Intralobar sequestration: a rare cause of severe hemothorax

Wandschneider, W.; Illiasch, Herbert

doi:10.1016/s0022-5223(03)00692-5

Cited by 12 publications

(6 citation statements)

References 3 publications

(3 reference statements)

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“…To our surprise, significantly elevated IL-6 levels were observed within the CSF of patients with bacterial meningitis, despite conflicting outcomes in previous studies (12,13,15,21,46,47). Of note, an important anti-inflammatory role for IL-6 has been formerly demonstrated within patients with bacterial meningitis, preventing leukocyte migration from the bloodbrain barrier into CSF (48). Finally, raised IL-8 concentrations were observed within the CSF of patients with both bacterial and aseptic meningitis, which was most prominent within the aseptic cohort.…”

Section: Discussionmentioning

confidence: 68%

Raised Proinflammatory Cytokine Production Within Cerebrospinal Fluid Precedes Fever Onset in Patients With Neurosurgery-Associated Bacterial Meningitis*

Liu

Chen

et al. 2015

Critical Care Medicine

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Section: Discussionmentioning

confidence: 68%

Raised Proinflammatory Cytokine Production Within Cerebrospinal Fluid Precedes Fever Onset in Patients With Neurosurgery-Associated Bacterial Meningitis*

Liu

Chen

et al. 2015

Critical Care Medicine

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“…This might be due to the invasive effect of Aspergillus infection, or changes of state in blood vessel and blood flow caused by hypertension, aneurysm, salicylic acid drugs, and mechanical compression of the pectus excavatum. An additional excel file shows the details of these cases (see Supplementary Material 1) (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Discussionmentioning

confidence: 99%

“…Since the abnormal supply vessel is a destabilizing factor for the occurrence of hemothorax in PS patients, we suggest that patients with PS should undergo surgery regardless of symptoms. In cases of sudden hemothorax due to PS, vascular embolization can effectively block the abnormal supply vessels ( 16 ); however, simple vascular pedicle embolization or ligation will further cause infection of the residual sequestered lung tissue. Hence, surgical intervention is necessary and recommended.…”

Section: Discussionmentioning

confidence: 99%

Intralobar Pulmonary Sequestration Presenting as Hemothorax Secondary to Spontaneous Pneumothorax: Case Report and Literature Review

Chen

Zhang

et al. 2022

Front. Pediatr.

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IntroductionPatients with pulmonary sequestration (PS), a rare congenital lung malformation, are mostly asymptomatic. Recurrent localized infection is a major complication, while sudden hemothorax is extremely rare. We present a case of intralobar PS presenting as hemothorax secondary to spontaneous pneumothorax and comprehensively review the relevant literature.Case ReportA 16-year-old male presented with chest pain after strenuous exercise. Chest X-ray showed a moderate pneumothorax. After admission and conservative treatment, he developed dizziness, amaurosis, and urinary incontinence. Bedside chest X-ray suggested a massive pleural effusion, and hemothorax was further identified via catheter drainage. Contrast-enhanced computed tomography was performed, and no abnormal blood vessels or leakage of contrast agent were observed. As the hemoglobin level continued to drop, exploratory thoracoscopic surgery was performed immediately. The abnormal systemic artery supplying the lung tissue was found to be ruptured; therefore, ligation of the abnormal artery with resection of the diseased lung tissue was performed. Pathological examination revealed non-specific manifestations of PS. He was followed up for 1 year without related complications.ConclusionOur case suggests that the abnormal supply vessels of PS are unstable, which may cause sudden hemothorax. Therefore, patients with PS should undergo surgery promptly after diagnosis. In patients with hemothorax, we should consider the diagnosis of PS; however, contrast-enhanced computed tomography or angiography cannot confirm the diagnosis in all cases. Surgical intervention is recommended in emergency settings.

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“…[2][3][4][5] Degenerative arteriosclerotic changes in the systemic artery supplying the sequestration might lead to hemoptysis. 6 Moreover, hemothorax caused by ILS is rare and has been reported in only six cases [3][4][5][7][8][9] to date. To our knowledge, there has been no report of a large intrapulmonary hematoma and massive hemothorax caused by ILS that has mimicked a benign lung tumor ruptured into the pleural cavity.…”

Section: Discussionmentioning

confidence: 99%

Intralobar sequestration presenting as a large intrapulmonary hematoma and massive hemothorax

Tamura

Kushibe

Terauchi

et al. 2006

Jpn J Thorac Cardiovasc Surg

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Intralobar sequestration is a relatively rare anomaly that is usually diagnosed with symptoms of cough, expectoration, or recurrent pneumonia. We experienced a case of a 27-year-old man with a symptom of massive hemoptysis. His chest computed tomography (CT) scan revealed a large intrapulmonary hematoma and massive hemothorax, mimicking a benign lung tumor ruptured into the pleural cavity. We should keep the possibility of this anomaly in mind if a patient with hemoptysis has a cystic lung tumor and hemothorax on CT scan.

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Intralobar sequestration: a rare cause of severe hemothorax

Cited by 12 publications

References 3 publications

Raised Proinflammatory Cytokine Production Within Cerebrospinal Fluid Precedes Fever Onset in Patients With Neurosurgery-Associated Bacterial Meningitis*

Raised Proinflammatory Cytokine Production Within Cerebrospinal Fluid Precedes Fever Onset in Patients With Neurosurgery-Associated Bacterial Meningitis*

Intralobar Pulmonary Sequestration Presenting as Hemothorax Secondary to Spontaneous Pneumothorax: Case Report and Literature Review

Intralobar sequestration presenting as a large intrapulmonary hematoma and massive hemothorax

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