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Thoracic Trauma

  • Blast injury to the diaphragm

    Repair of the left hemidiaphragm via a pericardial patch

    John Barba P.,César Benítez P., Gabriela Icaza Z, Elsa Freire M. CardioThoracic Surgery Team, Hospital Luis Vernaza - Universidad de Guayaquil, Ecuador.

  • A Tension Pneumothorax

    Chest radiograph of a left sided tension pneumothorax

    Dr B. Hanterdsith


  • Post-traumatic pseudoaneurysm of the bracheocephalic trunk

    Intra-operative image of a double preicardial patch repair to a post-traumatic brachiocephalic pseudoaneurysm

    Dr. Juan Javier Zuniga Bohorquez, Dr.Cesar Benitez Pozo, Dr. Moises Idrovo Hugo, Dr. Manuel Reyes Marin, Dr Cesar Guarquila, Dr. Leslie Flor Izaguirre, Cardiothoracic Surgery, Luis Vernaza Hospital, Guayaquil, Ecuador


  • Penetrating cardiac injury repair

    Penetrating cardiac injury repair

    Dr Juan Javier Zuñiga Bohorquez, Dr Cesar Benitez Pozo, Dr Carlos Luis Salvador - Cardiothoracic Surgery Team, Hospital Luis Vernaza JBG Guayaquil - Ecuador


  • Aortic Arch stab wound - Pledget repair

    Cervicosternotomy revealing haematoma in aorta, innominate trunk and left common carotid artery

    César Benítez Pozo ,Victor Vasquez ,Pamela Pedrero ,José Salinas .Equipo Cirugia Torax y Cardiaca y S Urgencia Hospital San Juan de Dios Universidad de Chile .Santiago de Chile

  • Drain sutured in place

    Trauma.org



  • Underwater Seal

    Trauma.org

  • Prehospital chest tube insertion

    Trauma.org


  • Drain insertion

    Trauma.org


  • Digital exploration

    Trauma.org


  • Site of insertion of Drain

    Trauma.org

  • Drain not fully inserted Last hole nearly out

    Trauma.org



  • Drains inserted too far into thoracic cavity

    Trauma.org

  • Lower chest CT showing tension pneumothorax

    Trauma.org


  • Drain in oblique fissure blocked by lung tissue

    Trauma.org


  • Gunshot wound to the heart

    Right auricle destruction by gunshot wound found at Emergency Room Thoracotomy in a moribund patient with electrical activity on ECG

    Dr D Allard, Trauma Surgeon, GF Jooste Hospital, Cape Town, South Africa


  • ARDS following right pulmonary contusion

    Radiograph or ARDS

    Trauma.org

  • Right pulmonary contusion

    CT chest showing a right pulmonary contusion

    Trauma.org



  • lung contusion at thoracotomy

    Trauma.org

  • L pulmonary contusion

    Trauma.org


  • Pulmonary Contusion 24 Hours

    Trauma.org


  • Pulmonary Contusion CXR

    Trauma.org


  • Computed Tomography

    Trauma.org

  • FAST: Haemothorax, diaphragm & liver

    Trauma.org



  • Penetrating (erect)

    Penetrating (erect)

  • Blunt (supine)

    Blunt (supine)

    Trauma.org


  • Right upper lobe collapse

    Right upper lobe collapse

    Trauma.org


  • Massive haemothorax

    Trauma.org


  • Open pneumothorax

    Trauma.org

  • Diaphragmatic rupture with abdominal viscera in left hemithorax

    Trauma.org



  • Right upper lobe collapse mimics left tension

    Trauma.org

  • Needle Thoracostomy

    Trauma.org


  • Bilateral tension pneumothoraces

    Trauma.org


  • Right tension pneumothorax clinical deformity

    Trauma.org


  • Upper thorax showing position of chest tubes clinical deformity

    Trauma.org

  • After chest tube insertion mediastinal shift clinical deformity After chest tube insertion mediastin

    After chest tube insertion mediastinal shift clinical deformity

    Trauma.org



  • Initial chest film clinical deformity

    Initial chest film clinical deformity

    Trauma.org

  • CT of tension pneumothorax

    CT of tension pneumothorax

    Trauma.org


  • Left tension pneumothorax

    tension pneumothorax

    Trauma.org


  • Depression of the hemi-diaphragm.

