Presentation
Blunt trauma.
Patient Data
Age: 60 years
Gender: Male
From the case:
Active bleeding from right internal mammary artery injury
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Normal portable chest x-ray for age.
From the case:
Active bleeding from right internal mammary artery injury
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Large anterior/inferior thoracic hematoma, the bulk of which is to the right of the midline with central contrast extravasation.
From the case:
Active bleeding from right internal mammary artery injury
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Selective injection right internal thoracic (mammary) artery confirms active bleeding.
Case Discussion
Vascular injuries may result in vessel occlusion, an arteriovenous fistula, or active bleeding/extravasation. This is a good example of active bleeding/extravasation.
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