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Injuries of the Pleural Spaces

  • Vittorio Miele
  • Grazia Loretta Buquicchio
  • Claudia Lucia Piccolo
  • Alessandro Stasolla
  • Stefania Ianniello
  • Luca Brunese
Chapter
Part of the Medical Radiology book series (MEDRAD)

Abstract

The presence of thoracic injuries in a multisystemic trauma can highly increase patient mortality; furthermore, injuries such as “flail chest,” lung contusion, hemothorax, and pneumothorax can complicate overall case management.

Chest-X-Ray (CXR) is the first imaging step to perform in a thoracic trauma, to highlight a possible pneumothorax, hemothorax, and other life-threatening conditions. MultiSlice Computed Tomography (MDCT) is more accurate than CXR for the evaluation of pleural injuries, although it is to be performed in stable patients only.

In this chapter, pleural abnormalities following blunt thoracic trauma and the role of CXR and MSCT will be discussed (pneumothorax, hemothorax), with a small digression about pleural drainages and the importance to recognize a possible dislocation to prevent severe complications.

Keywords

Pleural Space Active Extravasation Thoracic Trauma Visceral Pleura Thoracic Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Vittorio Miele
    • 1
  • Grazia Loretta Buquicchio
    • 1
  • Claudia Lucia Piccolo
    • 2
  • Alessandro Stasolla
    • 1
  • Stefania Ianniello
    • 1
  • Luca Brunese
    • 2
  1. 1.Department of Emergency RadiologyS. Camillo HospitalRomeItaly
  2. 2.Department of Medicine and Health SciencesUniversità del MoliseCampobassoItaly

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