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Asian Cardiovasc Thorac Ann 2006;14:172-173
© 2006 Asia Publishing EXchange Ltd

IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

Myocardial Contusion and Multiple Pseudocysts at Lung without Rib Fracture

Hidir Esme, MD, Eser Kaya, MD1, Mehmet Melek, MD2, Yusuf Yurumez, MD3, Murat Yucel, MD4

Department of Thoracic Surgery
1 Department of Nuclear Medicine
2 Department of Cardiology
3 Department of Emergency Medicine, Afyon Kocatepe University School of Medicine, Afyon, Turkey
4 Department of Emergency Medicine, Erciyes University School of Medicine, Kayseri, Turkey

For reprint information contact: Hidir Esme, MD Tel: 90 533 647 1729 Fax: 90 272 217 2029 Email: hesme{at}aku.edu.tr, Department of Thoracic Surgery, Faculty of Medicine, Afyon Kocatepe University, Pembe Hastane, Afyon 03200, Turkey.

An 8-year-old boy was admitted to the emergency department because of run over on his chest by a trailer of tractor. Chest X-Ray revealed communicating opacities and cavitary lesions in right lower lung zone but no evidence of sternal or rib fracture (Figure 1Go).


Figure 1
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  		Figure 1. Opacities and cavitary lesions in right lower lung zone without rib fracture.

 
Computed tomography scan revealed diffuse pulmonary contusion, multiple pseudocysts and minimal bilateral pneumothorax (Figure 2Go). The myocardial contusion was diagnosed by means of EKG, biochemical cardiac enzymes and myocardial perfusion scintigraphy (Figure 3Go). The patient’s symptoms resolved with conservative treatment and 3 months later control CT scan of the thorax revealed resorbtion of pseudocysts.


Figure 2
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  		Figure 2. Diffuse left lung and right lower and middle lobe contusion, bilateral multiple pseudocysts and minimal bilateral pneumothorax.

 

Figure 3
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  		Figure 3. Myocardial heterogen activity and focal enhanced activity in lateral wall.

 





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