Journal of the Japanese Association for the Surgery of Trauma
Online ISSN : 2188-0190
Print ISSN : 1340-6264
ISSN-L : 1340-6264
Case Reports
A CASE OF HEMOTHORAX DUE TO INFERIOR PHRENIC ARTERY INJURY
Takamitsu INOKUMA, Tomohiro UEKI, Hiroo IZUMINO, Shuhei YAMANO, Goro TAJIMA, Tomohito HIRAO, Kazunori YAMASHITA, Naoya YAMASAKI, Tomonori MURAKAMI, Osamu TASAKI
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Keywords: inferior phrenic artery, hemothorax, transcatheter arterial embolization
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2017 Volume 31 Issue 1 Pages 24-27

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Abstract

　　A 66-year-old woman was admitted to our hospital with right chest pain without any memory of trauma. Vital signs were tachypneic, tachycardic (112/min), normotensive (119/84mmHg) and normothermic (36.1 degrees centigrade). Chest contrast-enhanced CT demonstrated a large hemothorax with fractures of ribs 11 and 12. Active bleeding from the right inferior phrenic artery originating from the right renal artery was observed on angiography. The right inferior phrenic artery was embolized using N-butyl-2-cyanoacrylate mixed with Lipiodol. In conclusion, an injured right inferior phrenic artery originating from the abdomen can be a cause of hemothorax.

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© 2017 The Japanese Association for the Surgery of Trauma
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