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: 769
PDF: 183
Publisher's note
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.
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)
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
- Raj Kumar, Sonam Spalgais, Vikrant Ranga, Hypersensitivity pneumonitis: clinical, radiological and pathological profile of 103 patients from North India , Monaldi Archives for Chest Disease: Vol. 90 No. 3 (2020)
- Carlo Iadevaia, Fabio Perrotta, Grazia Mazzeo, Francesco Saverio Cerqua, Gennaro Mazzarella, Salvatore Guarino, Roberto Parrella, Andrea Bianco, Incidental diagnosis of lung adenocarcinoma following coronavirus OC 43 severe pneumonia , Monaldi Archives for Chest Disease: Vol. 90 No. 3 (2020)
- N. Barbarito, E. De Mattia, Grading the severity of obstruction in patients with Chronic Obstructive Pulmonary Disease and morbid obesity , Monaldi Archives for Chest Disease: Vol. 79 No. 3-4 (2013): Pulmonary series
- Anna Brivio, Annalisa Orenti, Mauro Barbisan, Paolo Buonpensiero, Mirco Ros, Simone Gambazza, Home physiotherapists assisting follow-up treatment in cystic fibrosis: a multicenter observational study , Monaldi Archives for Chest Disease: Vol. 91 No. 2 (2021)
- Emanuela Barisione, Giovanni A. Rossi, Mario Salio, Gradually worsening dyspnea and dry cough in an elderly patient , Monaldi Archives for Chest Disease: Vol. 87 No. 2 (2017)
- Raj Kumar, Shyam Kanhaiya Saroj, Manoj Kumar, Tobacco Quitline toll-free number on tobacco packets in India: An analysis on outcome , Monaldi Archives for Chest Disease: Vol. 91 No. 2 (2021)
- Rupi Jamwal, Dinesh Singh Kushwaha, Charu Paruthi, Yatish Agarwal, Baljeet Singh Virk, Malini R. Capoor, Comparative analysis of airway invasive aspergillosis and endobronchial spread of tuberculosis on high resolution computed tomography , Monaldi Archives for Chest Disease: Vol. 93 No. 3 (2023)
- Lorenzo Agostini, Nicola Facciolongo, Mirco Lusuardi, Eleonora Casalini, Carla Galeone, Luciano Lasagni, Luigi Zucchi, Endobronchial ultrasound-guided transbronchial needle aspiration under conscious sedation with meperidine and midazolam , Monaldi Archives for Chest Disease: Vol. 87 No. 2 (2017)
- Amit Gupta, Aman Snehil, Sujeet Kumar, Roshan Chanchlani, Reyaz Ahmad, Keerti Swarnkar, Garima Goel, Bronchiectasis without lower respiratory symptoms in the presence of multisystem anomalies – a clinical clue to diagnose esophageal lung anomaly , Monaldi Archives for Chest Disease: Vol. 93 No. 1 (2023)
- Yaser Jenab, Marzieh Pourjafari, Maryam Sotoudeh, Masoumeh Lotfi-tokaldany, Nasrin Etesamifard, Shapour Shirani, Arash Jalali, Younes Nozari, Hamid-reza Poorhosseini, Comparing the effect of cardiac biomarkers on the outcome of normotensive patients with acute pulmonary embolism , Monaldi Archives for Chest Disease: Vol. 87 No. 1 (2017)
<< < 30 31 32 33 34 35 36 37 38 39 > >>
You may also start an advanced similarity search for this article.
