Abstract
A 40-year-old male was injured in a motorcycle collision and brought to our institution in a state of hemorrhagic shock. Emergency laparotomy and damage control surgery （DCS） with splenectomy were performed, followed by angioembolization to aid a left renal injury and unstable pelvic fracture. However, the patient experienced a sharp increase of bloody discharge from his right chest tube, causing him to return to a state of hemorrhagic shock. Right thoracotomy, tractotomy, hemostatic suturing, gauze-packing, and open chest management were immediately performed to treat the penetrative pulmonary injury. Following intensive care, a planned reoperation, and several orthopedic procedures, he was transferred to another hospital 3 months after admission. We thus report a case in which life-saving chest DCS was performed after abdominal DCS and TAE, and discuss the complexity of chest DCS procedures.
