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Case Reports in Surgery
Volume 2014 (2014), Article ID 798242, 3 pages
http://dx.doi.org/10.1155/2014/798242
Case Report

Trap-Door Incision for Penetrating Thoracic Trauma: An Obsolete Approach?

General and Emergency Surgery, Gregorio Marañón University General Hospital (GMUGH), 28007 Madrid, Spain

Received 12 June 2014; Accepted 12 July 2014; Published 3 August 2014

Academic Editor: Oded Olsha

Copyright © 2014 Ana Fabregues Olea et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Penetrating injuries to the subclavian vessels are uncommon and very severe lesions. They are difficult to expose and carry a high mortality. “Trap-door” incisions have lately been dismissed as too mutilating for the occasional victim of a penetrating thoracic trauma with massive bleeding difficult that is to expose. We present a case of severe bleeding from a stab wound in the left subclavicular area in a heavy-built patient where a “trap-door” incision proved inevitable to expose and repair the injury, and most probably saved his life.