Spontaneous Hemothorax during pregnancy: A case report.

Autor: Zamaniyan M; Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran; Mazandaran Heart Center, Mazandaran University of Medical Sciences, Sari, Iran., Jafari K; Mazandaran Heart Center, Mazandaran University of Medical Sciences, Sari, Iran., Kargar-Soleimanabad S; Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran., Nikzad Jamnani A; Department of Anesthesiology and Critical Care, Mazandaran University of Medical sciences, Sari, Iran. Electronic address: alirezanikzad@yahoo.com.
Jazyk: angličtina
Zdroj: International journal of surgery case reports [Int J Surg Case Rep] 2022 Oct; Vol. 99, pp. 107660. Date of Electronic Publication: 2022 Sep 14.
DOI: 10.1016/j.ijscr.2022.107660
Abstrakt: Introduction and Importance: Spontaneous hemothorax is a rare but life-threatening condition, which is the main cause of respiratory distress during pregnancy and after delivery without any evidence of post-traumatic injury.
Case Presentation: A 34-year-old woman, pregnant at 20 weeks, presented in the emergency department complaining of dyspnea accompanied by epigastric pain, with dominance on the left side. Chest X-ray and CT-scan revealed an opacity by displacing heart to the right side. Considering, there was a probability of bleeding from venous arterial malformation. Inappropriate cervical condition two days after the patient appeared thermodynamically stable a cesarean section was performed.
Clinical Discussion: Pregnancy leads to increasing the size of AVM by rising cardiac output and hypoxia. Patients who are predisposed to PAVM and intend to be pregnant should be evaluated a priori.
Conclusion: Although the hemothorax is a rare phenomenon during pregnancy, management of fetus following this critical condition requires multidisciplinary assessment.
Competing Interests: Declaration of competing interest The authors report no conflicts of interest.
(Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE