Spontaneous Hemothorax as a Direct Complication of Hemoperitoneum

Pratt, Joseph H.; Shamblin, William R.

doi:10.1097/00000658-196806000-00007

Cited by 15 publications

(6 citation statements)

References 2 publications

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“…Therefore, this route seems to be more applicable to the present case than the route via the caval opening and mediastinum. This transdiaphragmatic passage of blood through a diaphragmatic defect has already been comprehensively described by Pratt et al , who presented three cases of hemoperitoneum with secondary hemothorax in their article [ 24 ], although their cases differ from our case because they had a larger time lag between the onset of hemoperitoneum and the manifestation of secondary hemothorax.…”

Section: Discussionsupporting

confidence: 69%

Hemothorax caused by spontaneous rupture of hepatocellular carcinoma: a case report and review of the literature

Ono¹,

Hiraga²,

Omura³

et al. 2012

World J Surg Onc

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We report a rare case in which hemothorax occurred in addition to hemoperitoneum due to spontaneous rupture of hepatocellular carcinoma (HCC) originating from the caudate lobe of the liver. The case pertains to a 56-year-old female who was transported to our hospital for impaired consciousness due to hemorrhagic shock. Computed tomography (CT) demonstrated ruptured HCC originating from the caudate lobe and accompanying hemoperitoneum and right hemothorax. Hemostasis was carried out by transcatheter arterial embolization (TAE), and surgery was conducted approximately one month after TAE. In the present case, no lesions as possible sources of bleeding were observed inside the pleural cavity, and, moreover, the diaphragm had no abnormalities in the intraoperative findings, suggesting that blood from the ruptured tumor may have traversed the intact diaphragm to enter the right pleural cavity soon after the HCC rupture. However, to the best of our knowledge, no similar cases of HCC have been reported to date, and this case is thus believed to be very rare. This unusual phenomenon may therefore be strongly associated with the location of the ruptured tumor and the formation of a hematoma inside the omental bursa. We discuss the mechanism causing hemothorax in the present case and also review the previously reported cases of ruptured HCC complicated by hemothorax.

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Section: Discussionsupporting

confidence: 69%

Hemothorax caused by spontaneous rupture of hepatocellular carcinoma: a case report and review of the literature

Ono¹,

Hiraga²,

Omura³

et al. 2012

World J Surg Onc

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show abstract

“…Anatomically, the pleural space is separated from the peritoneal space and it is uncommon for fluids from the two spaces to mix. In some ascitic conditions, however, such as liver cirrhosis, malignant neoplasm and (rarely) haemoperitoneum, peritoneal fluid can reach the pleural space (almost always the right pleural space), via direct transdiaphragmatic passage (Pratt and Shamblin, 1968). A second possible explanation for the haemothorax described here is that (independently of the splenic complications) a spontaneous haemorrhage happened in the patient's supradiaphragmatic space.…”

Section: Discussionmentioning

confidence: 78%

Spontaneous haemothorax and haemoperitoneum inPlasmodium vivaxmalaria

Hong

et al. 2011

Annals of Tropical Medicine & Parasitology

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“…We believe this to be the first report of haemothorax secondary to haemoperitoneum following gynaecological laparoscopic surgery. Haemothorax has previously been described following abdominal surgery 10 11. Vaughan et al reported a case of haemothorax secondary to uterine haemorrhage following caesarean section.…”

Section: Discussionmentioning

confidence: 99%

Porous diaphragm syndrome: haemothorax secondary to haemoperitoneum following laparoscopic hysterectomy

May¹,

Ades

2013

BMJ Case Reports

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The porous diaphragm syndrome is associated with the presence of diaphragmatic fenestrations creating peritoneopleural communications. Such defects may occur in conditions associated with a rise on intra-abdominal pressure including laparoscopic surgery. Thoracic complications of laparoscopic surgery may occur as a result. A 48-year-old woman underwent a total laparoscopic hysterectomy for heavy menstrual bleeding. The postoperative period was complicated by haemoperitoneum resulting in haemothorax secondary to porous diaphragm syndrome. Surgeons and anaesthetists should be aware of the possibility of serious thoracic complications related to laparoscopic surgery.

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Spontaneous Hemothorax as a Direct Complication of Hemoperitoneum

Cited by 15 publications

References 2 publications

Hemothorax caused by spontaneous rupture of hepatocellular carcinoma: a case report and review of the literature

Hemothorax caused by spontaneous rupture of hepatocellular carcinoma: a case report and review of the literature

Spontaneous haemothorax and haemoperitoneum inPlasmodium vivaxmalaria

Porous diaphragm syndrome: haemothorax secondary to haemoperitoneum following laparoscopic hysterectomy

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