title: Idiopathic massive spontaneous hemothorax: adhesion disruption.
abstract: BACKGROUND
  Hemothorax has been reported to occur along with spontaneous pneumothorax due to adhesion disruption. Rupture of pleural adhesions spontaneously or after unnoticeable trivial trauma causing massive hemothorax alone is rare.
  
  
  METHODS
  We present a series of seven cases of idiopathic massive spontaneous hemothorax due to adhesion disruption, of which all required emergency thoracotomy with ligation or cauterization of bleeding adhesions.
  
  
  RESULTS
  Six patients had bleeding pleural lung adhesions of which five involved the upper lobes. Another had bleeding from pleuropericardial adhesions. All patients are doing well on follow-up.
  
  
  CONCLUSIONS
  Disruption of pleural adhesions may cause massive hemothorax, requiring early surgical intervention. After thoracotomy the outcome in these patients is excellent.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
authors.forename: Shyam
authors.initials: S
authors.lastname: Singh
authors.forename: Mukhand L
authors.initials: ML
authors.lastname: Sharma
authors.forename: Reyaz A
authors.initials: RA
authors.lastname: Lone
authors.forename: Mehmood A
authors.initials: MA
authors.lastname: Wani
authors.forename: Zahur
authors.initials: Z
authors.lastname: Hussain
authors.forename: Ishtiyaq
authors.initials: I
authors.lastname: Mir
authors.forename: Puja
authors.initials: P
authors.lastname: Vimesh
mesh_terms: D000293:Adolescent; D000328:Adult; D005500:Follow-Up Studies; D006491:Hemothorax / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008171:Lung Diseases / Q000150:complications*; D008297:Male; D010995:Pleural Diseases / Q000150:complications*; D011859:Radiography; D012422:Rupture, Spontaneous / Q000150:complications; D013908:Thoracotomy / Q000379:methods; D000267:Tissue Adhesions / Q000150:complications; D016896:Treatment Outcome; D055815:Young Adult