{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T13:14:49Z","timestamp":1778073289918,"version":"3.51.4"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Retained hemothorax is a complication of thoracic trauma caused by incomplete pleural drainage and early fibrotic organization, potentially progressing to trapped lung and functional impairment if untreated. A 60-year-old man sustained fractures of the eighth, ninth, and tenth right ribs after a fall, one associated with pulmonary injury. Without initial medical care, he presented 15\u00a0days later with progressive dyspnea. Chest radiography showed right lung collapse with massive hemopneumothorax. Closed thoracostomy drained 4000\u00a0ml of blood, but lung re-expansion failed due to organized hemothorax. Video-assisted thoracoscopic surgery revealed organized clots and pleuropulmonary adhesions causing trapped lung. Complete evacuation, adhesiolysis, and pleural lavage were performed. Postoperative drainage was 180\u00a0ml. With intensive respiratory physiotherapy, full lung re-expansion and satisfactory recovery were achieved. In stable patients with delayed retained hemothorax, video-assisted thoracoscopic surgery enables effective resolution, avoiding thoracotomy and restoring pulmonary function through a minimally invasive approach.<\/jats:p>","DOI":"10.1093\/jscr\/rjag337","type":"journal-article","created":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T11:13:25Z","timestamp":1776510805000},"source":"Crossref","is-referenced-by-count":0,"title":["Delayed retained hemopneumothorax secondary to rib fracture with pulmonary perforation treated by video-assisted thoracoscopic surgery: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8383-4099","authenticated-orcid":false,"given":"Luis Francisco","family":"Llerena Freire","sequence":"first","affiliation":[{"name":"Department of Teaching, Pontificia Universidad Cat\u00f3lica del Ecuador , Av. Manuelita S\u00e1enz y Av. Bolivariana, Ambato, Tungurahua, 180150 ,","place":["Ecuador"]},{"name":"Digestive Surgery Service, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo (HCFMUSP) , Av. Dr. En\u00e9as Carvalho de Aguiar, 255, Cerqueira C\u00e9sar, S\u00e3o Paulo, SP, 05403-000 ,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina Anah\u00ed","family":"Mantilla Pazmi\u00f1o","sequence":"additional","affiliation":[{"name":"Department of Teaching, Pontificia Universidad Cat\u00f3lica del Ecuador , Av. Manuelita S\u00e1enz y Av. Bolivariana, Ambato, Tungurahua, 180150 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricio Javier","family":"P\u00e9rez Miranda","sequence":"additional","affiliation":[{"name":"General Surgery Specialization Program, Universidad Esp\u00edritu Santo , Km 2.5 V\u00eda La Puntilla Samborond\u00f3n, Guayas, 092301 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erick Hugo","family":"Zambrano Franco","sequence":"additional","affiliation":[{"name":"Hospital General Monte Sinai , Coordinaci\u00f3n Zonal 8, Ministerio de Salud P\u00fablica del Ecuador, Avenida Casuarina y Calle s\/n, Distrito 09D08, Guayaquil, Guayas, 090101 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evelyn Fernanda","family":"Tovar Mueckay","sequence":"additional","affiliation":[{"name":"Hospital General Monte Sinai , Coordinaci\u00f3n Zonal 8, Ministerio de Salud P\u00fablica del Ecuador, Avenida Casuarina y Calle s\/n, Distrito 09D08, Guayaquil, Guayas, 090101 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauricio Sebasti\u00e1n","family":"Jacome Maldonado","sequence":"additional","affiliation":[{"name":"Hospital General Monte Sinai , Coordinaci\u00f3n Zonal 8, Ministerio de Salud P\u00fablica del Ecuador, Avenida Casuarina y Calle s\/n, Distrito 09D08, Guayaquil, Guayas, 090101 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giannella Izamar","family":"Llerena Freire","sequence":"additional","affiliation":[{"name":"Unidad de Especialidades M\u00e9dicas, Hospital del d\u00eda SURGCLINIC , Avenida 22 de Julio y Padre Jorge Chac\u00f3n, Pelileo, Tungurahua, 180450 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariangel","family":"Bustamante Luzuriaga","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud, Pontificia Universidad Cat\u00f3lica del Ecuador , Avenida Manuelita S\u00e1enz y Remigio Crespo, Ambato, Tungurahua, 180103 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominic Arley","family":"Granda Cruz","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud, Pontificia Universidad Cat\u00f3lica del Ecuador , Avenida Manuelita S\u00e1enz y Remigio Crespo, Ambato, Tungurahua, 180103 ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"2026050608273984500_ref1","doi-asserted-by":"publisher","first-page":"11451","DOI":"10.21037\/vats-25-28","article-title":"The role of VATS for retained hemothorax in trauma: a narrative review","volume":"10","author":"Zollinger","year":"2025","journal-title":"Video-Assist Thorac Surg"},{"key":"2026050608273984500_ref2","doi-asserted-by":"publisher","first-page":"1555","DOI":"10.1002\/wjs.12181","article-title":"Late video-assisted thoracoscopic surgery versus thoracostomy tube reinsertion for retained hemothorax after penetrating trauma: a prospective randomized control study","volume":"48","author":"Edu","year":"2024","journal-title":"World J Surg"},{"key":"2026050608273984500_ref3","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1016\/j.jss.2023.07.037","article-title":"Video-assisted thoracic surgery evacuation of retained hemothorax; 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