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Updated: Mar 1, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
[Metachronous Bilateral Hemothorax Due to Reverse Chance Type Thoracic Fracture]
Takehisa Fukada1, Katsuhiko Morita, Takayuki Ueki
1Department of General Thoracic Surgery, Osaka Medical College Hospital, Takatsuki, Japan.
Abstract:
Metachronous bilateral hemothorax due to reverse Chance type thoracic fracture is very rare. In this case, we experienced a case of metachronous bilateral hemothorax, triggered by a thoracic fracture in which the anterior component of the spine collapsed, so-called reverse Chance type thoracic fracture. An 83-year-old woman with spinal kyphosis traumatically injured thoracic spine burst fracture, and bone fragments appeared on both sides of the destroyed vertebra. After injury, the left hemothorax also appeared, followed by the right hemothorax causing hemorrhagic shock. In thoracic destructive anterior fracture, we should consider the possibility of metachronous bilateral hemothorax.
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