[Hemothorax following intraabdominal bleeding due to pedicle torsion of ovarian tumor via a small pore in the diaphragm: report of a case].
On February 25, 2004, 59-year-old woman visited a local clinic due to lower abdominal pain. On February 28, she was admitted to the clinic due to severe abdominal pain. Computed tomography (CT) showed a mass in the lower abdomen and plural effusion and athelectasis of the right lung. She had severe anemia (Hb 6.9 g/dl). On March 1, she was transferred to our hospital. Pleural fluid was revealed to be sanguineous by thoracentasis. She underwent thoracotomy on the day of admission. There was no source of bleeding in the pleural space. A small pore, 3 mm in diameter, was found in the tendinous portion of the diaphragm. An influx of bloody fluid from the abdomen via the pore caused hemothorax. Laparotomy was performed, followed by closure of the pore using direct suture. The origin of the abdominal bleeding was pedicle torsion of the right ovarian tumor. Seven months after surgery she was uneventful with no pleural effusion.
Mori
Takeshi
T
Department of Thoracic Surgery, Kumamoto University School of Medicine, Kumamoto, Japan.
Yoshioka
M
M
Kadooka
Y
Y
Watanabe
K
K
Kobayashi
H
H
Iwatani
K
K
Yoshimoto
K
K
Kawasuji
M
M
D034841:Abdominal Cavity; D003964:Diaphragm; D005260:Female; D006470:Hemorrhage / Q000150:complications* / Q000601:surgery; D006491:Hemothorax / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications* / Q000601:surgery; D014102:Torsion Abnormality