title: Haemothorax following bullectomy caused by a sharp edge of the Endoloop.
abstract: A 22-year old man presented with a massive haemothorax 25 days after bullectomy for a spontaneous pneumothorax. Thoracoscopic surgery revealed ongoing bleeding from the chest wall caused by a sharp edge of the Endoloop Ligature (Ethicon Endo-Surgery) used to resect the remaining small part of the lung at the earlier staple bullectomy. The point where bleeding was occurring was clipped and covered using a collagen patch coated with human fibrinogen and thrombin. The protruding sharp edge of the Endoloop was excised together with the surrounding lung tissue, using a stapler. Although prevention of this type of complication is difficult, awareness of the potential problem may help in managing such extremely rare events.
authors: Department of Chest Surgery, Toho University Medical Center Omori Hospital, Tokyo, Japan.
authors: Hajime
authors: H
authors: Otsuka
authors: Yoshinobu
authors: Y
authors: Hata
authors: Keigo
authors: K
authors: Takagi
authors: Fumitomo
authors: F
authors: Sato
mesh_terms: D020878:Device Removal; D004867:Equipment Design; D006489:Hemostatic Techniques; D006491:Hemothorax / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008026:Ligation; D008297:Male; D011030:Pneumothorax / Q000601:surgery*; D012086:Reoperation; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult