Journal of Medicine and Life Science

Institute for Medical Science (제주대학교 의과학연구소)
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Massive hemothorax resulting from spontaneous pneumothorax

자연성 기흉으로 인한 대량의 혈흉

  • Hong, Ji Yeon (Jeju National University School of Medicine) ;
  • Kim, Su Wan (Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University School of Medicine)
  • 홍지연 (제주대학교 의학전문대학원 의학과) ;
  • 김수완 (제주대학교 의학전문대학원 흉부외과학교실)
  • Received : 2020.03.29
  • Accepted : 2020.04.29
  • Published : 2020.04.30
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Abstract

Spontaneous hemopneumothorax is a rare disease, and it can cause life threatening condition. It is characterized by the accumulation of more than 400 mL of blood and air in the pleural cavity without any other apparent causes. A previously healthy 22-year-old female patient presented with acute chest pain and dyspnea. Chest X-ray and computed tomography revealed a massive hemopneumothorax in the left hemithorax. The images showed a completely collapsed left lung with right-sided tracheal deviation, several pleural adhesion bands, and fluid collection with air-fluid level. We emergently performed a closed thoracostomy, and then 560 mL of fresh bloods were initially drained. We considered an emergent video-assisted thoracoscopic surgery for pulmonary wedge resection and bleeding control because of the massive hemothorax. However, the patient's vital signs were stabilized after blood transfusion and supportive cares for re-expansion pulmonary edema. The patient discharged from the hospital on 11th in-hospital day after removal of the chest tube, and there had not been any recurrence of the pneumothorax for 10 months. We suggest that treatment strategy should be decided upon individually based on the patient's condition and clinical course of the disease.

Keywords

References

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