Flail Chest Associated with a Simple Fall and Successful External Tamponade Application in a Pediatric Case - Case Reports in Clinical Medicine

CRCM > Vol.3 No.12, December 2014

Flail Chest Associated with a Simple Fall and Successful External Tamponade Application in a Pediatric Case (Short Report)

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DOI: 10.4236/crcm.2014.312139 2,994 Downloads 3,823 Views Citations

Author(s)

Ismail Altintop^1*, Nurcan Gunarli¹, Mithat Fazlioglu²

Affiliation(s)

¹Department of Emergency Medicine, Kayseri Training and Research Hospital, Kayseri, Turkey.
²Department of Thoracic Surgery, Kayseri Training and Research Hospital, Kayseri, Turkey.

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.

KEYWORDS

Flail Chest, Pneumothorax, External Tamponade

Share and Cite:

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.

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