Journals / Adli Tıp Bülteni / 1998 / Cilt: 3 - Sayı: 1

Rupture of the thoracic aorta due to blunt chest trauma: A case report

Künt toraks travmasına bağlı aort rüptürü: Bir olgu sunumu

Pages
16–19
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In the autopsy, blunt head trauma injuries, profuse bleeding in neck and mediastinum, 1700 cc blood in the chest cavity, total rupture of the thoracic aorta just distal to the origin of subclavian artery and fracture of left femoral diaphysis with a large hematoma around it were seen.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Traumatic rupture of the thoracic aorta may occur in cases of blunt chest trauma.
📊
Key Findings & Data:This case was brought to our hospital after being injured in a serious traffic accident.
💡
Conclusion & Impact:In the autopsy, blunt head trauma injuries, profuse bleeding in neck and mediastinum, 1700 cc blood in the chest cavity, total rupture of the thoracic aorta just distal to the origin of subclavian artery and fracture of left femoral diaphysis with a large hematoma around it were seen.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Traumatic rupture of the thoracic aorta may occur in cases of blunt chest trauma. This case was brought to our hospital after being injured in a serious traffic accident. After about eight hours he died suddenly during nasogastric catheter application. In the autopsy, blunt head trauma injuries, profuse bleeding in neck and mediastinum, 1700 cc blood in the chest cavity, total rupture of the thoracic aorta just distal to the origin of subclavian artery and fracture of left femoral diaphysis with a large hematoma around it were seen.

Özet

Kunt toraks travmalarında, aortta travmatik rüptür meydana gelebilir. İncelenen olgu, araç içi trafik kazası sonucu yaralanma nedeniyle hastanemize getirilmiş; yaklaşık sekiz saat sonra nazogastrik sonda takılması sırasında ölmüştür. Otopside, kafa travması bulgularına ek olarak, boyun ve mediasten yumuşak dokularında yaygın kanama, her iki göğüs boşluğunda toplam 1700 cc serbest kan, aortta subklavian arterin 2.5 cm altında, tam ayrılma tarzında rüptür, sol femur diafizinde parçalı kırık ve etrafında hematom bulunduğu belirlendi. Bu olgu ışığında, kunt toraks travmalarında aort yaralanmalarının da oluşabileceğine dikkat çekilmiştir.

🔖

Cite This Article

ALTUN, G., YILMAZ, A., AZMAK, D. (1998). Rupture of the thoracic aorta due to blunt chest trauma: A case report. Adli Tıp Bülteni, Cilt: 3 - Sayı: 1, 16–19. https://ajindex.com/articles/186490

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. K night B. F o r e n sic P ath o lo g y: Edw ard Arnold London, 1 9 9 1:1 9 8 -2 0 6
  2. M oar JJ. Trau m atic rupture o f the th o racic aorta. An au topsy and h isto p ath o lo g ical study. S Afr Med J 1985; 6 7 (1 0 ): 383-5
  3. Vollmar JF, K ogel H, C yba-A ltunbay S, Kunz R. T rau m atic ru p tu res o f th e th o ra c ic aorta. L an g en be ck s A rch Chir 1987; 3 7 1 (2 ):7 1 -8 4
  4. T eg n er Y, B ergd ahl L, E kestrom S. Trau m atic disrup­tion o f th e th o racic aorta. Acta Chir Scan d 1984; 1 5 0 (8 ):6 3 5 -8
  5. Saito A, Y am azaki Y, Aoki E, Sakurai Y. T h e su c­cessful surgical rep air o f a traum atic transection o f the d escen d in g th o racic aorta: report o f a case. Surg T od ay 1994; 2 4 (2 ): 142-4
  6. T o w n en d JN, D avies MK, Jo n e s EL. Fatal rupture o f an u n su sp ected p ost-traum a-tic aneurysm o f the tho­racic aorta during p reg nancy. B r Heart J 1991; 6 6 (3 ):2 4 8 -9
  7. Arajarvi E, Santavirta S, T o lo n en J. Aortic ruptures in seat belt w earers. J T h o ra c C ardiovasc Surg 1989; 9 8 (3 ): 355-61
  8. Sm ith RS, Chang FC. T rau m atic rupture o f the aorta: still a lethal injury. Am J Surg 1986; 1 5 2 (6 ):6 6 0 -3
  9. Kram H B, A ppel PL, W ohlm uth DA, S h o em ak er WC. D iagnosis o f trau m atic th o ra c ic aortic rupture: A 10- year retrosp ectiv e analysis. A nn T h o ra c Surg 1989; 4 7 (2 ): 282-6
  10. Kram idB, W ohlm uth DA, A ppel PL, S h o em ak er WC. Clinical and rad iog raph ic ind ication s for aortography n blunt ch est trauma. J Vase Surg 1987; 6 (2 ):l 6 8 - 7 6 (A bstract
  11. Lassie P, Ten tillier E, T h ico ip e M, P inaquy C, L aborde N. Trau m atic rupture o f th e aortic isthm us in a patient w ith s e v ere h ead injury. Ann Fr A nesth R eanim 1993; 1 2 (1 ):4 8 -5 1
  12. S avastano S, Feltrin GP, M iotto D, C hiesura-C orona M. Value o f plain ch e st film in pred icting traum atic aortic rupture. Ann Radiol Paris 1989; 3 2 (3 ): 196-200 (A bstract)
  13. W oodring JH, K in g JG. T h e potential e ffects o f radi­ograp h ic criteria to e x c lu d e aortography in patients w ith blunt c h e st trauma. Results o f a study o f 32patients w ith prov ed aortic o r b ra c h io ce p h a lic arter­ial injury. J T h o ra c C ardiovasc Surg 1989; 9 7 (3 ):4 5 6 - 60
  14. N ew m an RJ, Rastogi S. Rupture o f the th o racic aorta and its relation sh ip to road traffic accid en t ch arac­teristics. Injury 1984; 1 5 (5 ):2 9 6 -9 (A bstract)
  15. H ancı İH. H ekim in yasal sorum