[Surgical treatment for deep pulmonary laceration with hemorrhagic shock]

59-year-old man falling from the roof was transported to our hospital by ambulance. When thoracic drainage was done for tension pneumothorax of the left lung, massive intrathoracic hemorrhage was noted as well. Chest computed tomography (CT) revealed contusion of left lower lobe. Emergency operation was done, but complete hemostasis was not achieved. To control hemorrhage from lung, intrathoracic packing was performed. After improving general condition, left pneumonectomy could be performed by 2nd operation. His postoperative course was uneventful.