{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T05:53:36Z","timestamp":1763358816953,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T00:00:00Z","timestamp":1604102400000},"content-version":"vor","delay-in-days":30,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Life-threatening bleeding from an intercostal artery is a rare and challenging event. A 74-year-old patient with a right-sided pleural effusion was treated by a pigtail pleural drain. He developed a large haemothorax, initially addressed by a large bore chest tube. As he became haemodynamically unstable, he required an emergency anterolateral right thoracotomy. It was difficult to visualize and reach the bleeding vessel during open surgery. A 30\u00b0 laparoscopy camera was introduced and the bleeding site was identified. An incision was made directly over the bleeding site and the two ends of the lacerated intercostal artery were ligated by two externally placed figure-of-eight sutures. The patient survived and recovered fully. As most general surgeons, even at smaller hospitals, are familiar with laparoscopy, the technique described here may be useful for other surgeons to employ if a life-threatening intercostal artery injury occurs.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa444","type":"journal-article","created":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T03:38:16Z","timestamp":1601350696000},"source":"Crossref","is-referenced-by-count":3,"title":["Management of a life-threatening intercostal artery bleeding, difficult to visualize in open surgery: a case report"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3366-663X","authenticated-orcid":false,"given":"Eivor Alette","family":"Laugsand","sequence":"first","affiliation":[{"name":"Department of Surgery, Levanger Hospital, Nord-Tr\u00f8ndelag Hospital Trust, Levanger, Norway"},{"name":"Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Athanasios","family":"Xanthoulis","sequence":"additional","affiliation":[{"name":"Department of Surgery, Levanger Hospital, Nord-Tr\u00f8ndelag Hospital Trust, Levanger, Norway"},{"name":"Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,10,31]]},"reference":[{"key":"2020103109205380800_ref1","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1136\/thoraxjnl-2014-206658","article-title":"Iatrogenic injury to the intercostal artery: aetiology, diagnosis and therapeutic intervention","volume":"70","author":"Psallidas","year":"2015","journal-title":"Thorax"},{"key":"2020103109205380800_ref2","doi-asserted-by":"crossref","first-page":"131.e1","DOI":"10.1016\/j.ajem.2014.06.033","article-title":"Spontaneous rupture of intercostal artery after severe cough","volume":"33","author":"Jang","year":"2015","journal-title":"Am J Emerg Med"},{"key":"2020103109205380800_ref3","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/1757-7241-17-42","article-title":"Vascular injuries after blunt chest trauma: diagnosis and management","volume":"17","author":"O'Connor","year":"2009","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"2020103109205380800_ref4","first-page":"245","article-title":"Posterior intercostal artery tortuosity and collateral branch points: a cadaveric study","volume":"71","author":"Shurtleff","year":"2012","journal-title":"Folia Morphol (Warsz)"},{"key":"2020103109205380800_ref5","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1097\/TA.0b013e31820b5c31","article-title":"Practice management guidelines for management of hemothorax and occult pneumothorax","volume":"70","author":"Mowery","year":"2011","journal-title":"J Trauma"},{"key":"2020103109205380800_ref6","first-page":"171","volume-title":"Top Knife. The Art & Craft of Trauma Surgery","author":"Hirshberg","year":"2005"},{"key":"2020103109205380800_ref7","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1513\/AnnalsATS.201210-088OC","article-title":"The safety of thoracentesis in patients with uncorrected bleeding risk","volume":"10","author":"Puchalski","year":"2013","journal-title":"Ann Am Thorac Soc"},{"key":"2020103109205380800_ref8","doi-asserted-by":"crossref","first-page":"289","DOI":"10.2169\/internalmedicine.49.2618","article-title":"Evaluation of the risk of intercostal artery laceration during thoracentesis in elderly patients by using 3D-CT angiography","volume":"49","author":"Yoneyama","year":"2010","journal-title":"Intern Med"},{"key":"2020103109205380800_ref9","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1111\/resp.12088","article-title":"Physician-performed ultrasound can accurately screen for a vulnerable intercostal artery prior to chest drainage procedures","volume":"18","author":"Salamonsen","year":"2013","journal-title":"Respirology"},{"key":"2020103109205380800_ref10","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1097\/TA.0000000000001853","article-title":"A novel, minimally invasive approach to assure hemostasis for intercostal bleeding after trauma","volume":"84","author":"Park","year":"2018","journal-title":"J Trauma Acute Care Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/10\/rjaa444\/34069137\/rjaa444.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/10\/rjaa444\/34069137\/rjaa444.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T13:21:01Z","timestamp":1604150461000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa444\/5944229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,1]]},"references-count":10,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa444","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2020,10]]},"published":{"date-parts":[[2020,10,1]]},"article-number":"rjaa444"}}