Anterior lung evisceration following an assault with knife: A case report

Martín Ferreira-Pozzi, Pablo Joaquin Erramouspe, Juan Carlos Folonier, Mauro Perdomo Perez, Daniel González González, Erik G. Laurin

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Evisceration of the lung is a rare consequence of open chest trauma that can be fatal. Evisceration of the lung refers to the protrusion of lung parenchyma through a defect of the thoracic wall, without parietal pleural or skin coverage. Case report: A 20-year-old man was brought to the emergency department (ED) with left lung evisceration from stab wounds. The eviscerated lung was left in place, and the patient was not intubated in the ED. He was immediately taken to the operating room (OR) for intubation and surgical repair. Other significant injuries were ruled out, the eviscerated lung was retrieved, the chest wall defect was closed, and the patient recovered well. He was discharged after seven days in good condition. Conclusion: The initial management of patients with lung evisceration is critical to prevent rapid decompensation and death. Appropriate ED airway management, lung retrieval in the OR, and thoracic wall repair is recommended for patients with lung evisceration.

Original languageEnglish (US)
Pages (from-to)335-340
Number of pages6
JournalClinical Practice and Cases in Emergency Medicine
Volume5
Issue number3
DOIs
StatePublished - Aug 2021

Keywords

  • Chest trauma
  • Lung evisceration
  • Lung hernias
  • Open trauma
  • Penetrating injury

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

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