Two uncommon cases of thoracic aortic injury caused by rib fractures

Hao Xie, Shaonan Ning, Nan Li, Lei Song, Yanbin Wang, Qiang Zhang


A 34-year-old female patient was transferred to our hospital due to “more than 5 days of chest, left shoulder, left forearm pain, swelling, and limited activity caused by car accident”. After injury, the patient had collapsed chest and pain, swelling and pain of the left shoulder, bleeding, and limited activity of the left forearm and hand. Physical examination revealed absent left upper limb, collapsed left thorax, extensive soft tissue injury, paradoxical left thoracic movement with tenderness. Breath sound was rough and diminished on the left. Her hemoglobin (HGB) was 79 g/L.