An intrathoracic scapular prolapse with hemorrhagic shock after a thoracotomy

作者：Eguchi Takashi^*; Kondo Ryoichi; Shiina Takayuki; Yoshida Kazuo

来源：Interactive Cardiovascular and Thoracic Surgery, 2011, 12(2): 326-327.

DOI：10.1510/icvts.2010.248690

• Scapular prolapse
• Intrathoracic hemorrhage
• Thoracotomy
• Chest wall resection

We herein present a case in which an emergency operation was performed for an intrathoracic hemorrhage resulting from a scapular prolapse after a thoracotomy, a rare complication of this procedure. A 59-year-old man had undergone a right upper lobectomy with an extended resection of the posterior chest wall including the second to fourth ribs due to a direct invasion by a lung cancer. On postoperative day 80, we performed an emergency operation as the patient had gone into shock due to an intrathoracic hemorrhage with a right scapular prolapse. The scapula protruded through the enlarged fourth intercostal space. The prolapsed scapula was reduced and the defect in the chest wall was covered with Marlex mesh.

• 出版日期2011-2