title: [A case of spontaneous hemopneumothorax associated with uncontrolled massive bleeding after inserting thorathic drain].
abstract: 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.
authors.affiliation: Department of Surgery, Ibaraki Prefectural Central Hospital & Regional Cancer Center, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Yamauchi
authors.forename: R
authors.initials: R
authors.lastname: Amemiya
authors.forename: D
authors.initials: D
authors.lastname: Shida
authors.forename: Y
authors.initials: Y
authors.lastname: Asato
authors.forename: A
authors.initials: A
authors.lastname: Suzuki
authors.forename: K
authors.initials: K
authors.lastname: Nemoto
authors.forename: R
authors.initials: R
authors.lastname: Tanaka
authors.forename: S
authors.initials: S
authors.lastname: Kohno
authors.forename: K
authors.initials: K
authors.lastname: Hoshina
authors.forename: M
authors.initials: M
authors.lastname: Kiyoshima
authors.forename: F
authors.initials: F
authors.lastname: Yoshimi
authors.forename: S
authors.initials: S
authors.lastname: Koizumi
mesh_terms: D000328:Adult; D004630:Emergencies; D006468:Hemopneumothorax / Q000601:surgery*; D006801:Humans; D008297:Male; D011030:Pneumothorax / Q000601:surgery; D013396:Suction