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231632

Should Computed Tomography be Performed in All Chest Trauma Patients

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Last updated: 03 Jan 2025

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Abstract

Background: Occult hemothorax is detected by Computed Tomography (CT) chest but missed initially by chest X-ray. Supine position, presence of less than 300 ml of blood, and intrapleural adhesions are all causes of missed hemothorax on initial chest x-ray. Patients and methods: In this retrospective study, we revised 864 patients who had blunt chest trauma at Mansoura Emergency Center from January 2016 to January 2020 and for them chest X-ray and CT chest were done. Patients having hemothorax (320) were divided into occult and non-occult. The outcomes included patients' demographic data, number of patients in each group, associated injuries, and lines of management.  Results: Chest X-ray helped diagnosis of 143 cases (44.68%) (Non-occult hemothorax). There were significant statistical differences between the two groups as regard chest tube drainage (686+456 ml Vs 871+603 ml), hospital stays (3-5 Vs 5-6 days), conservatively managed cases (33 (18.64%) Vs 3 (2,1%)), and surgical exploration for significant bleeding (2 (1.13%) Vs 18 (12.58%)). On the other hand, there was no significant statistical deference as regard age group, patient's gender, mortality, chest tube insertion, and exploration for associated injuries. Conclusion: CT chest is the gold standard imaging tool for victims of chest trauma as it helps patient's evaluation and diagnose occult cases of hemothorax who were missed in initial chest X-ray.

DOI

10.21608/ejhm.2022.231632

Keywords

Chest Trauma, Computed tomography, Occult hemothorax

Authors

First Name

Ahmad

Last Name

ElDerie

MiddleName

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Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Email

ahmadelderie@mans.edu.eg

City

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Orcid

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First Name

Hatem Abdelmoneim

Last Name

Elsorogy

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Mohammed AbdelFattah

Last Name

Sanad

MiddleName

-

Affiliation

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Email

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City

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Orcid

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First Name

Mohammed Elshabrawy

Last Name

Saleh

MiddleName

-

Affiliation

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Email

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City

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Orcid

-

First Name

Gehad Ibrahim

Last Name

Awad

MiddleName

-

Affiliation

-

Email

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City

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Orcid

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Volume

87

Article Issue

1

Related Issue

31467

Issue Date

2022-04-01

Receive Date

2022-04-18

Publish Date

2022-04-01

Page Start

1,843

Page End

1,847

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 87_Issue 1_Pages 1843-1847.pdf

PDF . 391.9kB

Link

https://ejhm.journals.ekb.eg/article_231632.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=231632

Order

142

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Should Computed Tomography be Performed in All Chest Trauma Patients

Details

Type

Article

Created At

22 Jan 2023