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Delayed presentation of internal mammary artery rupture after blunt chest trauma: characteristic CT and plain x ray findings
  1. O Y Kwon,
  2. S P Chung,
  3. I S Yoo,
  4. C J Song,
  5. I B Kim,
  6. S W Kim
  1. Department of Emergency Medicine, Chungnam National University Hospital, Republic of Korea
  1. Correspondence to:
 Seung Whan Kim
 Department of Emergency Medicine, Chungnam National University Hospital, 640 Daesa-dong, Chung-gu, Daejeon, Republic of Korea, 301–721; emfirecnuh.co.kr

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Internal mammary artery rupture is one of the uncommon complications after blunt chest trauma. In general, internal mammary artery rupture after chest trauma is associated with other injuries, including fractures, dislocation, lung contusions, and neurological impairment due to hypovolemia. Characteristic computed tomography (CT) and plain chest x ray findings might suggest the diagnosis of internal mammary artery rupture earlier, if it is suspected. We report a case in which the patient had relatively minor chest wall injury with isolated internal mammary artery rupture.

CASE REPORT

A 30 year old man was transferred to our emergency department (ED) complaining of dizziness, anterior chest pain, and chest tightness. He had come into a collision with a player while playing in a recreational soccer game as a goalkeeper. On initial presentation …

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