Traumatic intercostal arterial bleeding controlled with a novel surgical technique: a case report

Journal of Medical Case Reports

Tapio Hakala¹  Simo Miettinen¹ 

[1] Department of Surgery, North Karelian Central Hospital, Tikkamaentie 16, Joensuu, 80210, Finland

关键词: Blunt;    Trauma;    Thoracotomy;    Emergency;    Surgery;    Hemothorax;    Bleeding;   

Others  :  1195394
DOI  :  10.1186/1752-1947-6-318

 received in 2011-11-18, accepted in 2012-05-02,  发布年份 2012

【 摘 要 】

Introduction

A blunt thoracic trauma may cause arterial bleeding requiring operative treatment or endovascular embolization or endovascular aortic stenting. A novel damage control technique to stop such bleeding is presented.

Case presentation

We present the case of an 82-year-old Caucasian man who experienced rib fractures I-VII on the left side and bleeding from damaged intercostal arteries after a blunt thoracic trauma. Emergency thoracotomy was performed.

Conclusions

Effective hemostasis was achieved by using a rolled surgical swab and inserting it against the chest wall next to the aorta with sutures pulled through the intercostal muscles and then sutured to the back side of the patient. The patient died four days after the surgery due to a head injury sustained in the car crash.

【 授权许可】

   
2012 Miettinen and Hakala; licensee BioMed Central Ltd.

【 图 表 】

Figure 1 .

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