Traumatic extrathoracic lung herniation is an extremely rare and poorly described
complication of blunt trauma. Diagnosis has been limited to computed tomographic imaging,
which takes both time and requires the patient to leave the emergency department (ED).
Focused assessment with sonography in trauma has become routine in the evaluation
of blunt trauma in the ED before obtaining computed tomographic imaging. We report
a case on use of the extended focused assessment with sonography in trauma examination
in aiding the immediate diagnosis of traumatic extrathoracic lung herniation in blunt
trauma. Use of the extended focused assessment with sonography in trauma routinely
as part of the primary survey in blunt trauma can hasten the diagnosis of traumatic
lung herniation, thereby expediting interventions and disposition of the blunt trauma
patient.
To read this article in full you will need to make a payment
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Hernia of lung.J Thorac Surg. 1933; 2: 368-379
- Conservative management of traumatic lung hernia.Ann Thorac Surg. 2012; 93: 992-994
- Hernies du poumon. Bull SOC Chir Paris 1847;1:75. (FROM Forty and F.C. Wells. Traumatic intercostals pulmonary hernia.Ann Thorac Surg. 1990; 49: 670-671
- Traumatic lung herniation.Ann Thorac Surg. 1997; 63: 1455-1456
- Lung herniation after supraclavicular thoracic outlet decompression.Ann Thorac Surg. 2012; 93: 1720-1722
- Traumatic extrathoracic lung herniation.BJR. 2009; 82: e82-e84
- Extended focused assessment with sonography for trauma (eFAST) in the diagnosis of pneumothorax: experience at a community based level 1 trauma center.Injury. 2011; 42: 511-514
- Traumatic extrathoracic lung herniation.Ann Thorac Surg. 2002; 74: 927-929
Article Info
Publication History
Published online: January 24, 2013
Accepted:
September 25,
2012
Received:
September 22,
2012
Footnotes
☆Meetings: None.
☆☆Grants: None.
★Conflicts of interest: None.
★★Author contributions: None.
Identification
Copyright
Published by Elsevier Inc.
