Cardiosurgical treatment of pneumomediastinum caused by polytrauma

© 2019 MEDPRESS..

Pneumomediastinum (also known as mediastinal emphysema) is defined as the presence of gas in the mediastinum. It can be spontaneous or arise as a result of trauma. Most cases can be effectively treated conservatively, however, if severe symptoms occur, cardiosurgical intervention is necessary.

A CASE REPORT: A man 20 years old, a victim of a traffic accident resulting in polytrauma, was transported to the Municipal Hospital of Jozef Strus in Poznan. Rapid tests performed at the Hospital's Emergency Room speeded up the diagnosis of a life-threatening pneumomediastinum. The patient was transferred to the Operating Room of the Cardiosurgical Department, where during an urgent surgery, the pericardial sac was decompressed. Subsequently, the patient underwent another surgery in the Thoracic surgery Department of the Wielkopolskie Center of Pulmonology and Thoracic Surgery. Afterwards, the patient had to spend a couple of weeks at the Intensive Care Department of Municipal Hospital of Jozef. Ultimately, after 6 weeks of hospitalization, the patient was discharged from the hospital in a good condition.

CONCLUSIONS: The therapeutic success was an outcome of a quick diagnostic process, cooperation of doctors of various specialties and implementation of urgent surgical treatment. Mediastinal emphysema, which even though usually treated conservatively, may require lifesaving surgery in cardiothoracic surgery wards.

Medienart:

Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:46

Enthalten in:

Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego - 46(2019), 273 vom: 28. März, Seite 139-141

Sprache:

Polnisch

Weiterer Titel:

Kardiochirurgiczne leczenie odmy śródpiersiowej po urazie wielonarządowym

Beteiligte Personen:

Gębala-Minta, Kinga [VerfasserIn]
Orzechowska, Magdalena [VerfasserIn]
Danielecki, Cezary [VerfasserIn]
Buszkiewicz, Karol [VerfasserIn]
Rodzki, Michał [VerfasserIn]
Greberski, Krzysztof [VerfasserIn]
Bugajski, Paweł [VerfasserIn]

Themen:

Case Reports
Journal Article
Pneumomediastinum
Polytrauma

Anmerkungen:

Date Completed 22.07.2019

Date Revised 09.04.2022

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM295349085