https://doi.org/10.4081/monaldi.2023.2496
Spontaneous large volume hemothorax managed with a small-bore chest tube
Submitted: November 28, 2022
Accepted: January 25, 2023
Published: February 2, 2023
Accepted: January 25, 2023
Abstract Views: 767
PDF: 182
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
A 67-year-old male with metastatic lung cancer presented with acute shortness of breath and increasing oxygen requirements. He had a decreasing hemoglobin for which he required red blood cell transfusions. His chest X-ray showed near complete white-out of the left lung. Bedside ultrasound (Handheld Sonostar C4PL) showed a large pleural effusion with swirling echogenic material suggestive of plankton sign. The pleural effusion was aspirated and showed frank blood, after which a small-bore chest tube (SBCT) was inserted. A total of 3200 mL of blood was drained with the SBCT. There was complete clearance of the pleural space, and no further blood product transfusions were needed. This case highlights that conservative management can be considered in patients with spontaneous hemothorax due to metastatic disease.
Azfar Ali H, Lippmann M, Mundathaje U, Khaleeq G. Spontaneous hemothorax: a comprehensive review. Chest 2008;134:1056-65.
DOI: https://doi.org/10.1378/chest.08-0725
Morgan CK, Bashoura L, Balachandran D, Faiz SA. Spontaneous hemothorax. Ann Am Thorac Soc 2015;12:1578-82.
DOI: https://doi.org/10.1513/AnnalsATS.201505-305CC
Yen CW, Hsu LS, Chen CW, Lin WH. Hepatocellular carcinoma with thoracic metastases presenting as hemothorax: A case report and literature review. Medicine (Baltimore) 2018;97e10945.
DOI: https://doi.org/10.1097/MD.0000000000010945
Campione A, Forte G, Luzzi L, et al. Pulmonary angiosarcoma presenting as spontaneous recurrent hemothorax. Asian Cardiovasc Thorac Ann 2009;17:84-5.
DOI: https://doi.org/10.1177/0218492309102544
Chetcuti K, Barnard J, Loggos S, et al. Massive hemothorax secondary to metastatic renal carcinoma. Ann Thorac Surg 2010;89:2014-6.
DOI: https://doi.org/10.1016/j.athoracsur.2009.10.009
Svigals PZ, Chopra A, Ravenel JG, et al. The accuracy of pleural ultrasonography in diagnosing complicated parapneumonic pleural effusions. Thorax 2017;72:94-5.
DOI: https://doi.org/10.1136/thoraxjnl-2016-208904
Chung MH, Hsiao CY, Nian NS, et al. The Benefit of ultrasound in deciding between tube thoracostomy and observative management in hemothorax resulting from blunt chest trauma. World J Surg 2018;42:2054-60.
DOI: https://doi.org/10.1007/s00268-017-4417-5
Clive AO, Kahan BC, Hooper CE, et al. Predicting survival in malignant pleural effusion: development and validation of the LENT prognostic score. Thorax 2014;69:1098-104.
DOI: https://doi.org/10.1136/thoraxjnl-2014-205285
How to Cite
Salahuddin, Moiz, and Samia Ayub. 2023. “Spontaneous Large Volume Hemothorax Managed With a Small-Bore Chest Tube”. Monaldi Archives for Chest Disease 93 (4). https://doi.org/10.4081/monaldi.2023.2496.
Copyright (c) 2023 The Author(s)
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