التفاصيل البيبلوغرافية
| العنوان: |
Massive Hemothorax after Posterior Correction Surgery of Adolescent Idiopathic Scoliosis: A Case Report |
| المؤلفون: |
Rita Grazina, Renato Andrade, José Marinhas, Filipe Santos, André Costa, Rolando Freitas, and Rui Rocha |
| بيانات النشر: |
MedCrave |
| سنة النشر: |
2016 |
| المجموعة: |
MedCrave |
| مصطلحات موضوعية: |
Scoliosis, Hemothorax, Surgery, Roentgenogram, Thoracic, CT, Pleuritic, Adolescent Idiopathic Scoliosis, Computer Tomography, Haemoglobin, Parenchymal alterations, Massive HemothoraxAdolescent, Idiopathic Scoliosis, Posterior Correction Surgery |
| الوصف: |
Hemothorax is a rare complication of postoperative correction of adolescent idiopathic scoliosis (AIS), with an incidence of 0,1%. It is mostly related to thoracoplasty or misplaced pedicle screws. The authors describe the clinical case of a 15-year-old girl who developed a massive hemothorax after AIS surgical correction and fusion. Fifteen-year-old girl with a Lenke type 6BN scoliosis who underwent posterior correction and fusion surgery with selective pedicle screw construct between D5 and L4 was carried without complications. Twenty-four hours after the procedure, the patient developed pleuritic chest pain and type 1 respiratory failure with hypoxemia (69 mmHg). The thoracic roentgenogram showed a left-sided pleural effusion, confirmed by the CT scan. Neither CT nor angio-CT imaging showed an evident haemorrhagic source or misplacement of pedicle screws. A chest tube was inserted with immediate drainage of 800 mL of blood and 100 mL more during the following 12 hours. In this case, the complication seems to have been due to the use of a Gelpi retractor with invasion of the intercostal space. Alternatively, an intercostal artery might have been injured during the procedure, going unnoticed by the surgical team. Even though this is a very rare complication, it is important to be aware of its existence, not only to perform a quick diagnosis, but also to avoid it. |
| نوع الوثيقة: |
report |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
http://medcraveonline.com/MOJOR/MOJOR-05-00201.phpTest |
| الإتاحة: |
http://medcraveonline.com/MOJOR/MOJOR-05-00201.phpTest |
| حقوق: |
http://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: |
edsbas.2F5ABDC3 |
| قاعدة البيانات: |
BASE |
