A case of spontaneous hemopneumothorax in which the condition worsened after chest drainage

Journal of Surgical Case Reports
Naohiro NoseKunihide Nakamura

Abstract

A 45-year-old woman was referred to our hospital with sudden chest pain. She came on foot with normal vital signs. Computed tomography (CT) revealed right mild pneumothorax with niveau level. We suspected spontaneous hemopneumothorax (SHP) and inserted a thoracic drain. After 800 ml of blood and air was evacuated immediately, the outflow from the drain stopped. However, despite the outflow of blood from the drainage tube having stopped, she developed hemorrhage shock 2 h after drainage. Contrast-enhanced CT revealed extra-vascular signs at the top of the right pleural cavity. Emergency video-assisted thoracic surgery (VATS) was performed. We identified the chest drain as being obstructed by blood clot. Continuous bleeding from a small aberrant vessel at the top of the thoracic cavity was identified, and we stanched it easily by clipping. The present experience suggests that routine enhanced CT and aggressive emergent VATS should be performed in cases of SHP.

References

Apr 25, 2002·Emergency Medicine Journal : EMJ·S R HartL Barfoot
Apr 15, 2004·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Stamatios KakarisIon Skottis
Oct 26, 2005·The Annals of Thoracic Surgery·Nan-Yung HsuPing-Ru Chen
Dec 21, 2006·World Journal of Surgery·Yu-Tang ChangMeei-Feng Huang
Jan 1, 2011·BMJ Case Reports·Katie ChongShe Lok

❮ Previous
Next ❯

Citations

Feb 13, 2020·Case Reports in Pulmonology·Antonio Higor Marques AragãoAntero Gomes Neto

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Related Papers

Kyobu geka. The Japanese journal of thoracic surgery
K BabaF Imamura
Kyobu geka. The Japanese journal of thoracic surgery
Hirohisa InabaKiyoshi Isobe
La semaine des hôpitaux : organe fondé par l'Association d'enseignement médical des hôpitaux de Paris
R AMSLER, R GOYER
© 2022 Meta ULC. All rights reserved