    Depression of the hemi-diaphragm.

    Trauma.org


  • post-op X-ray

    post-op_x-ray

    Trauma.org

  • operative stabilisation

    operative stabilisation

    Trauma.org



  • R chest injury

    R chest injury

    Trauma.org

  • R chest injury R rib fractures

    R chest injury R rib fractures

    Trauma.org


  • R chest injury clinical deformity

    R chest injury clinical deformity

    Trauma.org


  • positive pressure ventilation

    positive pressure ventilation

    Trauma.org


  • External stabilisation c1960b

    External stabilisation c1960b

    Trauma.org

  • External stabilisation c1960a

    External stabilisation c1960a

    Trauma.org



  • R flail chest

    R flail chest

    Trauma.org

  • R flail segment close-up

    R flail segment close-up

    Trauma.org


  • R flail segment L rib fractures

    R flail segment L rib fractures

    Trauma.org


  • Left ventricle injury 4

    Ventricular stab wound - pledget repair

    Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand


  • Left ventricle injury 3

    Ventricular stab wound - suture repair

    Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand

  • Left ventricle injury 2

    Ventricular stab wound - digital control

    Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand



  • Left ventricle injury

    Ventricular stab wound - median sternotomy

    Dr.Setthabutr Eaupanitcharoen, M.D. Trauma Division, Department of Surgery, Maharat Nakornratchasima Hospital, Nakornratchasima, Thailand

  • An Arrow Post Extraction From a Patient’s Chest

    The Extracted Arrow

    Dr Mudassir A&E, Federal Medical centre Yola, Adamawa state, Nigeria


  • Chest Radiograph of a Patient Shot in the Chest with an Arrow

    Chest radiograph showing the arrow in-situ

    Dr Mudassir A&E, Federal Medical centre Yola, Adamawa state, Nigeria


  • Haemothorax CT scan

    Haemothorax CT scan

    Trauma.org


  • Thoracotomy following shotgun wound to the chest

    Thoracotomy following shotgun to the chest

    Trauma.org

  • Shotgun wound to the chest with haemothorax

    Shotgun wound to the chest. Haemothorax

    Trauma.org



  • Supine Chest Xray of Right Haemothorax

    Haemothorax chest X-ray supine

    Trauma.org

  • Haemothorax Chest Xray

    Chest Xray haemothorax

    Trauma.org


  • Haemothorax Erect

    Haemothorax chest Xray

    Trauma.org


  • FAST view of haemothorax, diaphragm & liver

    Haemothorax seen on FAST

    Trauma.org


  • FAST Ultrasound

  • Multiple stabbing to the back

    Stab wounds to the back



  • Multiple stabbing to the chest (Front view)

  • Total inflow occlusion manoeuvre of the heart

    Occlusion of the venous return to right cardiac chambers by clamping the superior and inferior vena cava

    Lt Col Luis Manuel Garcia-Nunez MD Military Central Hospital, Mexico City.


  • Empyema following blunt thoracic trauma

    Phase-II (suppurative) empyema of the thorax

    Lt Col Luis Manuel Garcia-Nunez MD Central Military Hospital, Mexico City.


  • A stab injury to the neck 05

    Closure of the neck wound

    Dr Antonio di Muria, San Giovanni Bosco Hospital, Naples, Italy


  • A stab injury to the neck 04

    The lacerated trachea

    Dr Antonio di Muria, San Giovanni Bosco Hospital, Naples, Italy

  • A stab injury to the neck 03

    A laceration of the trachea

    Dr Antonio di Muria, San Giovanni Bosco Hospital, Naples, Italy



  • A stab injury to the neck 02

    Ligation of the anterior jugular veins

    Dr Antonio di Muria, San Giovanni Bosco Hospital, Naples, Italy

  • A stab injury to the neck 01

    A neck laceration from a knife wound

    Dr Antonio di Muria, San Giovanni Bosco Hospital, Naples, Italy


  • Thoraco-phreno-laparotomy for a delayed presentation of a left diaphragmatic hernia

    Delivery of the necrotic colon

    Denis Allard, Trauma Surgeon, GF Jooste, Cape Town


  • A Left sided diaphragmatic hernia

    Radiograph showing a left diaphragmatic hernia

    Dr. Gabriel Mejia Consuelos, MD, SF, ACS, COT Hospital General Balbuena, Mexico City


