Traumatic Asphyxia due to Blunt Chest Trauma with External Auditory Canal Bleeding

흉부 둔상으로 발생한 외이도 출혈이 동반된 외상성 질식 증후군

  • Lee, Je-Ho (Trauma Center, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kyoung, Kyu-Hyouck (Trauma Center, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kim, Jeong Won (Trauma Center, Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Yang, Hui-Jun (Trauma Center, Departement of Neurology, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Hong, Eun Seog (Trauma Center, Ulsan University Hospital, University of Ulsan College of Medicine)
  • 이제호 (울산대학교 의과대학 울산대학교병원 외상센터) ;
  • 경규혁 (울산대학교 의과대학 울산대학교병원 외상센터) ;
  • 김정원 (울산대학교 의과대학 울산대학교병원 외상센터, 흉부외과) ;
  • 양희준 (울산대학교 의과대학 울산대학교병원 외상센터, 신경과) ;
  • 홍은석 (울산대학교 의과대학 울산대학교병원 외상센터)
  • Received : 2013.09.10
  • Accepted : 2013.12.19
  • Published : 2013.12.31

Abstract

Traumatic asphyxia, also called 'Perthes syndrome', is characterized by subconjunctival hemorrhage, cervicofacialpetechiae and cyanosis resulting from venous hypertension caused by an abrupt, severe, compressive force to the thoracoabdominal region. A 37-year-old male patient who was transferred to the emergency room due to chest trauma by overturning of a forkcrane. His head, neck, and shoulders showed severe ecchymosis, and his upper chest was cyanotic. There was bilateral subconjunctival hemorrhage and bilateral ear bleeding without tympanic rupture. Perthes syndrome is a rare condition and we treated a patient with typical and atypical symptoms; thus we report this case of Perthes syndrome.

Keywords

References

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