Spontaneous hemopneumothorax causing life-threatening hemorrhage: a case report.

Autor: Nishikawa M; Department of Anesthesiology, Uji-Tokushukai Medical Center, 145 Ishibashi Makishimacho, Uji, Kyoto, Japan., Shimizu M; Department of Anesthesiology, Uji-Tokushukai Medical Center, 145 Ishibashi Makishimacho, Uji, Kyoto, Japan. masaru@koto.kpu-m.ac.jp., Banno T; Department of Anesthesiology, Uji-Tokushukai Medical Center, 145 Ishibashi Makishimacho, Uji, Kyoto, Japan., Dobashi R; Department of Thoracic Surgery, Uji-Tokushukai Medical Center, 145 Ishibashi Makishimacho, Uji, Kyoto, Japan., Ito S; Department of Thoracic Surgery, Uji-Tokushukai Medical Center, 145 Ishibashi Makishimacho, Uji, Kyoto, Japan.
Jazyk: angličtina
Zdroj: Journal of medical case reports [J Med Case Rep] 2024 Aug 07; Vol. 18 (1), pp. 375. Date of Electronic Publication: 2024 Aug 07.
DOI: 10.1186/s13256-024-04715-9
Abstrakt: Background: Spontaneous hemopneumothorax is a rare condition that can be life-threatening if not promptly diagnosed and treated. We report a case of early treatment with transcatheter arterial embolization and video-assisted thoracoscopic surgery.
Case Presentation: A 19-year-old Japanese male was diagnosed with left pneumothorax and underwent chest tube drainage. A total of 10 hours after admission, the patient developed dyspnea, chest pain, and sudden massive bloody effusion. Contrast-enhanced computed tomography revealed contrast extravasation near the left lung apex, and spontaneous hemopneumothorax was diagnosed. Angiography revealed bleeding from a branch of the subscapular artery and transcatheter arterial embolization was performed. The patient underwent video-assisted thoracoscopic surgery and recovered uneventfully.
Conclusions: Anesthesiologists involved in urgent surgeries must be aware that a patient with spontaneous pneumothorax can develop a hemopneumothorax, even when full lung expansion has been obtained following chest tube drainage, owing to latent aberrant artery disruption. Interprofessional team engagement is essential for spontaneous hemopneumothorax management.
(© 2024. The Author(s).)
Databáze: MEDLINE
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