• Tino Klancir, Nesek AdamVišnjaVUniversity Department of Anesthesiology, Resuscitation and Intensive Care, 
University Hospital Sveti Duh, Zagreb, Croatia.Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia.Josip Juraj Strossmayer Universi, Sanja Berić, Martina Matolić, Grizelj StojčićElviraEUniversity Department of Anesthesiology, Resuscitation and Intensive Care, 
University Hospital Sveti Duh, Zagreb, Croatia., and Aleksandra Smiljanić.
• University Department of Anesthesiology, Resuscitation and Intensive Care, 
University Hospital Sveti Duh, Zagreb, Croatia.
• Acta Clin Croat. 2022 Jun 1; 61 (Suppl 1): 84-87.

AbstractBlunt chest trauma is an important cause of morbidity and mortality in traumatized emergency patients. We report the case of a 74-year-old man who suffered a glenohumeral joint dislocation, trans trochanteric femur fracture, multiple rib fractures, diaphragmatic rupture with chest herniation of the spleen and stomach associated with herniation of the lung through an anterior chest wall defect after blunt trauma. Although immediate surgical repair was performed, he developed a delayed complication of multiple rib fracture in the form of large extrapleural hematoma that had to be surgically removed. Due to massive pulmonary contusion and prolonged pulmonary collapse, we used surfactant to facilitate alveolar opening after evacuation of the hematoma.

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