• Hong Joon Ahn, Jun Wan Lee, Kun Dong Kim, and In Sool You.
• Department of Emergency Medicine, Chungnam National University Hospital, Daejeon, Korea .
• J. Korean Med. Sci. 2016 Apr 1; 31 (4): 641-3.

AbstractDelayed hemothorax after blunt torso injury is rare, but might be associated with significant morbidity and mortality. We present a case of delayed hemothorax bleeding from phrenic artery injury in a 24-year-old woman. The patient suffered from multiple rib fractures on the right side, a right hemopneumothorax, thoracic vertebral injury and a pelvic bone fracture after a fall from a fourth floor window. Delayed hemothorax associated with phrenic artery bleeding, caused by a stab injury from a fractured rib segment, was treated successfully by a minimally invasive thoracoscopic surgery. Here, we have shown that fracture of a lower rib or ribs might be accompanied by delayed massive hemothorax that can be rapidly identified and promptly managed by thoracoscopic means.

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