Figure 3.

Macroscopic images during surgery. (A) Intrathoracic exploration of the right thoracic cavity is conducted revealing significant pulmonary contusion on the right middle and caudal lobe. (B) Serosanguinous pleural fluid and necrotic tissue are observed around the fracture of right 11th rib, and lung swab samples were collected for aerobic and anaerobic microorganism cultures and fungal cultures. Following the samplings, the intrathoracic cavity and thoracic wall were lavaged and closed routinely. Before the routine thoracic closure, a 12 Fr chest tube was inserted with a trocar through the right 8th intercostal space. (C) Left intrathoracic exploration revealed that the herniated tissue at the left thoracic open wound is abdominal fat.