Delayed Hemothorax: Don’t miss it
rizk, W., kadry, A., awad, G., abdelmohty, H., elsaid, A. (2023). Delayed Hemothorax: Don’t miss it. EKB Journal Management System, 29(2.1), 37-41. doi: 10.21608/zumj.2020.47844.1984
walid hassan rizk; ahmed kadry; gehad awad; hysam elsyead abdelmohty; ahmed mostafa elsaid. "Delayed Hemothorax: Don’t miss it". EKB Journal Management System, 29, 2.1, 2023, 37-41. doi: 10.21608/zumj.2020.47844.1984
rizk, W., kadry, A., awad, G., abdelmohty, H., elsaid, A. (2023). 'Delayed Hemothorax: Don’t miss it', EKB Journal Management System, 29(2.1), pp. 37-41. doi: 10.21608/zumj.2020.47844.1984
rizk, W., kadry, A., awad, G., abdelmohty, H., elsaid, A. Delayed Hemothorax: Don’t miss it. EKB Journal Management System, 2023; 29(2.1): 37-41. doi: 10.21608/zumj.2020.47844.1984

Delayed Hemothorax: Don’t miss it

Zagazig University Medical Journal
Article 7, Volume 29, Issue 2.1, March and April 2023, Page 37-41  XML PDF (359.98 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.47844.1984
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Authors
walid hassan rizk1; ahmed kadry2; gehad awad3; hysam elsyead abdelmohty email orcid 4; ahmed mostafa elsaid5
1cardiothoracic surgery department, faculty of medicine, Mansoura university, Mansoura city, Egypt
2cardiothoracic surgery department, Faculty of Medicine,Mansoura university, Egypt.
3Cardiothoracic Surgery Department, facuty of medicine, Mansoura University, Egypt
4cardiothoracic surgery department, faculty of medicine, Mansoura university, Mansoura city,Egypt.
5Cardiothoracic Surgery Department, faculty of medicineMansoura University, Egypt
Abstract
Abstract:

Background: Delayed hemothorax is defined as a sequel that may ensue after 24 hours of blunt chest trauma. Accordingly, hospital admission and observation for at least 48 hours is endorsed to evade missing such sequel.
Methods: We reviewed 44 patients who developed delayed hemothorax 24 hours after blunt chest trauma and having rib fractures admitted to Emergency Hospital, Mansoura University, Egypt from January 2011 to December 2014.
Results: We included twenty-nine males (65.9%) and 15 females (34.1%) with mean age of 33.84 years. Right side hemothorax was encountered in 24 patients (54.54%). The causes of trauma were motor car accident in 56.8% and falling from height in 11% of cases. Rib displacement was identified in 52.2% of patients and exploratory thoracotomy was performed only in 4 patients (11.4%).
Conclusions: Patients with displaced multiple fracture ribs and no hemothorax are at high risk of evolving delayed hemothorax, and they should be dealt with high degree of suspicion. Several days of observation and close follow up are mandatory.
Key words: Hemothorax, Delayed, Fracture rib, Chest trauma.
Keywords
Hemothorax; Delayed; Fracture rib; Chest trauma
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