Spontaneous Tension Hemothorax in a Young Male with a Nuss Implant

Jacobsen, Guorun Holm; Br, Bodil; Ellesøe, Sabrina Gade

doi:10.4172/2161-105x.1000394

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…occurs spontaneously. 3 In addition to the typical findings of tension hemothorax, such as opacification of the affected thorax and mediastinal shift, 4 compression of the thoracic descending aorta was observed in our patient. Ideally, CT should not be performed before stabilization of the patient in such cases.…”

Section: How Might This Improve Emergency Medicine Practice?supporting

confidence: 66%

Spontaneous Tension Hemothorax in a Patient with Asbestosis

Suzuki

Takada

2022

Clinical Practice and Cases in Emergency Medicine

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Case Presentation: A 75-year-old man with a history of asbestosis presented to the emergency department with sudden-onset dyspnea and hemoptysis, triggered by coughing. The patient was hemodynamically unstable and in respiratory distress. Computed tomography revealed a massive hemothorax on the left side and compression of the descending thoracic aorta. He underwent emergency surgical exploration after decompression by chest tube insertion. The hemothorax was caused by tears in the pleural adhesions due to asbestosis and induced by coughing. Discussion: Spontaneous hemothorax is a rare subtype of hemothorax. There have been only a few case reports of spontaneous tension hemothorax. In addition to its typical findings, compression of the thoracic descending aorta was observed in our patient. We hypothesize that severely diminished pulmonary compliance contributed to the extremely high intrathoracic pressure, which led to this unusual finding.

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Section: How Might This Improve Emergency Medicine Practice?supporting

confidence: 66%

Spontaneous Tension Hemothorax in a Patient with Asbestosis

Suzuki

Takada

2022

Clinical Practice and Cases in Emergency Medicine

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“…Tension hemothorax is typically caused by thoracic penetrating or blunt trauma or ruptured thoracic aortic aneurysm [4,5]. Fourdrain et al reported delayed-onset tension hemothorax following blunt trauma and the rupture of a previously undiagnosed aberrant right subclavian artery [6].…”

Section: Discussionmentioning

confidence: 99%

Delayed Tension Hemothorax With Nondisplaced Rib Fractures After Blunt Thoracic Trauma

Hamamoto¹,

Kikuta²,

Takahashi³

et al. 2023

Cureus

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Blunt thoracic trauma often causes rib fractures, hemothorax, and pneumothorax. Although there is no established definition regarding the duration and management of delayed hemothorax, it commonly occurs in a few days and exhibits at least one displaced rib fracture. Moreover, delayed hemothorax rarely develops tension hemothorax. A 58-year-old male who had a motorcycle accident received conservative treatment from his orthopedic doctor. He felt a sudden severe chest pain 19 days after the accident. Contrast-enhanced computed tomography (CT) of the chest revealed multiple left-sided rib fractures without displacement, left pleural effusion, and extravasation near the intercostal space of the seventh rib fracture. After transfer to our hospital and a plain CT scan, which showed a more mediastinal shift toward the right, his condition deteriorated with cardiorespiratory embarrassment, such as restlessness, hypotension, and neck vein distention. We diagnosed him with obstructive shock due to tension hemothorax. Immediate chest drainage ameliorated restlessness and elevated blood pressure. Here, we report an extremely rare and atypical case of delayed tension hemothorax after blunt thoracic trauma without displaced rib fractures.

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Spontaneous Tension Hemothorax in a Young Male with a Nuss Implant

Cited by 2 publications

References 9 publications

Spontaneous Tension Hemothorax in a Patient with Asbestosis

Spontaneous Tension Hemothorax in a Patient with Asbestosis

Delayed Tension Hemothorax With Nondisplaced Rib Fractures After Blunt Thoracic Trauma

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