Spontaneous tension haemopneumothorax

Abstract

We present a patient with sudden onset progressive shortness of breath and no history of trauma, who rapidly became haemodynamically compromised with a pneumothorax and pleural effusion seen on chest radiograph. He was treated for spontaneous tension pneumothorax but this was soon revealed to be a tension haemopneumothorax. He underwent urgent thoracotomy after persistent bleeding to explore an apical vascular abnormality seen on CT scanning. To our knowledge this is the first such case reported.Aetiology and current approach to spontaneous haemothorax are discussed briefly.

Spontaneous Tension Hemothorax in a Young Male with a Nuss Implant

“…Spontaneous tension hemothorax is extremely rare and has, to our best knowledge, only been reported twice in the English literature [1,2]. Here, we report the first incidence of a patient with tension hemothorax, who had undergone the Nuss procedure five months prior.…”

“…Spontaneous cases are extremely rare and there has only been, to our best knowledge, two cases reported in the English literature [1,2]. In contrast, primary spontaneous pneumothorax is common with a reported male incidence of 18-28 pr.…”

Spontaneous tension pneumothorax: what is it and does it exist?

“…One paediatric patient did not have a pneumothorax but had cystic adenomatous disease . Two patients had large spontaneous haemopneumothoraces and the remaining five cases had significant trauma. Four of these five were diagnosed because of a hiss of air when a needle was inserted into the chest which is, as discussed earlier, unreliable, and one had only a small loculated pneumothorax only visible on computed tomography (CT) scan.…”

“…Case reports of tension pneumothorax in spontaneously breathing patients are remarkably rare. Leigh‐Smith and Harris could identify only 18 cases to which can be added six recent reports . Of these 24, nine had primary spontaneous pneumothorax but did not have classical clinical signs of tension pneumothorax and were diagnosed because of the radiological appearances of mediastinal shift.…”

Spontaneous tension haemopneumothorax

“…Spontan tansiyon hemopnö-motoraks ise oldukça nadir rastlanan klinik bir tablodur. Spontan tansiyon hemopnömotoraks ile ilgili literatür bilgisi tarandığında PubMed'de bir bildiriye rastlanmıştır (2). Nadir görülen bu klinik tabloyu bildirilen ikinci olgu olarak sunuyoruz.…”