European Journal of Cardio-Thoracic Surgery, Vol 9, 109-110, Copyright © 1995 by European Association for Cardio-thoracic Surgery
Extra-pleural haematoma secondary to blunt chest trauma. An unusual presentation
VG Machin and OJ Lau
Department of Cardiothoracic Surgery, Brook General Hospital, Shooter's Hill, London, UK.
The case history is described of a young man who presented with an apparent
splenic rupture following thoracic compression during a rugby tackle. The
actual diagnosis was that of an extra-pleural haematoma following
transection of the internal mammary artery. This case is discussed within
the context of the rarity of such a presentation--both in the site of the
haematoma and the cause of the transection; and the problems posed in
making the initial diagnosis.