Pulmonary Contusion-An Unusual Clinical and Radiological Presentation: Case Report

Pulmonary contusion (PC), defined as damage to the lung parenchyma with edema and hemorrhage, has classically been associated with acceleration-deceleration injuries. It is a frequent pathology in clinical practice. However, its clinical presentation and imaging findings are nonspecific. Patients wi...

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Main Authors: Ana Isabel Castrillón (Author), Luz F. Sua (Author), Alvaro Sanchez (Author), Liliana Fernández-Trujillo (Author)
Format: Book
Published: SAGE Publishing, 2024-07-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Ana Isabel Castrillón  |e author 
700 1 0 |a Luz F. Sua  |e author 
700 1 0 |a Alvaro Sanchez  |e author 
700 1 0 |a Liliana Fernández-Trujillo  |e author 
245 0 0 |a Pulmonary Contusion-An Unusual Clinical and Radiological Presentation: Case Report 
260 |b SAGE Publishing,   |c 2024-07-01T00:00:00Z. 
500 |a 2324-7096 
500 |a 10.1177/23247096241266089 
520 |a Pulmonary contusion (PC), defined as damage to the lung parenchyma with edema and hemorrhage, has classically been associated with acceleration-deceleration injuries. It is a frequent pathology in clinical practice. However, its clinical presentation and imaging findings are nonspecific. Patients with this entity can present with findings that can range from mild dyspnea to life-threatening respiratory failure and hemodynamic instability. We present the case of a 61-year-old man, a former smoker, who presented to the emergency department after suffering blunt chest trauma. On admission, he complained of only mild shortness of breath, and his vital signs were typical. Initial imaging identified asymmetric pulmonary infiltrates and mediastinal lymphadenopathy; this was suspicious for additional pathology in addition to PC. After an exhaustive evaluation, a neoplastic or infectious disease process was ruled out. Even though the patient presented with a clinical deterioration of respiratory function compatible with secondary acute respiratory distress syndrome, there was a complete recovery after supportive measures and supplemental oxygen. In conclusion, the nonspecific clinical and imaging findings in patients with pulmonary contusion warrant a complete evaluation of these cases. An early diagnosis is essential to establish adequate support and monitoring to prevent possible complications that could worsen the patient's prognosis. 
546 |a EN 
690 |a Medicine (General) 
690 |a R5-920 
690 |a Pathology 
690 |a RB1-214 
655 7 |a article  |2 local 
786 0 |n Journal of Investigative Medicine High Impact Case Reports, Vol 12 (2024) 
787 0 |n https://doi.org/10.1177/23247096241266089 
787 0 |n https://doaj.org/toc/2324-7096 
856 4 1 |u https://doaj.org/article/c3627b0681e34d0d92e5bcec25e6f924  |z Connect to this object online.