Endoscopically-Assisted Tube Thoracostomy Placement in a Super-Morbidly Obese Patient with Penetrating Thoracoabdominal Trauma

A middle-aged male presented to our Level I trauma center in transfer after multiple gunshot wounds to the anterior thoracoabdominal region. Furthermore, Focused Abdominal Sonography for Trauma (FAST) images were nondiagnostic and Diagnostic Peritoneal Lavage (DPL) was not practical due to abdominal...

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Bibliographic Details
Published in:The American surgeon 2011, Vol.77 (1), p.119-120
Main Authors: SCHAEFER, Gregory P, PENDER, John, TOSCHLOG, Eric A, WAIBEL, Brett H, COHEN, Kimmerle C
Format: Article
Language:English
Subjects:
Abdominal Injuries - diagnosis
Abdominal Injuries - surgery
Biological and medical sciences
Body Mass Index
Chest Tubes
Follow-Up Studies
General aspects
Hemoperitoneum - diagnosis
Hemoperitoneum - surgery
Hospitals
Humans
Injury Severity Score
Laparotomy - methods
Male
Medical sciences
Metabolic diseases
Middle Aged
Multiple Trauma - diagnosis
Multiple Trauma - surgery
Obesity
Obesity, Morbid - complications
Thoracic Injuries - diagnosis
Thoracic Injuries - surgery
Thoracoscopes
Thoracoscopy - methods
Trauma Centers
Treatment Outcome
Wounds, Gunshot - diagnosis
Wounds, Gunshot - surgery
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Summary:A middle-aged male presented to our Level I trauma center in transfer after multiple gunshot wounds to the anterior thoracoabdominal region. Furthermore, Focused Abdominal Sonography for Trauma (FAST) images were nondiagnostic and Diagnostic Peritoneal Lavage (DPL) was not practical due to abdominal girth.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481107700139