Traumatic Subclavian Artery Injury Causing Large Extrapleural Haematoma Managed Nonoperatively- A Case Report
Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 2
Abstract
Subclavian artery injuries represent an uncommon complication of blunt chest trauma. Arterial rupture may cause lifethreatening hemorrhages or pseudo-aneurysm formation. Haematoma caused by the injury may also compress the brachial plexus. Rarely the haematoma may compress the lung parenchyma causing respiratory compromise. These clinical eveniences must be carefully worked out by accurate physical examination of the upper limb: skin color, temperature, sensation as well as radial pulse and hand motility represent the key points of physical examination in this setting. Surgical exploration and repair with or without graft and recently developed endovascular stenting are the mode of treatment for such injury. We report a case of traumatic subclavian arterial rupture due to blunt chest trauma following machine belt injury in which arterial injury and hematoma was managed non operatively.
Authors and Affiliations
Dr Manish Kumar Pandey, Dr Annu Babu, Dr Piyush Ranjan, Dr Sushma Sagar, Dr Maneesh Singhal
Keywords
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