Heimlich valve and hemopneumothorax

Case contributed by Dr Jayanth Keshavamurthy


Gun shot injury to the right chest wall and bleeding.

Patient Data

Age: 17 years
Gender: Male

Status post gunshot wound to the right chest with moderate hemopneumothorax status post Heimlich valve decompression. Radiopaque bullet fragments seen overlying the right hemithorax. Subcutaneous emphysema. Mediastinal shift to left.

Case Discussion

The Heimlich valve is a small one-way valve used for chest drainage of air/fluid. It is easily used by emergency medical personnel at the site of gunshot injuries.

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Case information

rID: 42614
Published: 30th Jan 2016
Last edited: 6th Mar 2020
Inclusion in quiz mode: Included