Concluded Case

Traumatic Injury to Thorax

A case of 36yrs old firearm injury of chest entry wound left 6th intercostal space in midaxillary line and it traversed the whole mediastinum and got stuck in right 7th rib posterior axillary line. Patient is stable but having right chest drain output of almost 800 ml per day for last 7 days. Case is for discussion of injured structures and its management. HRCT thorax, Barium swallow and chest drain bottle attached.

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Concluded answer

Bilateral injury to lower end of esophagus with right sided Thoracic duct injury with parenchymal injury to right lung

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Rt parahilar inhomogenous opacities seen Mediastinal widening noted. Possibly segmental collapse. left basal heziness seen possibly underlying contusion and hemothorax. Bil ICDs are in situ.

CECT thorax films Chest drain colour, type of fluid Mode of firearm injury with pic of wound of entry and wound of exit.

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Bilateral injury to lower end of esophagus with right sided Thoracic duct injury with parenchymal injury to right lung