Spontaneous haemothorax in a mild haemophiliac.

A Case of Hemophilia A Associated with Spontaneous Hemorrhagic Pleural Effusion and Intracranial Hematoma

“…There are two main problems in the management of these patients: first, the treatment of hemothorax requires the evacuation of blood from the pleural cavity to obtain complete expansion of the lung and to prevent the complications of fibrothorax, and, second, the management of hemophilia. Rasaretnam et al drained pleural effusion in a mild hemophiliac patient [1]. On the other hand, Wiliams et al used only factor concentrates to treat hemothorax and hemomediastinum in three hemophiliac patients [3].…”

“…The common manifestations of hemophilia are prolonged and excessive bleeding after minor trauma, spontaneous hemorrhage into the tissues and joints, epistaxis, gastrointestinal hemorrhage, and hematuria [1]. Spontaneous bleeding in the pleural space is very rare in hemophilia both in children and adults [1,2].…”

Haemothorax in children with congenital coagulopathy

“…The most common symptoms of congenital haemorrhagic diatheses, especially haemophilia and von WillebrandÕs disease (vWD), are bleeds into joints and intramuscular haemorrhages. Bleeding into the pleural cavity is an unusual complication of haemorrhagic diatheses, especially when it occurs sponta-neously without trauma [1][2][3][4][5]. We present three patients with congenital haemorrhagic diatheses and spontaneous haemothorax.…”

“…7). To sum up cases of bleeding into the pleural cavity are rare in literature (1)(2)(3)(4)(5). Each of the three cases of haemothorax we describe above was treated in a different way.…”

Teratoma of the Lung in a Hemophilic Patient

“…According to the literature, however, hemothorax in hemophilia is rare, and a hemophilic cyst in the thorax [4][5][6] seems to be even rarer.…”