Undetected traumatic cardiac herniation like playing hide-and-seek-delayed incidental findings during surgical stabilization of flail chest:A case report

作     者：Su Young Yoon Jin-Bong Ye Junepill Seok 

作者机构：Department of Thoracic and Cardiovascular SurgeryChungbuk National University HospitalCheongju 28644South Korea Department of Trauma SurgeryChungbuk National University HospitalCheongju 28644South Korea 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第36期

页      面：13396-13401页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Cardiac herniation Flail chest Multiple rib fractures Pericardial rupture Surgical stabilization of rib fractures Case report 

摘      要：BACKGROUND Post-traumatic blunt pericardial injury is a rare condition with only a few reported cases which were generally diagnosed during initial examinations upon ***,pericardial injuries not bad enough to dislocate the heart may only cause intermittent electrocardiogram(ECG)changes or be *** SUMMARY In this case,we report a blunt pericardial injury undetected on preoperative transthoracic echocardiography and chest computed *** misjudged intermittent ECG changes and blood pressure fluctuations as minor symptoms resulting from cardiac contusion and did not provide intensive *** pericardial injury was found incidentally during surgical stabilization of rib fractures and was successfully *** Post-traumatic blunt pericardial ruptures should be considered in patients with blunt chest trauma showing abnormal vital signs and ECG changes.