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 

机构地区：[1]Department of Thoracic and Cardiovascular Surgery,Chungbuk National University Hospital,Cheongju 28644,South Korea [2]Department of Trauma Surgery,Chungbuk National University Hospital,Cheongju 28644,South Korea

出　　处：《World Journal of Clinical Cases》2022年第36期13396-13401,共6页世界临床病例杂志

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 admission.However,pericardial injuries not bad enough to dislocate the heart may only cause intermittent electrocardiogram(ECG)changes or be asymptomatic.CASE SUMMARY In this case,we report a blunt pericardial injury undetected on preoperative transthoracic echocardiography and chest computed tomography.We misjudged intermittent ECG changes and blood pressure fluctuations as minor symptoms resulting from cardiac contusion and did not provide intensive treatment.The pericardial injury was found incidentally during surgical stabilization of rib fractures and was successfully repaired.CONCLUSION Post-traumatic blunt pericardial ruptures should be considered in patients with blunt chest trauma showing abnormal vital signs and ECG changes.

关 键 词：Cardiac herniation Flail chest Multiple rib fractures Pericardial rupture Surgical stabilization of rib fractures Case report 

分 类 号：R654.2[医药卫生—外科学]