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
- Rizk Sayad R. Sarhan, Omnia Y. Habashy, Raafat R. Mohammed, Yasmin M. Marei, Active versus latent pulmonary tuberculosis: which one is the appropriate distinguishing biomarker? , Monaldi Archives for Chest Disease: Early Access
- The Monaldi Archives for Chest Disease Editors, Editorial Expression of Concern: Lipid-lowering therapy in patients with coronary heart disease: an Italian real-life survey. Results from the Survey on Risk FactOrs and CardiovascuLar secondary prevention and drug strategieS (SOFOCLES) in Italy , Monaldi Archives for Chest Disease: Early Access
- Manju Bala, Akhlesh Rajpoot, Dinesh Chandra Punera, Suyash Singh Rathore, Hormonal harmony disrupted: hypothyroidism and diabetes mellitus in interstitial lung disease. An observational study , Monaldi Archives for Chest Disease: Early Access
- Raj Kumar, Parul Mrigpuri, Rohit Sarin, Jitendra Kumar Saini, Rashmi Yadav, Aditya Nagori, Sushil Kumar Kabra, Arpana Mukherjee, Geetika Yadav, Air pollution and its effects on emergency room visits in tertiary respiratory care centers in Delhi, India , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- The Publisher, Correction. Robotic resection of mediastinal left vagus neurofibroma , Monaldi Archives for Chest Disease: Vol. 93 No. 1 (2023)
- Marcos Martinelli, Eduardo V. Ponte, Daniel Antunes S. Pereira, Giulio Checchinato , Bruna Eduarda Gandra, Bruno Maciel, Alcides Rocha, Relationship between symptoms and results on spirometry in adults seen in non-tertiary public health facilities presenting with preserved ratio impaired spirometry , Monaldi Archives for Chest Disease: Early Access
- Matteo Petroncini, Leonardo Valentini, Piergiorgio Solli, Pietro Bertoglio, Giant lung bulla as a late-onset complication of mild SARS-CoV-2 pneumonia , Monaldi Archives for Chest Disease: Vol. 94 No. 3 (2024)
- Christie George Joseph, Madhusmita Mohanty Mohapatra, Manju Rajaram, Jayabharathi Palanivel, Balasubramanian Velappan, Fungal pneumonia concealing bacterial pneumonia: a diagnostic dilemma , Monaldi Archives for Chest Disease: Vol. 94 No. 2 (2024)
- Gaukhar Kurmanova, Almas Zhanaev, Akzharkyn Kaldybek, Balkiya Abdrakhmanova, Almira Akparova, Impact of the COVID-19 pandemic on the clinical features of patients with chronic obstructive pulmonary disease: an observational cross-sectional study , Monaldi Archives for Chest Disease: Early Access
- Salvatore Andrea Sciurello, Francesca Graziano, Maria Marcella Laganà, Elena Compalati, Gabriele Pappacoda, Simone Gambazza, Jorge Navarro, Pietro Cecconi, Francesca Baglio, Paolo Banfi, Feasibility of high-frequency percussions in people with severe acquired brain injury and tracheostomy: an observational study , Monaldi Archives for Chest Disease: Early Access
<< < 33 34 35 36 37 38 39 40 41 42 > >>
You may also start an advanced similarity search for this article.
