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penetrating chest trauma
1. Case presentation On call team : Dr M Ragel Dr Iftkar 16/Jun/2011 Dr Malik A 28-year-old Egyptian male was brought to ER approximately 30 minutes after sustaining injury to chest wall by a stone cutting saw.
2. On examination He is conscious oriented GCS 15/15 , not on respiratory distress but complained of 6/10 pain on deep inspiration in the mid-sternal His vital signs were normal with a blood pressure of 130/86 mmHg, a heart rate of 89 bpm and room air oxygen saturation of 98% with respiratory rate 18 min.
3. Examination of the thorax revealed a 2cm length , 0.5 com width and 1.5 cm in depth laceration over lower third of sternum with no active bleeding . Chest symmetrical on expansion with equal air entry bilateral,no signs for distant or muffled heart sounds or jugular vein distention .
8. -fracture of the sternum with F.B. Inside. -air in the anterior junction suggestive of pneumothorax with minimal pneumomediastinum, associated with surgical emphysema . -There is lung contusion including the left inferior lingula and segment of the medial lobe extended to the Rt & Lt anterior segments of the lower lobe
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12. . After CT scan vital signs were unchanged. The chest wall wound was débrided and closed at the bedside, . The patient was admitted to hospital . Overnight, the patient remained hemodynamically stable and completely asymptomatic with good analgesia.
