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Hemothorax caused by zone I penetrating neck injury effectively treated with pleural dome laceration covering performed using video-assisted thoracic surgery: a case report

Year: 2025

Type: article

Abstract: BACKGROUND: Penetrating neck injuries in the area between the clavicles and the cricoid cartilage sometimes cause intrathoracic problems such as pneumothorax or hemothorax. Injuries of subclavian vessels were reported as a cause of hemothorax caused by penetrating neck injuries. Coil embolization and hemostasis with electrocautery were reported as treatment. Herein we present a case of hemothorax caused by penetrating neck injury, which was treated with pleural dome laceration covering performed using video-assisted thoracic surgery. CASE PRESENTATION: A 68-year-old Japanese woman presented to our hospital after sustaining a self-inflicted stab wound to her left neck and chest with a kitchen knife. She was in hemorrhagic shock due to hemothorax caused by penetrating neck injury. We performed video-assisted thoracic surgery and stopped bleeding with pleural dome laceration covering. We chose the treatment instead of coil embolization or hemostasis with electrocautery because the bleeding vessel was unclear. CONCLUSION: Pleural dome laceration covering was effective for hemothorax that was caused by penetrating neck injury when the bleeding vessel was unclear.

Source: Journal of Medical Case Reports

DOI: 10.1186/s13256-025-05556-w

Authors: Sachie Koike, Takayuki Shiina, Keiichirou Takasuna

Institutions: Shinshu University, Shinshu University Hospital, INA Central Hospital

Language: English

Topic: Trauma Management and Diagnosis

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,890