Assessment of spontaneous hemopneumothorax: Indications for surgery

Inafuku, Kenji; Yamamoto, Taketsugu; Masuda, Munetaka

doi:10.1177/0218492314568105

Cited by 12 publications

(10 citation statements)

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“…Patients presenting shock or progressively aggravated bleeding, or when no lung expansion after thoracentesis or closed drainage of the thoracic cavity is observed in a patient with or without suspected active bleeding, then surgery should be performed as soon as possible. In fact, the majority of such patients eventually require surgical intervention ( 20 – 22 ).…”

Section: Discussionmentioning

confidence: 99%

Multiple‑site bleeding at pleural adhesions and massive hemothorax following percutaneous coronary intervention with stent implantation: A case report

et al. 2018

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An elderly male patient with coronary heart disease underwent coronary angiography, which revealed bilateral severe coronary artery stenosis. Four stents were implanted, and at 5 h post-surgery, typical hemorrhagic shock appeared. Echocardiography verified heavy bleeding in the right thoracic cavity. Emergency angiography excluded injury or perforation of the coronary artery, aorta, right subclavian artery and brachiocephalic artery. Considering the patient's history of chronic obstructive pulmonary disease and severe cough during the operation, it was suspected that hemothorax was induced by a blood vessel rupture in the pleura. Video-assisted thoracic examination confirmed the tearing of pleural adhesion bands and bleeding at three sites in the pulmonary pleura and parietal pleura. According to the reported case, bleeding as a result of the laceration of pleural adhesions is an important cause of hemothorax that should be considered after exclusion of other common causes of pleural hemorrhage.

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Section: Discussionmentioning

confidence: 99%

Multiple‑site bleeding at pleural adhesions and massive hemothorax following percutaneous coronary intervention with stent implantation: A case report

et al. 2018

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“…Laparoscopic surgery is widely performed because of its many advantages over open surgery, such as lower mortality and morbidity, less postoperative pain, less invasiveness, and improved postoperative recovery. 1 Despite these benefits, laparoscopic surgery may also be associated with complications such as pneumothorax, pneumomediastinum, and subcutaneous emphysema. 2 Laparoscopic radical resection of rectal cancer can provide an optimal field of view using insufflation of carbon dioxide into the peritoneal cavity.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous hemopneumothorax after laparoscopy: a case report and literature review

et al. 2020

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Background Spontaneous hemopneumothorax (SHP) is defined as the accumulation of >400 mL of blood in the pleural cavity in association with spontaneous pneumothorax. This rare clinical disorder may be life-threatening. Case presentation A 71-year-old woman presented with a 1-month history of recurrent bloody stool, and electronic colonoscopy suggested a rectal mass. Laparoscopic radical resection of rectal cancer was performed. Two days later, she developed chest tightness, shortness of breath, and slight pain in the left chest. Emergency chest radiography revealed mild left pneumothorax and pleural effusion. SHP was suspected and a thoracic drain was inserted. However, the patient developed hemorrhagic shock 3 hours after drainage. She underwent emergency video-assisted thoracic surgery (VATS), which revealed left lung tip rupture with bleeding and adhesive band fracture at the top of the left thoracic cavity. The ruptured lung tissue was removed and electrocoagulation at the adhesion band was performed for hemostasis. The patient was discharged on postoperative day 11. At the time of this writing, she had developed no SHP recurrence or any other complications. Conclusions This case shows that conservative treatment may have serious consequences in patients with SHP. Thus, chest X-ray examination and VATS should be performed in patients with SHP.

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“…El hemoneumotórax espontáneo es una entidad rara, ocurriendo solo en un 1-12% de los neumotórax espontáneos1, 2, 3. La enfermedad fue reconocida por primera vez por Laennec en 1828 durante la realización de una autopsia2, 3.…”

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“…La enfermedad fue reconocida por primera vez por Laennec en 1828 durante la realización de una autopsia2, 3. Se define como la acumulación de más de 400 ml de sangre en la cavidad pleural1, 2, 4, asociando un neumotórax espontaneo. Otras causas de hemotórax espontáneo serían las coagulopatías (enfermedades congénitas o drogas), vasculopatías, infecciones, neoplasias, exóstosis costales, secuestro pulmonar, hematopoyesis extramedular y endometriosis (hemotórax catamenial)2, 3, 5.…”

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“…Otras causas de hemotórax espontáneo serían las coagulopatías (enfermedades congénitas o drogas), vasculopatías, infecciones, neoplasias, exóstosis costales, secuestro pulmonar, hematopoyesis extramedular y endometriosis (hemotórax catamenial)2, 3, 5. Es importante reconocer el hemoneumotórax espontáneo, dado que puede asociar shock hipovolémico y comprometer la vida del paciente1, 2, 5. Ocurre en pacientes jóvenes, sobre todo varones 2 .…”

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