Spontaneous Hemothorax

Ali, Hakim Azfar; Lippmann, Michael; Mundathaje, Uday; Khaleeq, Ghulam

doi:10.1378/chest.08-0725

Cited by 124 publications

(52 citation statements)

References 97 publications

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“…Life threatening tension hemothorax is most often caused by penetrating or blunt trauma to the chest or as a complication to a procedure [4]. Spontaneous tension hemothorax is extremely rare and has, to our best knowledge, only been reported twice in the English literature [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous pneumothorax is by far the most common cause of hemothorax, where 0.5%-12% of all cases are complicated by a hemothorax [3,4]. Spontaneous hemothorax is defined as accumulation of more than 400 ml of blood in the pleural cavity in association with a spontaneous pneumothorax [4].…”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous hemothorax is defined as accumulation of more than 400 ml of blood in the pleural cavity in association with a spontaneous pneumothorax [4]. The bleeding can be caused by a torn adhesion between the parietal and visceral pleura, rupture of vascularized bullae and underlying lung parenchyma or an aberrant vessel between the parietal pleura and bullae.…”

Section: Discussionmentioning

confidence: 99%

“…The bleeding can be caused by a torn adhesion between the parietal and visceral pleura, rupture of vascularized bullae and underlying lung parenchyma or an aberrant vessel between the parietal pleura and bullae. More rare causes of hemothorax are coagulopathy, aortic dissection or rupture, neoplasia or endometriosis [4]. Kelly et al [6] evaluated 2,378 pectus excavatum patients, where 1,215 underwent the pectus excavatum repair [6].…”

Section: Discussionmentioning

confidence: 99%

“…In 0.5-12% of these cases, spontaneous pneumothorax can be complicated by a hemothorax [3]. Spontaneous hemopneumothorax is a rare condition characterized by accumulation of blood within the pleural cavity in association with a spontaneous pneumothorax [4]. Although extremely rare, spontaneous hemopneumothorax can become life threatening due to the hemodynamic instability and ventilatory collapse [5].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Spontaneous Tension Hemothorax in a Young Male with a Nuss Implant

Jacobsen¹,

Br²,

Ellesøe³

2017

J Pulm Respir Med

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Spontaneous Tension Hemothorax in a Young Male with a Nuss Implant

Jacobsen¹,

Br²,

Ellesøe³

2017

J Pulm Respir Med

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Management of hemorrhagic pleural effusion with intrapleural streptokinase in a patient on peritoneal dialysis and dual antiplatelet therapy

Thapaliya

Bhattarai

Gautam

et al. 2023

Clinical Case Reports

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Pleural effusion is seen in up to 10 percent of patients on peritoneal dialysis (PD). 1 The differential diagnosis of pleural effusion in PD patients is extensive. It includes general causes of pleural effusion and causes unique to PD patients. Transudative pleural effusions in PD patients may be commonly due to volume overload and cardiac failure, or rarely due to pleuroperitoneal leakage. 2 Exudative effusions could occur due to infection, inflammation, or hemorrhage. The presence of a hemorrhagic pleural effusion can narrow the differential diagnoses to trauma,

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Spontaneous hemothorax caused by rivaroxaban treatment for pulmonary embolism: A case report

Al Hariri,

Alharafsheh,

Hassan

et al. 2023

Clinical Case Reports

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Key Clinical MessageHemothorax is a rare and potentially fatal condition characterized by pleural effusion containing over 50% of the patient's hematocrit. A massive hemothorax involves blood loss exceeding 1.5 L. Common causes include chest trauma, invasive thoracic procedures, anticoagulant medications, vascular anomalies, malignancies, and hematologic abnormalities. Spontaneous hemothorax may be seen in conjunction with pulmonary infarction and spontaneous pneumothorax. Anticoagulation is a key therapeutic strategy for certain thromboembolic events, such as pulmonary embolism. Historically, these events were treated with vitamin K antagonists (VKAs), which have demonstrated variable plasma concentrations and an increased risk of hemorrhage. With the advent of direct oral anticoagulants (DOACs), treatment has become as effective as VKAs while significantly reducing the risk of hemorrhage. However, some researchers have speculated that hemorrhagic complications in certain cases could be worse with DOACs than with VKAs. In the case presented here, we identified a genuine association between the use of rivaroxaban and spontaneous hemothorax following the initiation of treatment for pulmonary embolism.

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Spontaneous Hemothorax

Cited by 124 publications

References 97 publications

Spontaneous Tension Hemothorax in a Young Male with a Nuss Implant

Spontaneous Tension Hemothorax in a Young Male with a Nuss Implant

Management of hemorrhagic pleural effusion with intrapleural streptokinase in a patient on peritoneal dialysis and dual antiplatelet therapy

Spontaneous hemothorax caused by rivaroxaban treatment for pulmonary embolism: A case report

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