Cargando…

Spontaneous Hemopneumothorax: A Rare Cause of Unexplained Hemodynamic Instability in a Young Patient

Spontaneous hemopneumothorax is a rare and potentially life-threatening disorder which complicates about 1-12% of patients presenting with spontaneous pneumothorax and has a remarkable predilection for male patients. It may present with signs of hypovolemic shock without apparent cause. While there...

Descripción completa

Detalles Bibliográficos
Autores principales: Aragão, Antonio Higor Marques, Fonseca, Letícia Aguiar, Deulefeu, Flávio Clemente, Medeiros, Israel Lopes, de Araújo, Rafael Fernandes Viana, da Cruz Neto, Carlos Alberto, Neto, Antero Gomes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003253/
https://www.ncbi.nlm.nih.gov/pubmed/32047694
http://dx.doi.org/10.1155/2020/5026759
_version_ 1783494499368960000
author Aragão, Antonio Higor Marques
Fonseca, Letícia Aguiar
Deulefeu, Flávio Clemente
Medeiros, Israel Lopes
de Araújo, Rafael Fernandes Viana
da Cruz Neto, Carlos Alberto
Neto, Antero Gomes
author_facet Aragão, Antonio Higor Marques
Fonseca, Letícia Aguiar
Deulefeu, Flávio Clemente
Medeiros, Israel Lopes
de Araújo, Rafael Fernandes Viana
da Cruz Neto, Carlos Alberto
Neto, Antero Gomes
author_sort Aragão, Antonio Higor Marques
collection PubMed
description Spontaneous hemopneumothorax is a rare and potentially life-threatening disorder which complicates about 1-12% of patients presenting with spontaneous pneumothorax and has a remarkable predilection for male patients. It may present with signs of hypovolemic shock without apparent cause. While there are no specific guidelines for the management of patients diagnosed with such condition, wide debate in the literature relating to patient selection for surgery remains unresolved, and recently there seems to be a trend increasingly favorable towards early surgical intervention. Video-assisted thoracic surgery emerges as an excellent option for stable patients and has now been considered the gold standard treatment for spontaneous hemopneumothorax. We report the case of a 17-year-old male patient who presented to the emergency department with a history of sudden chest pain and dyspnea, with no previous evidence of trauma. On admission, the patient presented with hypotension, tachycardia, and cutaneous pallor. Chest X-ray showed hydropneumothorax on the left hemithorax; then, chest tube was placed with an initial drainage of 2000 ml of blood.
format Online
Article
Text
id pubmed-7003253
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-70032532020-02-11 Spontaneous Hemopneumothorax: A Rare Cause of Unexplained Hemodynamic Instability in a Young Patient Aragão, Antonio Higor Marques Fonseca, Letícia Aguiar Deulefeu, Flávio Clemente Medeiros, Israel Lopes de Araújo, Rafael Fernandes Viana da Cruz Neto, Carlos Alberto Neto, Antero Gomes Case Rep Pulmonol Case Report Spontaneous hemopneumothorax is a rare and potentially life-threatening disorder which complicates about 1-12% of patients presenting with spontaneous pneumothorax and has a remarkable predilection for male patients. It may present with signs of hypovolemic shock without apparent cause. While there are no specific guidelines for the management of patients diagnosed with such condition, wide debate in the literature relating to patient selection for surgery remains unresolved, and recently there seems to be a trend increasingly favorable towards early surgical intervention. Video-assisted thoracic surgery emerges as an excellent option for stable patients and has now been considered the gold standard treatment for spontaneous hemopneumothorax. We report the case of a 17-year-old male patient who presented to the emergency department with a history of sudden chest pain and dyspnea, with no previous evidence of trauma. On admission, the patient presented with hypotension, tachycardia, and cutaneous pallor. Chest X-ray showed hydropneumothorax on the left hemithorax; then, chest tube was placed with an initial drainage of 2000 ml of blood. Hindawi 2020-01-23 /pmc/articles/PMC7003253/ /pubmed/32047694 http://dx.doi.org/10.1155/2020/5026759 Text en Copyright © 2020 Antonio Higor Marques Aragão et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Aragão, Antonio Higor Marques
Fonseca, Letícia Aguiar
Deulefeu, Flávio Clemente
Medeiros, Israel Lopes
de Araújo, Rafael Fernandes Viana
da Cruz Neto, Carlos Alberto
Neto, Antero Gomes
Spontaneous Hemopneumothorax: A Rare Cause of Unexplained Hemodynamic Instability in a Young Patient
title Spontaneous Hemopneumothorax: A Rare Cause of Unexplained Hemodynamic Instability in a Young Patient
title_full Spontaneous Hemopneumothorax: A Rare Cause of Unexplained Hemodynamic Instability in a Young Patient
title_fullStr Spontaneous Hemopneumothorax: A Rare Cause of Unexplained Hemodynamic Instability in a Young Patient
title_full_unstemmed Spontaneous Hemopneumothorax: A Rare Cause of Unexplained Hemodynamic Instability in a Young Patient
title_short Spontaneous Hemopneumothorax: A Rare Cause of Unexplained Hemodynamic Instability in a Young Patient
title_sort spontaneous hemopneumothorax: a rare cause of unexplained hemodynamic instability in a young patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003253/
https://www.ncbi.nlm.nih.gov/pubmed/32047694
http://dx.doi.org/10.1155/2020/5026759
work_keys_str_mv AT aragaoantoniohigormarques spontaneoushemopneumothoraxararecauseofunexplainedhemodynamicinstabilityinayoungpatient
AT fonsecaleticiaaguiar spontaneoushemopneumothoraxararecauseofunexplainedhemodynamicinstabilityinayoungpatient
AT deulefeuflavioclemente spontaneoushemopneumothoraxararecauseofunexplainedhemodynamicinstabilityinayoungpatient
AT medeirosisraellopes spontaneoushemopneumothoraxararecauseofunexplainedhemodynamicinstabilityinayoungpatient
AT dearaujorafaelfernandesviana spontaneoushemopneumothoraxararecauseofunexplainedhemodynamicinstabilityinayoungpatient
AT dacruznetocarlosalberto spontaneoushemopneumothoraxararecauseofunexplainedhemodynamicinstabilityinayoungpatient
AT netoanterogomes spontaneoushemopneumothoraxararecauseofunexplainedhemodynamicinstabilityinayoungpatient