retained Hemothorax with Pleural Organization

Contact Info

Product

Resources

About