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Results for “Hemothorax”

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At least 19 recordsLinked to original sources
PubMed1977

Massive hemothorax complicating heparin anticoagulation for pulmonary embolus.

A case of massive hemothorax complicating heparin anticoagulation for pulmonary thromboembolism is presented. Hemothorax complicating anticoagulant therapy for PTE usually occurs within the first week of treatment and is invariably on the side of the initial clinical symptoms, suggesting intrapleural rupture of a hemorrhagic pulmonary infarct. Late hemothorax is unusual and may not be on the side of the initial symptoms, suggesting a different pathogenesis. Hemothorax may occur as the only bleeding complication of anticoagulation and when coagulation studies are within an acceptable therapeutic range. Cessation of anticoagulation therapy and prompt evacuation of the pleural space are recommended.

Hemothorax↗
PubMed1992

[Diagnosis and treatment of hemothorax in malignant trophoblastic tumors].

From 1949 to 1988, 32 cases of hemothorax were seen in our hospital. The incidence rate of hemothorax among the cases of choriocarcinoma and invasive mole in the whole series were 2.6% and 1.4% respectively. The most frequent symptoms were chest pain, cough, dyspnea, and hemoptysis. Before 1965, when 6-MP was the only agent used, 7 of the 16 patients with hemothorax died directly due to severe intrathoracic hemorrhage, from 1966 to 1988, when intravenous infusion of 5-FU and intrathoracic injection of 5-FU were used, only 4 of the 16 cases died, there was no death directly related to hemothorax. About 75% were followed up for more than 10 years, the longest duration of follow up being more than 28 years in 6 cases. Repeated examinations with serum hCG determination and chest film revealed no evidence of recurrence, nor pleural adhesion and thickening or pulmonocardiac diseases.

Female↗
PubMed1992

Spontaneous hemothorax. Report of 6 cases and review of the literature.

We present 6 cases of spontaneous hemothorax and comprehensively review the medical literature on this subject. We categorize the reported causes and offer a rational diagnostic approach to patients with nontraumatic hemothorax. We recommend specific treatments for specific etiologies, and emphasize the importance of well-established surgical principles for the treatment of hemothorax. Our suggestions should enable physicians to accurately diagnose and expeditiously treat patients with spontaneous hemothorax.

Adult↗
PubMed1978

Acute traumatic hemothorax.

Over the past 5 years, 107 patients have been evaluated for acute traumatic hemothorax at the University of Kentucky Medical Center. Immediate tube thoracostomy was performed on 90 patients for evacuation of blood and air. Only 2 patients died. Thoracotomy was performed as part of the initial therapy in 9 patients. Thoracotomy for continued hemorrhage from a pulmonary parenchymal injury was required in 3 patients from the entire group. Thoracentesis or observation was the initial therapy for limited hemothorax in 8 stable patients. Three of these patients subsequently required tube thoracostomy 2 to 23 days following injury due to expanding effusions, and 1 patient required multiple thoracotomies for sepsis, fibrothorax, and empyema. These observations indicate that early evacuation of blood by means of a tube thoracostomy is essential to minimize morbidity in acute traumatic hemothorax. If continuing hemorrhage after tube thoracostomy occurs, there is a higher association of injury to additional vital structures.

Abdominal Injuries↗
PubMed1992

[The treatment of pneumothorax and hemothorax in multiple rib fractures and associated trauma].

The results of treatment of 480 sufferers with multiple costal fractures and associated trauma to the chest were analysed. Resulting from trauma, 55 (25.5%) patients developed pneumothorax, 71 (32.8%)--hemothorax, 90 (41.7%)--hemopneumothorax. Treatment of pneumo- and hemothorax in most cases was conservative (puncture of the pleural cavity was usually performed, rarely--its drainage). In 47 sufferers with associated trauma who were at a forced position (lying on their back), the aimed catheterization of the pleural cavity by means of the trocar stilette curved under the angle of 60 degrees was used. For the treatment of clotted hemothorax, the streptokinase was used with a positive effect noted in 6 of 7 patients. Indications for thoracotomy are restricted in patients with associated chest trauma in presence of shock and acute blood loss.

Hemothorax↗
PubMed1977

[Hemothorax after abdominal vagotomy. Diagnostic problem].

Selective or selective-proximal vagotomy has increased in preference as surgical treatment for uncomplicated duodenal ulcer disease. An unusual immediate complication of transabdominal vagotomy is the hemothorax. Few cases of this complication have been reported in literature. Our case represents a variation with simultaneous presence of a both-sided hemothorax. Although the exact etiology of this complication remains obscure, we try to explain this spontaneous hemothorax by operative injuries of subpleural vessels.

Abdomen↗
PubMed1979

Spontaneous hemothorax.

A 31-year-old man presented to the emergency department with dyspnea and pleuritic chest pain resulting from a spontaneous hemothorax. A tube thoracostomy was performed on the left side and 700 cc of blood removed. Another 1800 cc of blood oozed from the chest tube. Open thoracotomy was performed in the operating room. There were approximately 1 to 2 liters of blood and clot in the chest cavity. Multiple bleeding points in the apex were ligated and wedge resection was done. Spontaneous hemothorax may represent a form of spontaneous hemopneumothorax or it may be a complication of a variety of situations. Open thoracotomy may be necessary for definitive diagnosis and treatment.

