Pneumothorax due to rib fractures
{"favouriteUrl":"/cases/pneumothorax-due-to-rib-fractures-1/add_favourite?lang=us","favouriteId":12821,"favouriteKind":"case","loginUrl":"/sessions/new?lang=us\u0026return_to=%2Fcases%2Fpneumothorax-due-to-rib-fractures-1%3Flang%3Dus","unfavouriteUrl":"/cases/pneumothorax-due-to-rib-fractures-1/remove_favourite?lang=us"}
Presentation
Toppled to the right side. She subsequently experienced thoracic tenderness and mild shortness of breath.
Patient Data
Fractures of the right ribs 3-8 with obvious displacement of the 5th and 6th ribs. The thin pleural line and the lack of the pulmonary vessels in the right apex are clearly visible reflecting a pneumothorax. Subcutaneous emphysema of the thoracic wall.
The zoomed view clearly demonstrates the thin pleural line and the lack of the pulmonary vessels in the right apex.
After insertion of a thoracic drain, there is partial resolution of the pneumothorax. Additionally, there is a small pleural effusion and progressive subcutaneous emphysema of the thoracic wall.
Case Discussion
The first x-rays taken in the ED reveal multiple, partially displaced rib fractures and a pneumothorax on the right side.
After insertion of a thoracic drain, felt necessary due to the multiple fractures, progressive shortness of breath and the presence of pleural space air, the pneumothorax has partially resolved.
Unable to process the form. Check for errors and try again.