Traumatic mediastinal hematoma

A 64 years old politraumatized male, arrive to ER department directly to trauma room. He was on shock.

  • Refractary hypotension
  • Tachycardia and tachypnea
He had no signs of tamponade.
Here we have the images (best viewed in large size):

Initial chest x-rayCT scan

Post-surgery image (best viewed in large size):

Post-op chest x-ray

The final diagnosis was Traumatic Mediastinal Hematoma.
You can notice esophagus displacement and complications of filling cardiac cavities.
Regards,
Jon Mikel Iñarritu, M.D.

technorati tags: CXR, mediastinal hematoma, CT scan, Clinical cases, medicine, mediastinum, unbounded medicine, chest x-ray, x-ray, xray

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