Adult↗
PubMed1978

Hemothorax in a child. An unusual cause of chest pain.

The pediatrician should search carefully in a child with chest pain for evidence in the history or physical examination of an organic cause. Hemothorax is one of the pathologic processes that can present with this symptom. The differential diagnosis of hemothorax in children is reviewed.

Child↗
PubMed1978

Pancreatic pseudocyst presenting as massive hemothorax: a case report.

The case of a 36-year old man who presented with massive recurrent hemothorax as a complication of a pancreatic pseudocyst is described. Some of the complications of pancreatitis and pancreatic pseudocysts are discussed. Recurrent hemothorax represents an unusual pulmonary complication of pancreatic pseudocysts to be included in the differential diagnosis of pleural fluid collections in pancreatitis.

Acute Disease↗
PubMed1992

Primary rhabdomyosarcoma of the diaphragm. Report of a case presenting with hemothorax.

A rare case of embryonal rhabdomyosarcoma of the diaphragm occurring in an adult male and presenting with hemothorax is reported. The unusual clinical features of this patient underline the need for an accurate preoperative evaluation. The surgical procedure consisted of left thoracotomy with resection of the neoplasm, including a portion of the diaphragm muscle, and then reconstruction. One month after discharge chemo- and radiotherapy were carried out. The immunohistochemical study proved to be very helpful for the pathological diagnosis. A three years follow-up with patient alive and disease-free confirms that a multimodal approach may prove effective in the long term.

Adult↗
PubMed1992

Hemothorax associated with anticoagulation after placement of implantable cardioverter defibrillator: possible similarity to postinfarction Dressler's syndrome.

Massive hemothorax developed after placement of an implantable cardioverter defibrillator (ICD) in two patients who received postoperative anticoagulants. The possible relationship of this complication to polyserositis after ICD implantation is discussed as are the possible adverse sequelae of early anticoagulation after ICD implantation.

Anticoagulants↗
PubMed1992

Pulmonary blastoma presenting with massive hemothorax.

Pulmonary blastoma, a rare primary lung neoplasm occurring in both children and adults, is histologically distinct from other lung tumors. A patient is described who presented with massive and persistent hemothorax. Based on experience, it is possible that in advanced cases of this tumor, more vigorous chemotherapy is needed against both histologic elements.

Adult↗
PubMed1975

[Effect of coagulated hemothorax and early fibrinothorax on the state of patients after pneumonectomy].

An estimation of the postoperative course after pneumonectomy in 328 patients, depending on the character and rate of distinguishing the pleural fluid, is given. The development of collapsed hemothorax and early (during the first week) fibrinothorax is predominantly related with separation of massive pleural adhesions, it aggravates the postoperative period and predisposes to the development of pleural empyema. Rethoracotomy with the removal of clots especially in later terms fail to prevent this complication. Intrapleural injections of fibrinolytic drugs is found to offer more perspectives.

Adult↗
PubMed1992

Hemothorax from gestational trophoblastic disease: a case report.

A 19-year-old woman who presented with right-sided hemothorax was diagnosed to have gestational trophoblastic disease with pleural metastasis. A CT scan of the chest revealed a pleural mass and serum Beta-subunit of HCG was high. After treatment the hormonal level became normal and the patient remains asymptomatic.

Adult↗
PubMed1992

False positivity of tumor markers in pleural fluid of traumatic hemothorax.

Various biochemical parameters of pleural fluid have been employed to identify malignant effusions. However, many of them are also elevated in patients with nonmalignant conditions. We report on a patient with traumatic hemothorax, showing high pleural fluid concentrations of ferritin, tissue polypeptide antigen, and cancer antigen 125. This patient's pleural fluid also contained high levels of bilirubin and many macrophages containing phagocytized red blood cells, suggesting a local metabolism of hemoglobin. Our case confirms that some tumoral markers can give false positive results and suggests that their significance must be evaluated differently in bloody pleural effusions as compared with non-bloody pleural effusions.

Adult↗
PubMed1979

Benign gestational trophoblastic disease metastatic to pleura: unusual cause of hemothorax.

A unique case of hemothorax caused by proven pleural involvement with benign gestational trophoblastic disease and anticoagulation is presented. The pulmonary manifestations of gestational trophoblastic disease are reviewed. It is stressed that these may be associated with histologically benign as well as frankly malignant disease, and that the clinician must be alert for them in managing all patients with known or suspected gestational trophoblastic disease.

Adolescent↗
PubMed1977

The mediastinum and hemothorax, pyothorax, and pneumothorax in the dog.

Contrary to the reported clinical, anatomic, and histologic evidence of communication between the 2 pleural cavities through the mediastinum in the dog, it was found that acute or chronic pathologic processes in one pleural cavity remained confined to that cavity unless the mediastinum was mechanically injured. These results were obtained in a series of experiments involving 39 dogs in which hemothorax or pyothorax or pneumothorax was unintentionally induced.

Animals↗