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An Unanticipated Diagnosis in a Child with Blunt Chest Trauma
Sri Hari Babu Sunkari1, Nilesh Jagne1, Soumya Ghoshal1
1Department of Trauma and Emergency, All India Institute of Medical Sciences, Nagpur, Nagpur, IND.
None:
A 13-year-old girl presented 20 days after blunt chest trauma with persistent hemopneumothorax despite intercostal drainage (ICD). Imaging revealed a large peripherally enhancing lesion in the right chest with a third rib fracture, raising suspicion of retained hemothorax. She underwent thoracotomy and decortication, and histopathology identified a malignant mesenchymal neoplasm with pulmonary metastasis. This case highlights the importance of considering malignancy in trauma patients whose clinical course deviates from expectations and demonstrates the diagnostic value of early advanced imaging and surgical exploration.
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Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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The pathophysiology of flail chest is complex, involving fractures of...
Pneumothorax-II
Clinical Manifestations:
Pneumothorax-I
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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