Skip to main content

Advertisement

SpringerLink
Log in

A 48 year old patient with bilateral spontaneous hemothorax-difficulties in evaluation-case report

  • Original Article
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Spontaneous hemothorax (SH) is a rare disease manifestation and most of the data about SH consist of case reports and case series. Bilateral SH is much more rare entity. Hemothorax is an unusual complication of ruptured thoracic aortic dissection (AoD) and occurs usually on the left hemithorax. It is often difficult to diagnose AoD preclinically due to its many possible symptoms. We present a case of bilateral SH due to ruptured acute aortic dissection in a patient with no pre-existing risk factors for AoD. Differential diagnoses of spontaneous hemothorax and difficulties in AoD evaluation are also discussed in this report.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Dimitri WR. Massive idiopathic spontaneous haemothorax: case report and literature review. Eur J Cardiothorac Surg. 1987;1:55–58.

    Article  CAS  PubMed  Google Scholar 

  2. Yung CM, Bessen SC, Hingorani V, Clements Jr NC, Caruso AA. Idiopathic hemothorax. Chest. 1993;103:638–39.

    Article  CAS  PubMed  Google Scholar 

  3. Varsano S, Edelstein E, Gendel B, Smorzik J. Bilateral and unilateral spontaneous massive hemothorax as a presenting manifestation of rare tumors. Respiration. 2003;70:214–18.

    Article  PubMed  Google Scholar 

  4. Ali HA, Lippmann M, Mundathaje U, Khaleeq G. Spontaneous hemothorax: a comprehensive review. Chest. 2008;34:1056–65.

    Article  Google Scholar 

  5. Erbel R, Alfonso F, Boileau C. et al. Diagnosis and management of aortic dissection. Eur Heart J. 2001;22:1642–81.

    Article  CAS  PubMed  Google Scholar 

  6. Hagan PG, Nienaber CA, Isselbacher EM. et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 2000;283:897–903.

    Article  CAS  PubMed  Google Scholar 

  7. Abu-Fadel MS, Gibbson MF, Michel LB, Peyton MD, Sivaram CA. Right sided hemothorax: an uncommon manifestation of type b aortic dissection (descending aortic dissection). Chest. 2004;126:958s.

    Google Scholar 

  8. Ozkan F, Akpinar E, Serter T, Ozyüksel A, Hazirolan T. Ruptured type B aortic dissection presenting with right hemothorax. Diagn Interv Radiol. 2008;14:6–8.

    PubMed  Google Scholar 

  9. Katagiri M, Takahashi M. Right hemothorax: an unusual presentation of ruptured aortic dissection. J Cardiovasc Surg (Torino). 1991;32:135–36.

    CAS  Google Scholar 

  10. Eggebrecht H, Naber CK, Bruch C. et al. Value of plasma fibrin D-dimers for detection of acute aortic dissection. J Am Coll Cardiol. 2004;44:804–09.

    Article  CAS  PubMed  Google Scholar 

  11. Hazui H, Fukumoto H, Negoro N. et al. Simple and useful tests for discriminating between acute aortic dissection of the ascending aorta and acute myocardial infarction in the emergency setting. Circ J. 2005;69:677–82.

    Article  PubMed  Google Scholar 

  12. Takahashi J, Wakamatsu Y, Okude J. et al. Maximum aortic diameter as a simple predictor of acute type B aortic dissection. Ann Thorac Cardiovasc Surg. 2008;14:303–10.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Thoracic Surgery, Cankiri Goverment Hospital, Cankiri, Turkey

    Mertay Boran

  2. Department of Anesthesiology and Reanimation, Izmir Ataturk Training and Research Hospital, Izmir, Turkey

    Ertay Boran

  3. Department of Cardiovascular Surgery, Evliya Celebi Hospital, Kutahya, Turkey

    Levent Mavioglu

  4. Cetin Emec Blv 101/41 Balgat, 06520, Ankara, Turkey

    Mertay Boran

Authors
  1. Mertay Boran
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ertay Boran
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Levent Mavioglu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mertay Boran.

Additional information

The authors have no commercial associations or sources of support that might pose a conflict of interest.

All authors have made substantive contributions to the study

Rights and permissions

Reprints and permissions

About this article

Cite this article

Boran, M., Boran, E. & Mavioglu, L. A 48 year old patient with bilateral spontaneous hemothorax-difficulties in evaluation-case report. Indian J Thorac Cardiovasc Surg 26, 176–178 (2010). https://doi.org/10.1007/s12055-010-0019-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12055-010-0019-7

Keywords

Search

Navigation