Pneumothorax-associated fibroblastic lesion in combination with localized pleural angiomatosis: A possible cause of juvenile spontaneous hemopneumothorax.
Spontaneous hemopneumothorax is an uncommon but potentially life-threatening condition, with a potential for a rapid ventilatory collapse and a large collection of hidden blood loss into the pleural cavity. Here, we report the first case in the literature on pneumothorax-associated fibroblastic lesion in combination with localized pleural angiomatosis in a 19-year-old Caucasian male, resulting in massive spontaneous hemopneumothorax and hypovolemic shock. Our findings support a causal link between this condition and pneumothorax. The possible superimposed hemothorax is explainable by the pleural involvement of large angiomatous vessels, prone to rupture.
Department of Diagnostic and Clinical Medicine and of Public Health, Section of Pathology, University of Modena and Reggio Emilia, Modena, MO, Italy. Electronic address: emailmedical@gmail.com.
Luca
L
Roncati
Provincial Health Care Services, Institute of Pathology, Santa Maria del Carmine Hospital, Rovereto, TN, Italy.
Teresa
T
Pusiol
Provincial Health Care Services, Institute of Pathology, Santa Maria del Carmine Hospital, Rovereto, TN, Italy.
Francesco
F
Piscioli
Department of Surgical and Biomedical Sciences, Section of Radiology, University of Perugia, Perugia, PG, Italy.
Michele
M
Scialpi
Department of Diagnostic and Clinical Medicine and of Public Health, Section of Pathology, University of Modena and Reggio Emilia, Modena, MO, Italy.
Giuseppe
G
Barbolini
Department of Diagnostic and Clinical Medicine and of Public Health, Section of Pathology, University of Modena and Reggio Emilia, Modena, MO, Italy.
Antonio
A
Maiorana
D000798:Angiomatosis / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D005347:Fibroblasts / Q000473:pathology*; D006468:Hemopneumothorax / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D006801:Humans; D008168:Lung / Q000473:pathology*; D008297:Male; D010994:Pleura / Q000473:pathology*; D055815:Young Adult
Hemothorax; Histology; Lung pathology; Pleural angiomatosis; Pneumothorax; Pneumothorax-associated fibroblastic lesion (PAFL)