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A Man With Chest Pain After An Assault – A Case Report

Mi Song Kim, MD*, Francis Gan, MD*, Karl Nimtz, MD*, Daniel Ng, MD*^ and John Costumbrado, MD, MPH*^

*Riverside Community Hospital, Department of Emergency Medicine, Riverside, CA
^University of California, Riverside, School of Medicine, Riverside, CA

Correspondence should be addressed to John Costumbrado, MD at john.costumbrado@medsch.ucr.edu

DOI: https://doi.org/10.21980/J8J93S Issue 9:3
Visual EMInfectious DiseaseTrauma
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Chest wall abscess. Photograph unannotated. JETem 2024
Chest wall abscess CT axial unannotated. JETem 2024
Chest wall abscess CT sagittal unannotated. JETem 2024
Chest wall abscess. Photograph annotated. JETem 2024
Chest wall abscess CT axial annotated. JETem 2024
Chest wall abscess CT sagittal annotated. JETem 2024

ABSTRACT:

This case report highlights an uncommon sequelae of chest wall trauma that should be evaluated for patients presenting with similar history and symptoms.  A 60-year-old man presented to the emergency department (ED) with swelling, fever, and chest wall pain two days after an assault with blunt chest wall trauma.  On exam, there was a suspected chest wall abscess, verified on computed tomography (CT) with associated displaced midsternal fracture. This patient was admitted for abscess incision and drainage.  While uncommon, chest wall abscess formation is an important condition that should be considered as a differential diagnosis in any patient presenting with chest wall pain post blunt trauma.  With few reported similar presentations in the literature, this case is an important addition in a likely underreported phenomenon that requires prompt evaluation and treatment.

Topics:

Blunt chest trauma, chest wall abscess, sternal fracture complication.

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