https://doi.org/10.4081/monaldi.2023.2496
Spontaneous large volume hemothorax managed with a small-bore chest tube
Accepted: January 25, 2023
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.
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- William Newmarch, Angelica Puopolo, Madina Weiler, Brian Casserly, Hamman-Rich syndrome: a forgotten entity , Monaldi Archives for Chest Disease: Vol. 87 No. 1 (2017)
- Naoto Ishimaru, Hisashi Ohnishi, Mao Fujii, Masako Yumura, Sho Yoshimura, Saori Kinami, Microscopic polyangiitis presented with biopsy-confirmed pleuritis , Monaldi Archives for Chest Disease: Vol. 88 No. 2 (2018)
- P.L. Aliprandi, F.P. Basile, G.F. Tassi, Percutaneous Approach in Pneumology , Monaldi Archives for Chest Disease: Vol. 75 No. 1 (2011): Pulmonary series
- Shivam Garg, Pratap Upadhya, Arul Kumar, Norton Stephen, Bala Subramanian, Overcoming the challenges of a misdiagnosed rare lung disease – idiopathic pleuroparenchymal fibroelastosis , Monaldi Archives for Chest Disease: Vol. 94 No. 2 (2024)
- Roberto Torchio, Alessandra Mazzucco, Marco Guglielmo, Roberto Giardino, Claudio Ciacco, Francesco Ardissone, Minute ventilation to carbon dioxide output (V’E/V’CO2 slope) is the strongest death predictor before larger lung resections , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
- G.F. Tassi, G.P. Marchetti, P.L. Aliprandi, Advanced Medical Thoracoscopy , Monaldi Archives for Chest Disease: Vol. 75 No. 1 (2011): Pulmonary series
- S. Conforti, M. Torre, S. Fieschi, A. Lomonaco, M. Ravini, Successful treatment of persistent postoperative air leaks following the placement of an endobronchial one-way valve , Monaldi Archives for Chest Disease: Vol. 73 No. 2 (2010): Pulmonary series
- Mariano Mollica, Rosalba Maffucci, Sabrina Lavoretano, Gaetano Rea, Francesco Saverio Cerqua, Luigi Aronne, Andrea Bianco, Fabio Perrotta, Non-small cell lung cancer presenting as "psoas muscle syndrome": a case report , Monaldi Archives for Chest Disease: Vol. 89 No. 1 (2019)
- Nitin Goel, Nitesh Goyal, Raj Kumar, Clinico-radiological evaluation of post COVID-19 at a tertiary pulmonary care centre in Delhi, India , Monaldi Archives for Chest Disease: Vol. 91 No. 3 (2021)
- Emanuele Stirpe, Floriana Bardaro, Johanna Köhl, Pleural effusion and Waldenström macroglobulinemia: if cytology and flow cytometric findings do not match. A case report , Monaldi Archives for Chest Disease: Early Access
<< < 9 10 11 12 13 14 15 16 17 18 > >>
You may also start an advanced similarity search for this article.
