Curr Trauma Rep (2017) 3:181–189 DOI 10.1007/s40719-017-0101-3 NON-VASCULAR INTERVENTIONAL RADIOLOGY (A THABET, SECTION EDITOR) Management of Traumatic Hemothorax, Retained Hemothorax, and Other Thoracic Collections 1 1 1 Hyeon Yu & Ari J. Isaacson & Charles T. Burke Published online: 24 June 2017 Springer International Publishing AG 2017 Abstract Introduction Purpose of Review This review focuses on the various ap- proaches for the treatment of post-traumatic hemothorax, Thoracic injury occurs in 30–60% of all trauma cases (33% of retained hemothorax, and other thoracic collections. blunt trauma and 40% of penetrating trauma) and accounts for Recent Findings Early diagnosis and complete evacuation of 25% of trauma-related deaths . The most common sequelae post-traumatic hemothorax are essential to avoid complica- of traumatic thoracic injury are hemothorax and pneumotho- tions. Incomplete evacuation of blood may result in retained rax both of which require urgent treatment. While most trau- hemothorax, fibrothorax, or empyema. Tube thoracostomy has matic hemothoraces are resolved with simple observation or been the most commonly used option for draining blood and chest tube drainage, a retained hemothorax can occur in ap- other collections. Alternative options include image-guided proximately 18 to 30% of cases [2–6]. placement of small-bore chest tubes, video-assisted Retained
Current Trauma Reports – Springer Journals
Published: Jun 24, 2017
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