Role of volume rendered 3-D computed tomography in conservative management of trauma-related thoracic injuries.

Abstract:

:Pneumatic nail guns are a tool used commonly in the construction industry and are widely available. Accidental injuries from nail guns are common, and several cases of suicide using a nail gun have been reported. Computed tomographic (CT) imaging, together with echocardiography, has been shown to be the gold standard for investigation of these cases. We present a case of a 55-year-old man who presented to the accident and emergency unit of a community hospital following an accidental pneumatic nail gun injury to his thorax. Volume-rendered CT of the thorax allowed an accurate assessment of the thoracic injuries sustained by this patient. As there was no evidence of any acute life-threatening injury, a sternotomy was avoided and the patient was observed closely until discharge. In conclusion, volume-rendered 3-dimensional CT can greatly help in the decision to avoid an unnecessary sternotomy in patients with a thoracic nail gun injury.

journal_name

J Thorac Imaging

authors

OʼLeary DP,Soo A,McLaughlin P,Aherne T

doi

10.1097/RTI.0b013e31821bdaa0

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

W102-4

issue

5

eissn

0883-5993

issn

1536-0237

journal_volume

27

pub_type

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