Traumatic pulmonary pseudocysts after blunt chest trauma

Cho, Hyun Jin; Jeon, Yang Bin; Sung, Dae; Lee, Jung Nam; Chung, Min

doi:10.1097/ta.0000000000000758

Cited by 17 publications

(29 citation statements)

References 18 publications

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“…Pulmonary laceration is a tear of the lung parenchyma due to higher-energy blunt trauma than contusion and leads to a mechanical shear or puncture, disrupting the lung parenchyma. Because of the normal pulmonary elastic recoil, the tissues surrounding the cleavage plane pull back from it, resulting in round or oval space lesions on imaging, instead of the linear appearance typically seen in other solid organs [ 9 , 10 , 11 ]. Other names that have been used in the radiology literature include traumatic bullae, traumatic pneumatoceles, haematocele or traumatic lung cyst or pseudocysts [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs

Bertolini

Briola

Angeloni

et al. 2020

Veterinary Sciences

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In this study, we describe the computed tomography (CT) features of pulmonary laceration in a study population, which included 364 client-owned dogs that underwent CT examination for thoracic trauma, and compared the characteristics and outcomes of dogs with and without CT evidence of pulmonary laceration. Lung laceration occurred in 46/364 dogs with thoracic trauma (prevalence 12.6%). Dogs with lung laceration were significantly younger than dogs in the control group (median 42 months (interquartile range (IQR) 52.3) and 62 months (IQR 86.1), respectively; p = 0.02). Dogs with lung laceration were significantly heavier than dogs without laceration (median 20.8 kg (IQR 23.3) and median 8.7 kg (IQR 12.4 kg), respectively p < 0.0001). When comparing groups of dogs with thoracic trauma with and without lung laceration, the frequency of high-energy motor vehicle accident trauma was more elevated in dogs with lung laceration than in the control group. No significant differences were observed between groups regarding tge frequency and length of hospitalization and 30-day mortality. Similar to the human classification scheme, four CT patterns are described in dogs in this study: Type 1, large pulmonary laceration located deeply in the pulmonary parenchyma or around an interlobar fissure; Type 2, laceration occurring in the paraspinal lung parenchyma, not associated with vertebral fracture; Type 3, subpleural lung laceration intimately associated with an adjacent rib or vertebral fracture; Type 4, subpleural lesions not associated with rib fractures. Complications were seen in 2/46 dogs and included lung abscess and collapse.

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Section: Introductionmentioning

confidence: 99%

Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs

Bertolini

Briola

Angeloni

et al. 2020

Veterinary Sciences

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“…In human literature TPPs occur most commonly in people < 30 years old, however, there are case reports of patients 30 years or older with pseudocyst formation following blunt thoracic trauma in circulation (2, 19–21). Age predilection is assumed secondary to increased thoracic wall pliability in young adults leading to greater transmission of force through the chest leading to pseudocyst formation (2, 9, 22). The patient in this study is 1.5 years old and would be classified as a young adult.…”

Section: Discussionmentioning

confidence: 99%

“…The patient in this study is 1.5 years old and would be classified as a young adult. Vehicle trauma has been reported as the leading cause for TPP formation in many studies with those individuals being struck by a vehicle having a higher incident of TPP (9). The patient in this study falls within the latter group making the development of pseudocysts a plausible side effect of patients who are involved in motor vehicle accidents.…”

Section: Discussionmentioning

confidence: 99%

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Traumatic Pulmonary Pseudocysts in a Young Dog Following Non-penetrating Blunt Thoracic Trauma

Mulholland¹,

Keir²

2019

Front. Vet. Sci.

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Traumatic pulmonary pseudocysts following non-penetrating blunt thoracic trauma is a well-described phenomenon in the human literature, while in veterinary medicine, this disease process is rarely reported and poorly described in the current literature available. This case report describes a 1.5-year-old male castrated Labrador retriever with findings of pulmonary cysts following a road traffic accident. The goal of this report is to expound upon the pathophysiology, diagnosis, and treatment of this disease process in the veterinary field.

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“…[3] The development of rare cardiac arrhythmias is an indirect indicator of the presence of cardiac involvement. [4,5] In addition to this, when an arrhythmia due to blunt chest trauma is detected, all types of arrhythmias, such as supraventricular tachycardia, atrial fibrillation, ventricular tachycardia and ventricular fibrillation, have been reported to develop from the atrium and ventricle of the heart. [6] after the injury.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Tp-e interval, Tp-e / QT ratio and Tp-e / QTc ratio in blunt chest trauma patients

Çalteki̇n

Hidayet

2020

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: After blunt chest trauma, life-threatening arrhythmias may occur in the early post-injury period, as well as a few days after the injury. This study aimed to evaluate the risk of arrhythmias in blunt chest trauma patients using Tp-e interval, Tp-e/QT ratio and Tp-e/QTc ratio. METHODS:In this study, patients who applied to the emergency department due to blunt chest trauma were examined prospectively. The 12-lead ECG was performed to both blunt chest trauma and control group. ECG measurements of QT and Tp-e intervals were performed from both groups.RESULTS: A total of 81 participants; 41 blunt chest trauma patients and 40 healthy volunteers were included in this study. Tpe, Tpe/ QT, Tpe/QTc values were statistically significant in the trauma group compared to the control group (p<0.001). Although Tpe/QTc, max QT and min QT were statistically significant (p<0.05) in patients with a rib fracture, no difference was detected concerning Tpe, Tpe/QT compared to no-rib fracture group (p>0.05). CONCLUSION:Tp-e interval, Tp-e/QT ratio and Tp-e/QTc ratio in ECG predict the arrhythmias that may occur in blunt cardiac trauma, especially in blunt chest trauma patients.

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Traumatic pulmonary pseudocysts after blunt chest trauma

Abstract: Prognostic/epidemiologic study, level IV.

Cited by 17 publications

References 18 publications

Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs

Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs

Traumatic Pulmonary Pseudocysts in a Young Dog Following Non-penetrating Blunt Thoracic Trauma

Evaluation of Tp-e interval, Tp-e / QT ratio and Tp-e / QTc ratio in blunt chest trauma patients

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