Thoracic trauma: pneumomediastinum, subcutaneous emphysema and rib fractures

Case contributed by Dr Juni Tenison

Presentation

Patient with recent fall from stairs. Presented to the ED with stable vital signs, pain in the posterior right chest, mild dyspnea. Vital signs - RR 140/70, pulse 80x', respiratory rate 15x', SpO2 with room air of 92%.

Patient Data

Age: 56
Gender: Female

This case illustrates complications after traumatic fall from insignificant height.

  • subcutaneous air emphysema
  • pneumomediastinum
  • posterior rib fractures on the right V-VIII
  • possible right distal clavicle fracture

Note: On additional CT-scan rib fractures V-IX were noted, other bony structures intact, trachea/oesophageal rupture not seen, bilateral pneumothorax, right haemothorax. No pathology seen on head CT-scan. 

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Case Information

rID: 37229
Case created: 29th May 2015
Last edited: 14th Sep 2015
System: Chest
Tag: trauma
Inclusion in quiz mode: Included

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