Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia
of Pediatric Thoracic Disease: Case 64Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Six year old female hit by a truck.
The patient was a six year old female who was riding her bike and was
hit on her right side by a truck. She suffered a crush injury with a
right tibia / fibula fracture and compartment syndrome requiring open
reduction and internal fixation.
Clinical Physical Exam:
Clinical Differential Diagnosis:
Possible solid organ injury in the abdomen.
A chest film showed right sided rib fractures and a right lower lobe
lung opacity. An abdomen CT exam was obtained to evaluate for blunt
abdominal trauma. It showed a right sided airspace disease and a
A right chest tube was placed prophylactically because the patient
would need positive pressure ventilation during general anesthesia
for the open reduction internal fixation of the tibia / fibula
Pulmonary Contusion / Pneumothorax
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
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