  • Pulmonary contusion injury in blunt trauma

    A pulmonary contusion

    Dr. Gabriel Mejia Consuelos, SF, ACS, COT Hospital General Balbuena, Mexico City

  • Hypertrophic scarring

    Hypertrophic scarring post thoracoabdominal incision

    Sushma Sagar, AIIMS, Delhi



  • Right Atrial Injury

    Injury to the right atrium

    Juan C Duchesne MD, FACS, FCCP Spirit of Charity Hospital, New Orleans

  • Sternotomy Post Stab Wound to the Heart

    Stab wound to the heart

    Juan C Duchesne MD, FACS, FCCP


  • Open pneumothorax

    An open pneumothorax after a stab wound to the back

    Vicente Scopel e Jorge Carlotto. Serviço de Cirurgia Geral e do Trauma do Hospital da Cidade - Passo Fundo - RS – Brasil


  • Towel clip closure of the chest and abdomen

    Towel clip closure for damage control post thoracotomy and laparotomy

    Luciano Pereira e Jorge Carlotto Serviço de Cirurgia Geral e do Trauma do Hospital da Cidade - Passo Fundo - RS – Brasil


  • Emergency Department Thoracotomy

    ED thoracotomy on a patient post firearm injury with damage to the ascending aorta

    Vicente Scopel, Jorge Carlotto e Danielle Negrello. Serviço de Cirurgia Geral e do Trauma do Hospital da Cidade - Passo Fundo - RS - Brasil

  • Tension Pneumothorax

    Servicio de Urgencias Hospital La Moraleja Madrid-Spain Dr. Santiago Doménech

    Santiago Domenech MD Hospital La Moraleja. Madrid-Spain Emergency Dpt.



  • Knife wound in the back

    Stab to the back with knife in place

    Felipe Ribeiro

  • Simple pneumothorax closeup2

    Simple pneumothorax - close-up

    Dirk Soulliert


  • A cardiac lesion caused by a firearm 02

    Cardiac firearm injury - at time of thoracotomy

    Camilo Villalta Rodriguez M.D. El Salvador


  • A cardiac lesion caused by a firearm 01

    Cardiac firearm injury - at time of thoracotomy

    Camilo Villalta Rodriguez M.D. El Salvador


  • Right sided tension pneumothorax after kick from horse

    Right tension pneumothorax post kick from horse

    Bjørn Håvard Wold

  • Right sided tension pneumothorax after kick from horse

    Resolved tension pneumothorax post chest drain insertione

    Bjørn Håvard Wold



  • Pneumopericardium

    High energy blunt trauma

    Leonardo Hassegawa - Curitiba, Brazil

  • Abdominothoracic trauma due to impalement by an iron bar

    Abdominal and thoracic trauma caused by iron bar impalement

    Dr Biplab Mishra


  • Abdominothoracic trauma due to impalement by an iron bar

    Abdominal and thoracic trauma caused by iron bar impalement

    Dr Biplab Mishra


  • Stab Wound to the Heart = Balloon Occlusion of Right Ventricle Wound

    Ballon Occlusion Right Ventricle Stab Wound

    Juan C Duchesne MD, NO, Tulane


  • Stab Wound to the heart - Sternotomy & Balloon Occlusion

    Fogarty Catheter Ballon Occlusion of Right Ventricle Stab Wound

    Juan Duchesne, NO, Tulane

  • Right Chest Impalement

    Right chest impalement

    Equipe de Cirurgia Geral, Hospital Regional - Itapetininga, São Paulo, Brazil.



  • Cardiac Trauma - Stab Wound

    Cardiac knife wound

    Dr. Bernardo Ketzer

  • Right sided diaphragmatic hernia secondary to blunt abdominal trauma

    Right sided diaphragmatic injury secondary to blunt trauma

    Fernando Joglar, MD, San Juan, Puerto Rico


  • Suprasternal notch stab wound

    Zone 1 stab wound to neck.

    Fernando Joglar, MD, Subdirector, Puerto Rico Trauma Center, San Juan, Puerto Rico


  • Thoracic gunshot - retroaortic bullet 03

    Retroaortic bullet

    trauma.org