{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:40:03Z","timestamp":1756305603128,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,7,21]]},"abstract":"<jats:p>A 27-year-old man presented to a major trauma centre with two posterolateral thoracic stab injuries over the right scapula and thoracoabdominal junction. He was tachycardic and hypotensive with a chest X-ray revealing a large right-sided tension haemothorax, requiring insertion of two intercostal chest drains. A subsequent CT scan demonstrated a grade 4 right kidney laceration with active back bleeding from a renal artery branch, through a right diaphragmatic defect, into the pleural cavity. Embolisation of the feeding renal vessel controlled the bleeding and avoided the need for a nephrectomy. The patient required subsequent video-assisted thoracoscopic evacuation of the haemothorax and diaphragmatic repair, confirming that there was no associated lung or major vessel injury. A ureteric stent was ultimately inserted to manage a persistent urinary leak. This case highlights a rare cause for a common traumatic presentation and the need for a multidisciplinary approach in effective management of complex, multiorgan trauma.<\/jats:p>","DOI":"10.1136\/bcr-2018-225678","type":"journal-article","created":{"date-parts":[[2018,8,16]],"date-time":"2018-08-16T09:59:59Z","timestamp":1534413599000},"page":"bcr-2018-225678","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Tension haemothorax from a bleeding branch of the renal artery following isolated penetrating thoracic trauma: a rare presentation"],"prefix":"10.1136","volume":"2018","author":[{"given":"Oliver","family":"Brunckhorst","sequence":"first","affiliation":[{"name":"Department of Cancer and Surgery, Imperial College London St Mary\u2019s Hospital Campus, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia 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