Early Surgeryfor Treatment of Spontaneous Hemopneumothorax

Homma, Takashi; Sugiyama, Shigeki; Kotoh, Keiju; Doki, Yoshinori; Tsuda, M; Misaki, Takuro

doi:10.1177/145749690909800306

Cited by 19 publications

(18 citation statements)

References 12 publications

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“…%15'den az olan kanamalarda sıklıkla semptom gelişmez. Genelde %15'ten fazla olan kanamalarda cerrahi düşünülmelidir [1]. Bu kanama miktarının takibi ise göğüs tüpünden olan kanamanın izlenmesi ile yapılır.…”

Section: Bulgularunclassified

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Spontaneous Hemopneumothorax: Analysis of 8 Cases

Çobanoğlu¹

2012

Ann Clin Anal Med

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Erken tanı ve uygun tedavi yaklaşımıyla tam iyileşme görülebilir. Anahtar KelimelerSpontan Hemopnömotoraks; Tüp Torakostomi; Video Yardımlı Torakoskopik Cerrahi Abstract Aim: Spontaneous hemopneumothorax is a rare disorder that results from a torn of small vessels located in adhesions between the visceral and parietal pleura resulting from the progress of lung collapse. A large spontaneous hemopneumothorax is often life threatening, and the late diagnosis and treatment can increase mortality rate. In this study; we present eight patients who presented to us with nontraumatic spontaneous hemopneumothorax and the clinical features of these patients and the results of conservative and surgical management were discussed. Material and Method: From January 2005 and September 2010, a total of 97 patients were treated with spontaneous pneumothorax. Eight (8.23%) developed spontaneous hemopneumothorax. We analyzed many factors such as sex and age distribution, affected site, the degree of lung kollaps, clinical symptoms, bleeding volume, etiology, treatments, complications. Result: Six patients (75 %) were male and 2 patients (25 %) were female and their mean age was 30.25.±15.75 years. Hemopneumothorax is detected at the right side in 5 patients (62.5%) ,and at the left side in 3 patients (37.5%). The most common symptoms (62.5%) in all patients were chest pain and dyspnea. All patients were treated with the tube thoracostomy; five (62.5%) were treated with only the tube thoracostomy, and the other 3 (37.5%) were treated by the thoracostomy combined with video-assisted thoracic surgery.

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Section: Bulgularunclassified

“…Tüm spontan pnömotoraks olgularının %1-12'sinde meydana gelir [1]. Genellikle visseral ve pariyetal plevra arasındaki yapışık alanlarında bulunan kan damarlarının rüptürü sonucunda oluşur.…”

Section: Introductionunclassified

Spontaneous Hemopneumothorax: Analysis of 8 Cases

Çobanoğlu¹

2012

Ann Clin Anal Med

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“…Polypoid leiomyomas are very rare. Four cases were reported by Bona and colleagues [2] as originating from the gastroesophageal junction and protruding into the stomach cavity. All 4 (4 to 12 cm long) were submucosally dissected with a gastroscopic diathermic electrosurgical knife and then removed.…”

Section: Commentmentioning

confidence: 99%

“…(Ann Thorac Surg 2015;100:299-301) Ó 2015 by The Society of Thoracic Surgeons H emothorax is a relatively common condition reported to be associated with trauma, iatrogenesis, coagulopathy, aortic dissection, pulmonary infarction, malignant neoplasm, or spontaneous pneumothorax [1,2]. In contrast, a spontaneous hemothorax is rare and the etiology can remain unknown in some patients even after an exploratory thoracotomy [1,3].…”

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confidence: 99%

Spontaneous Hemothorax Caused by Pulmonary Micro-Venous Hemangioma

Homma

Yamamoto

Imura

et al. 2015

The Annals of Thoracic Surgery

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Various etiologies of spontaneous hemothorax have been reported, though the cause remains unidentified in some patients despite an exploratory thoracotomy. We report on an 89-year-old man with spontaneous hemothorax resolved by partial resection of the lung using complete video-assisted thoracoscopic surgery. The histopathologic findings revealed a ruptured micro-venous hemangioma located just below the bleeding visceral pleura. To the best of our knowledge, this is the first report of spontaneous hemothorax caused by a pulmonary micro-venous hemangioma.

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“…Se han aconsejado diferentes estrategias terapéuticas por diferentes autores. Algunos consideran que todos los HNE deben ser tratados con toracoscopia 4 mientras que otros demuestran que el tratamiento conservador es efectivo en una quinta parte de los pacientes 2 y por tanto aconsejan un tratamiento conservador con drenaje del hemotórax y vigilancia de la evolución del mismo por si es necesaria la intervención quirúrgica.…”

Section: Sr Directorunclassified