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Idiopathic Massive Spontaneous Hemothorax: Adhesion Disruption

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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.

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Authors and Affiliations

  1. Department of Cardiovascular and Thoracic Surgery, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India

    Shyam Singh, Mukhand L. Sharma, Reyaz A. Lone, Mehmood A. Wani, Zahur Hussain & Ishtiyaq Mir

  2. Department of Anaesthesia, Government Medical College Jammu, Srinagar, Jammu and Kashmir, India

    Puja Vimesh

Authors
  1. Shyam Singh
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  2. Mukhand L. Sharma
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  3. Reyaz A. Lone
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  4. Mehmood A. Wani
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  5. Zahur Hussain
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  6. Ishtiyaq Mir
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  7. Puja Vimesh
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Correspondence to Reyaz A. Lone.

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Singh, S., Sharma, M.L., Lone, R.A. et al. Idiopathic Massive Spontaneous Hemothorax: Adhesion Disruption. World J Surg 33, 489–491 (2009). https://doi.org/10.1007/s00268-008-9844-x

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  • DOI: https://doi.org/10.1007/s00268-008-9844-x

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