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Pulmonary contusion in a collegiate diver: a case report
1Department of Internal Medicine, West Virginia University, P,O, Box 9167, Morgantown, WV 26506, USA. mlively@hsc.wvu.edu.
Journal of Medical Case Reports
|August 12, 2011
Summary
A pulmonary contusion, or bruised lung, can occur from sports injuries. Immediate coughing up blood after chest trauma during sports may signal this injury, with athletes returning to play after symptom resolution.
Area of Science:
- Sports Medicine
- Trauma Surgery
- Pulmonology
Background:
- Pulmonary contusions are typically associated with high-energy trauma.
- Injuries are rarely reported in sports contexts, with football being the most common sport involved.
- This case details a pulmonary contusion from a sport other than football.
Purpose of the Study:
- To report a case of pulmonary contusion in a non-football sport.
- To highlight the diagnostic indicators and management of sports-related pulmonary contusions.
- To discuss return-to-play considerations for athletes with pulmonary contusions.
Main Methods:
- A case presentation of a 19-year-old male athlete who sustained a chest injury during a diving incident.
- Clinical evaluation including assessment of chest discomfort and hemoptysis.
- Diagnostic confirmation using computed tomography (CT) scan.
Main Results:
- The athlete experienced chest discomfort and immediate hemoptysis after an awkward water impact from a one-meter springboard.
- CT scan confirmed a diagnosis of pulmonary contusion.
- The athlete recovered fully without complications and returned to athletic activity within one week.
Conclusions:
- Immediate hemoptysis after blunt chest trauma in sports can indicate a pulmonary contusion.
- No specific return-to-play guidelines exist for pulmonary contusions.
- A gradual return to activity as symptoms resolve is a recommended approach.
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