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(a) Computed tomography (CT) showed right-sided hemothorax with contrast extravasation (arrow). (b) Thoracotomy revealed active bleeding arising from a transverse laceration at T7. (c) Magnetic resonance imaging showed chance-type fracture at T7 (circle).
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Contrast-enhanced computed tomography (CT) showed a right-sided hemothorax (Figure 1(a)). The hematoma was removed and the active bleeding site was identified as a transverse fracture in the vertebral body of T7 (Figure 1(b)). T7 (Figure 1(c)). To ensure spinal stability, spinal fusion surgery was performed the following day.
(a) CT showed chance-type fracture at L1 with dislocation (arrow). (b) Chest radiography showed massive right-sided pleural effusion. (c) Aortography revealed extravasation of the contrast from the first lumbar artery into the thoracic cavity (arrow).
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An imaging examination revealed a chance-type fracture at L1; no thoracic injury or abdominal ascites was noted (Figure 2(a)). Urgent imaging showed a right-sided hemothorax (Figure 2(b)) and a large hematoma around the vertebral body of L1, which was suspected to be actively bleeding due to an aortic injury. Because her vital signs improved with blood transfusion, aortography was performed, which revealed contrast extravasation from the first lumbar artery (Figure 2(c)) that was then arrested by transcatheter embolization.