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Penetrating thoracic trauma (stabbing)

Case contributed by Dr Henry Knipe

Presentation

Stab wound 8 cm blade left chest and right back. Haemodynamically stable.

Patient Data

Age: 20 years
Gender: Male

Penetrating injury through the left axilla traversing the second intercostal space, with a left upper lobe pulmonary laceration. Left hemopneumothorax. Ground glass opacity in the left base. Right lung and pleural space are clear.

Extensive left axilla/chest wall/neck subcutaneous emphysema with pneumomediastinum. No evidence of left subclavian arterial or venous injury. Subcutaneous emphysema also in the paraspinal muscles / back, mainly on the right. 

Case Discussion

Right side chest stabbing has resulted in a pulmonary laceration and hemopneumothorax with extensive subcutaneous emphysema and pneumomediastinum.

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Case information

rID: 48210
Published: 29th Sep 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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