[A case of spontaneous hemopneumothorax associated with uncontrolled massive bleeding after inserting thorathic drain].
A 31-year-old man admitted to our hospital complaining of right chest pain. Chest X-ray on admission revealed a collapsed lung and an air fluid line in the right thorax. A chest tube drainage was carried out, but hemorrhagic pleural fluid was drainaged. Forty minutes later, an anemia developed and chest X-ray showed increased massive right pleural collection. Therefore, emergent surgery was performed. An operation under thoracoscopic guidance was converted into thoracotomy because of massive blood clots and fresh bleeding. A bleeding originating from the branch of 1st intercostal artery and a bulla on upper lobes were noted. The artery was coagulated with electrocoutary and ligated using Endo-loop. This artery is not congenital abnormal one but collateral expanded one of which the elastic lamina is thickened. Spontaneous hemopneumothorax is life-threatening, emergent operation should be undergone.
Yamauchi
H
H
Department of Surgery, Ibaraki Prefectural Central Hospital & Regional Cancer Center, Japan.
Amemiya
R
R
Shida
D
D
Asato
Y
Y
Suzuki
A
A
Nemoto
K
K
Tanaka
R
R
Kohno
S
S
Hoshina
K
K
Kiyoshima
M
M
Yoshimi
F
F
Koizumi
S
S
D000328:Adult; D004630:Emergencies; D006468:Hemopneumothorax / Q000601:surgery*; D006801:Humans; D008297:Male; D011030:Pneumothorax / Q000601:surgery; D013396:Suction