{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:10:21Z","timestamp":1756285821463,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,11,18]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>A woman in her 50s was transported to our hospital after experiencing a road traffic crash that led to a massive haemothorax and haemorrhagic shock due to a cervical vascular injury caused by the seat belt. Contrast-enhanced CT of the chest showed extravascular leakage of the contrast medium from the vicinity of the right subclavicular area and fluid accumulation in the thoracic cavity. The patient was intubated, and a thoracic drainage catheter was placed. She underwent angiography and embolisation of the right costocervical trunk, right thyrocervical trunk and right suprascapular artery using a gelatine sponge and 25% <jats:italic>N<\/jats:italic>-butylcyanoacrylate-Lipiodol. She was extubated on the second day after stabilisation of the respiratory and circulatory status. In cases where the bleeding vessel is known and an emergency thoracotomy can serve as a backup, embolisation by interventional radiology should be considered the initial treatment approach.<\/jats:p>","DOI":"10.1136\/bcr-2022-254265","type":"journal-article","created":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T09:55:11Z","timestamp":1703325311000},"page":"e254265","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Massive haemothorax and haemorrhagic shock due to cervical vascular injury caused by a seat belt"],"prefix":"10.1136","volume":"16","author":[{"given":"Tomoya","family":"Nishino","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8725-0050","authenticated-orcid":false,"given":"Asuka","family":"Tsuchiya","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan"},{"name":"Clinical Epidemiology and Health Economics, School of Public Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seiji","family":"Morita","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihide","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,23]]},"reference":[{"key":"2025082701290190000_16.12.e254265.1","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1007\/s11748-013-0305-6","article-title":"A case of hemothorax following seat-belt injury with a bulla in the apex of the lung: a subtype of spontaneous hemopneumothorax","volume":"63","author":"Kinoshita","year":"2015","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2025082701290190000_16.12.e254265.2","doi-asserted-by":"crossref","first-page":"2022","DOI":"10.1007\/s00595-013-0746-7","article-title":"Spontaneous hemopneumothorax: epidemiological details and clinical features","volume":"44","author":"Onuki","year":"2014","journal-title":"Surg Today"},{"key":"2025082701290190000_16.12.e254265.3","doi-asserted-by":"publisher","DOI":"10.1136\/thx.28.3.376"},{"key":"2025082701290190000_16.12.e254265.4","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(96)00445-6"},{"key":"2025082701290190000_16.12.e254265.5","first-page":"520","article-title":"Etiology and management of spontaneous haemothorax","volume":"7","author":"Patrini","year":"2015","journal-title":"J Thorac Dis"},{"key":"2025082701290190000_16.12.e254265.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.04.052"},{"key":"2025082701290190000_16.12.e254265.7","doi-asserted-by":"publisher","DOI":"10.1177\/145749690909800306"},{"key":"2025082701290190000_16.12.e254265.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(03)00085-8"},{"key":"2025082701290190000_16.12.e254265.9","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/S0022-5223(20)31623-8","article-title":"Spontaneous hemopneumothorax","volume":"43","author":"Deaton","year":"1962","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025082701290190000_16.12.e254265.10","doi-asserted-by":"publisher","DOI":"10.1378\/chest.122.5.1844"},{"key":"2025082701290190000_16.12.e254265.11","first-page":"1059","article-title":"28\u2009cases of spontaneous hemopneumothorax","volume":"36","author":"Ohmori","year":"1988","journal-title":"Zasshi J Nihon Kyobu Geka Gakkai"},{"key":"2025082701290190000_16.12.e254265.12","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31820b5c31"},{"key":"2025082701290190000_16.12.e254265.13","first-page":"589","article-title":"Indications for transcatheter arterial embolisation in persistent haemothorax caused by blunt trauma","volume":"65","author":"Hagiwara","year":"2008","journal-title":"J Trauma"},{"key":"2025082701290190000_16.12.e254265.14","doi-asserted-by":"crossref","first-page":"4693","DOI":"10.21037\/jtd.2019.10.27","article-title":"Technical results, clinical efficacy and predictors of outcome of Intercostal arteries embolisation for haemothorax: a two-institutions\u2019 experience","volume":"11","author":"Tamburini","year":"2019","journal-title":"J Thorac Dis"},{"key":"2025082701290190000_16.12.e254265.15","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1055\/s-0041-1726005","article-title":"Thoracic trauma, nonaortic injuries","volume":"38","author":"Jones","year":"2021","journal-title":"Semin Intervent Radiol"},{"key":"2025082701290190000_16.12.e254265.16","first-page":"273","article-title":"Spontaneous hemopneumothorax","volume":"12","author":"Ng","year":"2006","journal-title":"Curr Opin Pulm Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-254265","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:29:10Z","timestamp":1756283350000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-254265"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":16,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,12,23]]},"published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1136\/bcr-2022-254265"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-254265","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}