Spontaneous Hemothorax Caused by Pulmonary Micro-Venous Hemangioma

Homma, Takashi; Yamamoto, Yutaka; Imura, Johji; Doki, Yoshinori; Yoshimura, Naoki; Senda, Kazutaka; Toge, Masayoshi; Ojima, Toshihiro; Shimada, Yasuhiro; Masawa, Nobuhide

doi:10.1016/j.athoracsur.2014.08.065

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…10,19 Conservative management with octreotide has been explored in several case reports and case series in adults which reported total daily doses ranging from 150 to 750 µg. 1,[4][5][6]9,10,[12][13][14][15] There are no prospective randomized trials of octreotide in adults with chyle leak secondary to surgery or trauma.…”

Section: Discussionmentioning

confidence: 99%

“…12 Several case reports and small studies have described the role of octreotide in the successful management of chyle leaks; however, there are no comparative reports evaluating octreotide dosing for this indication. 1,[4][5][6][9][10][11][12][13][14][15] The purpose of this study was to evaluate octreotide dosing in the medical management of chyle leak in patients with otolaryngologic, thoracic, and trauma surgeries.…”

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confidence: 99%

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Octreotide Dosing in the Medical Management of Chyle Leak Following Otolaryngologic, Thoracic, and Trauma Surgery: A 9-Year Evaluation

Strama

Rice

Ruff

et al. 2022

Journal of Pharmacy Practice

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Background: Chyle leak is a rare complication following otolaryngologic, thoracic, and trauma surgery wherein the thoracic duct is transected. Case reports and small case series describe octreotide for the medical management of chyle leak, but limited data exist to determine the ideal dose. Objective: To evaluate octreotide dosing in patients with acute chyle leak. Methods: This retrospective, single center, cohort study evaluated adult patients admitted to the otolaryngology, cardiothoracic, and trauma surgery teams over a 9-year period. Patients diagnosed with a chyle leak who received octreotide were eligible for inclusion. Groups were defined as successful medical management or failure requiring definitive surgery. The primary endpoint was daily octreotide dose between groups. Results: Forty-seven patients were included with 29 (61.7%) admitted to the otolaryngology service and 44 (93.6%) with surgical complication as the chyle leak cause. Thirty-two (68.1%) patients had successful medical management while 15 (31.9%) patients failed and required surgical intervention. There was no difference in median daily octreotide dose (250 [IQR, 170-288] µg vs 253 [IQR, 200-282] µg, P = .9). Octreotide weight-based dose, treatment duration, and route of administration were similar between groups. Daily drain output and complete bowel rest were significantly higher in the failure group. Daily drain output was identified as an independent risk factor for failure. Conclusion: Octreotide dose was similar in patients with and without successful medical management of chyle leak. Future studies are needed to determine optimal octreotide dosing and elucidate the relationship between octreotide, drain output, and surgical intervention need.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Octreotide Dosing in the Medical Management of Chyle Leak Following Otolaryngologic, Thoracic, and Trauma Surgery: A 9-Year Evaluation

Strama

Rice

Ruff

et al. 2022

Journal of Pharmacy Practice

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“…L’hémothorax est une affection relativement fréquente, souvent associé à un traumatisme, d’origine iatrogène, à une coagulopathie, à une dissection aortique, à un infarctus pulmonaire, à une néoplasie ou un pneumothorax spontané. Par contre, l’hémothorax spontané est une pathologie rare [ 1 ], les étiologies sont multiples [ 2 ] mais demeurent parfois inconnues en vue d’une thoracotomie exploratrice [ 3 ]. Les vascularites n’ont jamais été rapportées comme éventuelle cause des hémothorax, à la limite de notre connaissance.…”

Section: Introductionunclassified

Hémothorax spontané révélant une vascularite de Wegener chez une femme enceinte

Serhane¹,

Msougar²,

Àmro³

2016

Pan Afr Med J

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L’hémothorax spontané demeure une pathologie rare. Ses étiologies sont multiples mais restent parfois inconnues. Chez certains patients, la thoracotomie peut être le seul recours pour déterminer son origine. Les vascularites n’ont pas été rapporté comme cause habituelle des hémothorax spontanés. La grossesse ne semble pas avoir d’effet causal, ni aggravant des hémothorax spontanés, ni des vascularites. Nous rapportons une observation assez particulière d’une jeune patiente, présentant au cours de sa grossesse un hémothorax spontané secondaire à une vasularite de type Wegener, diagnostiquée par la biopsie pleurale faite au cours d’une thoracotomie exploratrice et confirmée par le dosage des ANCA.

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Spontaneous haemothorax caused by a ruptured oesophageal artery

Zhang

et al. 2017

Interactive CardioVascular and Thoracic Surgery

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Spontaneous haemothorax is a subcategory of haemothorax that occurs in the absence of trauma or other causes. It is a rare emergency that can progress rapidly with massive blood loss leading to haemorrhagic shock and death. We describe a patient with massive spontaneous haemothorax caused by the disruption of an oesophageal artery from the middle segment of descending thoracic aorta. We sutured the bleeding artery in an emergency thoracotomy after the failure of interventional procedure.

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Spontaneous Hemothorax Caused by Pulmonary Micro-Venous Hemangioma

Cited by 3 publications

References 7 publications

Octreotide Dosing in the Medical Management of Chyle Leak Following Otolaryngologic, Thoracic, and Trauma Surgery: A 9-Year Evaluation

Octreotide Dosing in the Medical Management of Chyle Leak Following Otolaryngologic, Thoracic, and Trauma Surgery: A 9-Year Evaluation

Hémothorax spontané révélant une vascularite de Wegener chez une femme enceinte

Spontaneous haemothorax caused by a ruptured oesophageal artery

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