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Emergency ultrasound in the diagnosis of traumatic extrathoracic lung herniation

Published:January 24, 2013DOI:https://doi.org/10.1016/j.ajem.2012.09.030
      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.
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