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J Trauma Inj : Journal of Trauma and Injury

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Case Reports
Endovascular Salvage for Traumatic Midthoracic Aortic Rupture with Left Diaphragmatic Injury
Shin-Ah Son, Tak-Hyuk Oh, Gun-Jik Kim, Deok Heon Lee, Kyoung Hoon Lim
J Trauma Inj. 2018;31(2):66-71.   Published online August 31, 2018
DOI: https://doi.org/10.20408/jti.2018.31.2.66
  • 3,042 View
  • 24 Download
AbstractAbstract PDF

Patients with traumatic aortic rupture rarely reach the hospital alive. Even among those who arrive at the hospital alive, traumatic aortic rupture after high-speed motor vehicle accidents leads to a high in-hospital mortality rate and is associated with other major injuries. Here, we report a rare case of descending midthoracic aortic rupture with blunt diaphragmatic rupture. Successful management with emergency laparotomy after an immediate endovascular procedure resulted in a favorable prognosis in this case.

Summary
Delayed Posttraumatic Spinal Epidural Hematoma: Importance of Early Surgical Treatment for Neurologic Deficits
Deok Heon Lee, Tak Hyuk Oh, Jong Chul Lee, Kyoung Hoon Lim
J Trauma Inj. 2016;29(4):176-179.   Published online December 31, 2016
DOI: https://doi.org/10.20408/jti.2016.29.4.176
  • 1,915 View
  • 5 Download
AbstractAbstract PDF
Delayed posttraumatic spinal epidural hematoma is an extremely rare disease, and it remains a challenge for surgical teams of trauma centers. Magnetic resonance imaging is an essential tool for early diagnosis, and emergent evacuation of the hematoma is the best choice of treatment. We report the case of a 33-year old man with posttraumatic epidural hematoma in the thoracic spine (T10 and T11 levels), who developed an abrupt-onset paraplegia 5 days after the trauma.
Summary
Video-Assisted Thoracoscopic Ligation of the Thoracic Duct in a Patient with Traumatic Chylothorax
Deok Heon Lee, Joon Yong Cho, Tak Hyuk Oh
J Trauma Inj. 2016;29(3):89-92.   Published online September 30, 2016
DOI: https://doi.org/10.20408/jti.2016.29.3.89
  • 1,954 View
  • 5 Download
AbstractAbstract PDF
Non-surgical traumatic chylothorax following blunt chest trauma is rare, with only a few cases having been reported. In general, conservative treatment measures are recommended as initial management of traumatic chylothorax; these include closed thoracostomy, dietary restriction, and parenteral nutrition. There are few reports of surgery for traumatic chylothorax. We report our experience with thoracic duct ligation using video-assisted thoracoscopic surgery in a patient with chylothorax following blunt chest injury with associated fractures of the thoracic spine.
Summary
Vacuum-assisted Closure Therapy for Treating Patients with Severe Subcutaneous Emphysema
Tak Hyuk Oh, Sang Cjeol Lee, Deok Heon Lee, Joon Yong Cho
J Trauma Inj. 2015;28(4):276-279.   Published online December 31, 2015
DOI: https://doi.org/10.20408/jti.2015.28.4.276
  • 2,032 View
  • 8 Download
AbstractAbstract PDF
Subcutaneous emphysema is a benign condition following trauma (pneumothorax and oropharyngeal), cervical or thoracic procedures, and mediastinal infection. However, severe subcutaneous emphysema may be related to serious complications such as respiratory failure, airway compromise, and tension- related phenomena. Many alternative therapies have been tried to treat patients with this condition. We report our experience with vacuum-assisted closure therapy for treating patients with severe subcutaneous emphysema.
Summary
Penetrating Injury to the Left Ventricle from a Fractured Rib Following Blunt Chest Trauma
Tak Hyuk Oh, Sang Cjeol Lee, Deok Heon Lee, Joon Yong Cho
J Trauma Inj. 2014;27(4):192-195.
  • 1,020 View
  • 5 Download
AbstractAbstract PDF
The perforation of a cardiac chamber by a fractured rib after blunt trauma is a rare event. Here, we report the case of patient who was referred for multiple rib fractures after a fall from a height. The patient was found to have a penetrating cardiac injury which was detected on a computed tomography chest scan. Computed tomography is a useful screening tool for victims of blunt chest trauma. Once cardiac perforation has been confirmed or is highly suspected, it is important to preserve the patient's vital signs until reaching the operating room by minimally manuplating the chest wall and permitting hypotension, which also prevents exsanguinating hemorrhage. For the same reasons, early cardiac tamponade may also improve the patient's survival.
Summary

J Trauma Inj : Journal of Trauma and Injury