CRCM  Vol.3 No.12 , December 2014
Flail Chest Associated with a Simple Fall and Successful External Tamponade Application in a Pediatric Case
ABSTRACT
A flail chest is characterized by four or more rib fractures unilaterally or at more than two sites. The current article reports a 10-year-old case of a flail chest due to a simple fall from a chair while at breakfast. This pediatric case is presented because of its rare occurrence with a successful external tamponade application. Pneumothorax and tension pneumothorax associated with simple falls should be considered in pediatric patients. In the current case, blunt chest trauma-associated bilateral multiple rib fractures and a flail chest were present. The chest wall was destabilized and respiratory functions were compromised. Early stabilization with tube thoracostomy and external tamponade were achieved in the emergency setting. Intubation was not required after these procedures.

Cite this paper
Altintop, I. , Gunarli, N. and Fazlioglu, M. (2014) Flail Chest Associated with a Simple Fall and Successful External Tamponade Application in a Pediatric Case. Case Reports in Clinical Medicine, 3, 660-663. doi: 10.4236/crcm.2014.312139.
References
[1]   Poirier, W.J. and Vacca Jr., V.M. (2013) Flail Chest. Nursing, 43, 10-11.
http://dx.doi.org/10.1097/01.NURSE.0000437477.45498.8a

[2]   Inan, M., Ayvaz, S., Sut, N., Aksu, B., Basaran, U.N. and Ceylan, T. (2007) Blunt Chest Trauma in Childhood. ANZ Journal of Surgery, 77, 682-685. http://dx.doi.org/10.1111/j.1445-2197.2007.04186.x

[3]   de Jong, M.B., Kokke, M.C., Hietbrink, F. and Leenen, L.P. (2014) Surgical Management of Rib Fractures: Strategies and Literature Review. Scandinavian Journal of Surgery: Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society, 103, 120-125.

[4]   Dehghan, N., de Mestral, C., McKee, M.D., Schemitsch, E.H. and Nathens, A. (2014) Flail Chest Injuries: A Review of Outcomes and Treatment Practices from the National Trauma Data Bank. The Journal of Trauma and Acute Care Surgery, 76, 462-468. http://dx.doi.org/10.1097/TA.0000000000000086

[5]   Vana, P.G., Neubauer, D.C. and Luchette, F.A. (2014) Contemporary Management of Flail Chest. The American Surgeon, 80, 527-535.

[6]   Piastra, M., De Luca, D., Zorzi, G., Ruggiero, A., Antonelli, M., Conti, G., et al. (2008) Noninvasive Ventilation in Large Postoperative Flail Chest. Pediatric Blood & Cancer, 51, 831-833. http://dx.doi.org/10.1002/pbc.21749

[7]   Taylor, B.C. and French, B.G. (2013) Successful Treatment of a Recalcitrant Pleural Effusion with Rib Fracture Fixation. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery, 9, 96-99.
http://dx.doi.org/10.1007/s11420-012-9282-z

[8]   Ismail, M.F. and Al-Refaie, R.I. (2012) Chest Trauma in Children, Single Center Experience. Archivos de Bronconeumologia, 48, 362-366. http://dx.doi.org/10.1016/j.arbr.2012.07.007

[9]   Lozano-Corona, R., Loyola-Garcia, U., Partida, I.C. and Rodriguez-Ortega, F. (2013) Successful Treatment of Flail Chest with Chondrosternal Disruption and Traumatic Parasternal Lung Hernia with Titanium Rib Bridges. BMJ Case Reports.

[10]   Messing, J.A., Gall, V. and Sarani, B. (2014) Successful Management of Severe Flail Chest via Early Operative Intervention. Journal of Trauma Nursing: The Official Journal of the Society of Trauma Nurses, 21, 83-85.
http://dx.doi.org/10.1097/JTN.0000000000000039

 
 
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