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Case Reports
Large extrapleural hematoma in an anticoagulated patient after a thoracic blunt trauma.
- A Mingoli, M Assenza, R Petroni, A Antoniozzi, G Brachini, I Clementi, and C Modini.
- Department of Surgery Pietro Valdoni, University of Rome, La Sapienza, Italy, Servizio Speciale di Chirurgia d'Urgenza 1. andreamingoli@hotmail.com
- Ann Ital Chir. 2004 Jan 1;75(1):83-5; discussion 86.
AbstractWe report the 7th case of a traumatic extrapleural hematoma that developed in an anticoagulated patient with a thoracic blunt trauma and rib fractures, and required an emergency surgical treatment. Extrapleural hematoma is a rare and life-threatening condition characterized by a collection of blood between the pleura parietalis and the endothoracic fascia. Related symptoms and chest x-ray findings are not characteristic and may present several hours after the injury, leading to delayed diagnosis and treatment. Etiological, surgical and prognostic implications of this finding are briefly discussed.
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