Tomographic aspects of penetrating thoracic trauma: injuries from firearms and other weapons
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Radiologia Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842017000600372 |
Resumo: | Abstract Objective: The aim of this study was to analyze the various computed tomography findings in penetrating chest trauma, as well as to determine the frequency and extent of the lesions. Material and Methods: We studied the computed tomography findings from 40 cases of penetrating thoracic trauma, of which 35 (85.8%) were gunshot wounds and 5 (14.2%) were caused by another type of weapon. Results: Pulmonary lesions were found in 39 cases (97.5%), manifesting as contusions in 34 cases (85%), atelectasis in 8 (20%), lacerations in 1 (2.5%) and hematomas in 1 (2.5%). Hemothorax was seen in 31 cases (77.5%), and pneumothorax was seen in 22 cases (55%). Mediastinal lesions were observed in 8 cases (20%), including mediastinal hematoma in 3 cases (7.5%), hemopericardium in 3 (7.5%), and pneumomediastinum in 2 (5%). Diaphragmatic rupture was seen in 2 cases (5%). Conclusion: In patients with penetrating thoracic trauma, computed tomography of the chest is an important tool for characterizing the affected organs and evaluating the path of injury, as well as the severity and extent of the lesions. The images obtained are also useful in estimating the risk of death and determining the best therapeutic approach. |
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Tomographic aspects of penetrating thoracic trauma: injuries from firearms and other weaponsThoracic injuriesWounds, penetratingTomography, X-ray computedAbstract Objective: The aim of this study was to analyze the various computed tomography findings in penetrating chest trauma, as well as to determine the frequency and extent of the lesions. Material and Methods: We studied the computed tomography findings from 40 cases of penetrating thoracic trauma, of which 35 (85.8%) were gunshot wounds and 5 (14.2%) were caused by another type of weapon. Results: Pulmonary lesions were found in 39 cases (97.5%), manifesting as contusions in 34 cases (85%), atelectasis in 8 (20%), lacerations in 1 (2.5%) and hematomas in 1 (2.5%). Hemothorax was seen in 31 cases (77.5%), and pneumothorax was seen in 22 cases (55%). Mediastinal lesions were observed in 8 cases (20%), including mediastinal hematoma in 3 cases (7.5%), hemopericardium in 3 (7.5%), and pneumomediastinum in 2 (5%). Diaphragmatic rupture was seen in 2 cases (5%). Conclusion: In patients with penetrating thoracic trauma, computed tomography of the chest is an important tool for characterizing the affected organs and evaluating the path of injury, as well as the severity and extent of the lesions. The images obtained are also useful in estimating the risk of death and determining the best therapeutic approach.Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem2017-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842017000600372Radiologia Brasileira v.50 n.6 2017reponame:Radiologia Brasileira (Online)instname:Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR)instacron:CBR10.1590/0100-3984.2016.0167info:eu-repo/semantics/openAccessMelo,Alessandro Severo Alves deMoreira,Luiza Beatriz MeloPessoa,Fernanda Miraldi ClementeSaint-Martin,NaraAncilotti Filho,RogerSouza Jr.,Arthur SoaresMarchiori,Edsoneng2018-01-05T00:00:00Zoai:scielo:S0100-39842017000600372Revistahttps://www.scielo.br/j/rb/https://old.scielo.br/oai/scielo-oai.phpradiologiabrasileira@cbr.org.br1678-70990100-3984opendoar:2018-01-05T00:00Radiologia Brasileira (Online) - Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR)false |
dc.title.none.fl_str_mv |
Tomographic aspects of penetrating thoracic trauma: injuries from firearms and other weapons |
title |
Tomographic aspects of penetrating thoracic trauma: injuries from firearms and other weapons |
spellingShingle |
Tomographic aspects of penetrating thoracic trauma: injuries from firearms and other weapons Melo,Alessandro Severo Alves de Thoracic injuries Wounds, penetrating Tomography, X-ray computed |
title_short |
Tomographic aspects of penetrating thoracic trauma: injuries from firearms and other weapons |
title_full |
Tomographic aspects of penetrating thoracic trauma: injuries from firearms and other weapons |
title_fullStr |
Tomographic aspects of penetrating thoracic trauma: injuries from firearms and other weapons |
title_full_unstemmed |
Tomographic aspects of penetrating thoracic trauma: injuries from firearms and other weapons |
title_sort |
Tomographic aspects of penetrating thoracic trauma: injuries from firearms and other weapons |
author |
Melo,Alessandro Severo Alves de |
author_facet |
Melo,Alessandro Severo Alves de Moreira,Luiza Beatriz Melo Pessoa,Fernanda Miraldi Clemente Saint-Martin,Nara Ancilotti Filho,Roger Souza Jr.,Arthur Soares Marchiori,Edson |
author_role |
author |
author2 |
Moreira,Luiza Beatriz Melo Pessoa,Fernanda Miraldi Clemente Saint-Martin,Nara Ancilotti Filho,Roger Souza Jr.,Arthur Soares Marchiori,Edson |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Melo,Alessandro Severo Alves de Moreira,Luiza Beatriz Melo Pessoa,Fernanda Miraldi Clemente Saint-Martin,Nara Ancilotti Filho,Roger Souza Jr.,Arthur Soares Marchiori,Edson |
dc.subject.por.fl_str_mv |
Thoracic injuries Wounds, penetrating Tomography, X-ray computed |
topic |
Thoracic injuries Wounds, penetrating Tomography, X-ray computed |
description |
Abstract Objective: The aim of this study was to analyze the various computed tomography findings in penetrating chest trauma, as well as to determine the frequency and extent of the lesions. Material and Methods: We studied the computed tomography findings from 40 cases of penetrating thoracic trauma, of which 35 (85.8%) were gunshot wounds and 5 (14.2%) were caused by another type of weapon. Results: Pulmonary lesions were found in 39 cases (97.5%), manifesting as contusions in 34 cases (85%), atelectasis in 8 (20%), lacerations in 1 (2.5%) and hematomas in 1 (2.5%). Hemothorax was seen in 31 cases (77.5%), and pneumothorax was seen in 22 cases (55%). Mediastinal lesions were observed in 8 cases (20%), including mediastinal hematoma in 3 cases (7.5%), hemopericardium in 3 (7.5%), and pneumomediastinum in 2 (5%). Diaphragmatic rupture was seen in 2 cases (5%). Conclusion: In patients with penetrating thoracic trauma, computed tomography of the chest is an important tool for characterizing the affected organs and evaluating the path of injury, as well as the severity and extent of the lesions. The images obtained are also useful in estimating the risk of death and determining the best therapeutic approach. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842017000600372 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842017000600372 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-3984.2016.0167 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem |
publisher.none.fl_str_mv |
Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem |
dc.source.none.fl_str_mv |
Radiologia Brasileira v.50 n.6 2017 reponame:Radiologia Brasileira (Online) instname:Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR) instacron:CBR |
instname_str |
Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR) |
instacron_str |
CBR |
institution |
CBR |
reponame_str |
Radiologia Brasileira (Online) |
collection |
Radiologia Brasileira (Online) |
repository.name.fl_str_mv |
Radiologia Brasileira (Online) - Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR) |
repository.mail.fl_str_mv |
radiologiabrasileira@cbr.org.br |
_version_ |
1754208939416748032 |