The American Journal of Surgery
Volume 192, Issue 6 , Pages 722-726 , December 2006

Incidence and management of occult hemothoraces

Presented at the 58th Annual Meeting of the Southwestern Surgical Congress, Kauai, Hawaii, April 3–7, 2006

  • Renae E. Stafford, M.D., M.P.H.

      Affiliations

    • Department of Surgery, University of North Carolina – Chapel Hill, 4012 Burnett-Womack, CB #7228, Chapel Hill, NC 27599, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-919-966-4389; fax: +1-919-966-0369.
    • ,
  • John Linn, M.D.

      Affiliations

    • Department of Surgery, Northwestern University, Chicago, IL, USA
    • ,
  • Lacey Washington, M.D.

      Affiliations

    • Department of Radiology, Duke University, Durham, NC, USA

Received 15 April 2006 ,Revised 10 August 2006

References 

  1. Lo Cicero J, Mattox KL. Epidemiology of chest trauma. Surg Clin North Am. 1989;69:15–19
  2. Marts B, Durham R, Shapiro M, et al. Computed tomography in the diagnosis of blunt thoracic injury. Am J Surg. 1994;168:688–692
  3. Poole G, Morgan D, Cranston P, et al. Computed tomography in the management of blunt thoracic trauma. J Trauma. 1993;35:296–302
  4. McGonigal M, Schwab C, Kauder D, et al. Supplemental emergent chest computed tomography in the management of blunt torso trauma. J Trauma. 1990;30:1431–1435
  5. Trupka A, Waydas C, Hallfeldt K, et al. Value of computed tomography in the first assessment of severely injured patients with blunt chest trauma: results of a prospective study. J Trauma. 1997;43:405–412
  6. Karaaslan T, Meuli R, Androux R, et al. Traumatic chest lesions in patients with severe head trauma: a comparative study with computed tomography and conventional chest roentgenograms. J Trauma. 1995;39:1081–1086
  7. Omert L, Yeaney WW, Protetch J. Efficacy of thoracic computerized tomography in blunt chest trauma. Am Surg. 2001;7:660–664
  8. Bilello JF, Davis JW, Lemaster DM. Occult traumatic hemothorax: when can sleeping dogs lie?. Am J Surg. 2005;190:841–844
  9. Ruskin JA, Gurney JW, Thorsen MK, et al. Detection of pleural effusions on supine chest radiographs. AJR Am J Roentgenol. 1987;148:681–683
  10. Blackmore CC, Black WC, Dallas RV, et al. Pleural fluid volume estimation: a chest radiograph prediction rule. Acad Radiol. 1996;3:103–109
  11. Eibenberger KL, Dock WI, Ammann ME, et al. Quantification of pleural effusions: sonography versus radiography. Radiology. 1994;191:681–684
  12. Mergo PJ, Helmberger T, Didovic J, et al. New formula for quantification of pleural effusions from computed tomography. J Thorac Imaging. 1999;14:122–125
  13. Brasel K, Stafford R, Weigelt J, et al. Observation versus chest tube placement for occult pneumothoraces. J Trauma. 1999;46:987–991
  14. Adrales G, Huynh T, Broering B, et al. A thoracostomy tube guideline improves management efficiency in trauma patients. J Trauma. 2002;52:210–216
  15. Deneuville M. Morbidity of percutaneous tube thoracostomy in trauma patients. Eur J Cardiothorac Surg. 2002;22:673–678
  16. Watkins JA, Spain DA, Richardson JD, et al. Empyema and restrictive pleural processes after blunt trauma: an under-recognized cause of respiratory failure. Am Surg 200;66:210–4.

PII: S0002-9610(06)00585-X

doi: 10.1016/j.amjsurg.2006.08.033

The American Journal of Surgery
Volume 192, Issue 6 , Pages 722-726 , December 2006

Article Tools