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Late presentation of delayed hemothorax after blunt chest trauma in a patient with impaired liver function

Georg Authried, Ane Søgaard Teisner, Michael Stenger
  • Georg Authried
    Department of Emergency Medicine, Odense University Hospital, Odense; Department of Dermatology and Allergy, Odense University Hospital, Odense, Denmark
  • Ane Søgaard Teisner
    Department of Emergency Medicine, Odense University Hospital, Odense; Department of Medical Gastrointestinal Diseases, Odense University Hospital, Odense, Denmark
  • Michael Stenger
    Department of Cardiothoracic Surgery, Odense University Hospital, Odense, Denmark | michael.stenger@rsyd.dk

Abstract

Delayed hemothorax (DHTX) after blunt chest trauma (BCT) is fairly uncommon but nevertheless associated with a substantial morbidity. DTHX is often related to several or displaced rib fractures and usually presented within the first few days or weeks after the chest trauma. We present a case with an unusual late presentation of DTHX 4½ months following a BCT with several non-displaced rib fractures after falling down a staircase. Furthermore, we argue that patients with impaired liver function may have an increased risk of bleeding complications after BCT with associated rib fractures and should be considered for more intensive follow-up.

Keywords

Delayed hemothorax; Blunt chest trauma; Impaired liver function

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Submitted: 2015-12-17 21:16:07
Published: 2016-11-08 09:40:08
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Copyright (c) 2016 Georg Authried, Ane Søgaard Teisner, Michael Stenger

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