LATE-ONSET POST-TRAUMATIC SUBCLAVIAN VEIN INJURY ACCOMPANYING FIRST RIB FRACTURE : A CASE REPORT

DOI
  • YOKONO Yoshinori
    Emergency and Critical Care Medical Center, Osaka Police Hospital
  • HIROSE Tomoya
    Emergency and Critical Care Medical Center, Osaka Police Hospital
  • OGAWA Yoshihito
    Emergency and Critical Care Medical Center, Osaka Police Hospital
  • OOI Kazuya
    Emergency and Critical Care Medical Center, Osaka Police Hospital
  • TOGAMI Yuki
    Emergency and Critical Care Medical Center, Osaka Police Hospital
  • NOMA Takashi
    Emergency and Critical Care Medical Center, Osaka Police Hospital
  • YAMADA Tomoki
    Emergency and Critical Care Medical Center, Osaka Police Hospital
  • NAKAE Haruhiko
    Emergency and Critical Care Medical Center, Osaka Police Hospital
  • MIZUSHIMA Yasuaki
    Emergency and Critical Care Medical Center, Osaka Police Hospital

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Other Title
  • 第一肋骨骨折に合併し, 遅発性に大量血胸を来した鎖骨下静脈損傷の一例

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<p>　　A 42-year-old woman injured in a traffic accident was transferred to our hospital. Computed tomography (CT) demonstrated multiple rib fractures, including the right first rib, right hemopneumothorax, and spleen and left kidney injury. On hospital day 2, she developed circulatory collapse and cardiac arrest. Cardiopulmonary resuscitation resulted in return of spontaneous circulation. Contrast CT revealed massive right hemothorax and extravasation from a right subclavian vein (SCV) varicosity. To control the massive hemorrhage, we exposed and removed the right clavicle diaphysis, which enabled us to access the SCV and obtain hemostasis. She was discharged on hospital day 60 with no neurological deficit and full range of motion of her shoulder. Supraclavicular incision and resection of the clavicle diaphysis may be a useful method to expose an injured SCV to obtain hemostasis.</p>

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