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Massive hemothorax in a pregnant patient with neurofibromatosis type 1
BACKGROUND: Reports of spontaneous hemothorax in patients with neurofibromatosis type 1 are scarce despite the severe complication. We herein present the first case of hemothorax in a neurofibromatosis type 1 patient during pregnancy and discuss the difficulty associated with its diagnosis and treat...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8086125/ https://www.ncbi.nlm.nih.gov/pubmed/33931082 http://dx.doi.org/10.1186/s13019-021-01504-z |
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author | Hashimoto, Kumiko Nomata, Yuji Fukui, Takayuki Takada, Akira Narita, Kunio |
author_facet | Hashimoto, Kumiko Nomata, Yuji Fukui, Takayuki Takada, Akira Narita, Kunio |
author_sort | Hashimoto, Kumiko |
collection | PubMed |
description | BACKGROUND: Reports of spontaneous hemothorax in patients with neurofibromatosis type 1 are scarce despite the severe complication. We herein present the first case of hemothorax in a neurofibromatosis type 1 patient during pregnancy and discuss the difficulty associated with its diagnosis and treatment. CASE PRESENTATION: A 39-year-old female at 34 weeks gestation presented with sudden left back pain and dyspnea. Chest radiography revealed massive left pleural effusion. Computed tomography showed bleeding from the intercostal artery. Although the patient appeared hemodynamically stable, the fetus was in a critical condition. Emergency caesarean section was performed within 1 hour. Subsequently, we performed endovascular coil embolization of the intercostal artery. While this intensive treatment saved the patient, her fetus could not be rescued. CONCLUSIONS: Patients with neurofibromatosis type 1 may develop massive hemothorax without gross lesions. In late pregnancy, sufficient infusion and quick hemostasis are essential and can be lifesaving. |
format | Online Article Text |
id | pubmed-8086125 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-80861252021-04-30 Massive hemothorax in a pregnant patient with neurofibromatosis type 1 Hashimoto, Kumiko Nomata, Yuji Fukui, Takayuki Takada, Akira Narita, Kunio J Cardiothorac Surg Case Report BACKGROUND: Reports of spontaneous hemothorax in patients with neurofibromatosis type 1 are scarce despite the severe complication. We herein present the first case of hemothorax in a neurofibromatosis type 1 patient during pregnancy and discuss the difficulty associated with its diagnosis and treatment. CASE PRESENTATION: A 39-year-old female at 34 weeks gestation presented with sudden left back pain and dyspnea. Chest radiography revealed massive left pleural effusion. Computed tomography showed bleeding from the intercostal artery. Although the patient appeared hemodynamically stable, the fetus was in a critical condition. Emergency caesarean section was performed within 1 hour. Subsequently, we performed endovascular coil embolization of the intercostal artery. While this intensive treatment saved the patient, her fetus could not be rescued. CONCLUSIONS: Patients with neurofibromatosis type 1 may develop massive hemothorax without gross lesions. In late pregnancy, sufficient infusion and quick hemostasis are essential and can be lifesaving. BioMed Central 2021-04-30 /pmc/articles/PMC8086125/ /pubmed/33931082 http://dx.doi.org/10.1186/s13019-021-01504-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Hashimoto, Kumiko Nomata, Yuji Fukui, Takayuki Takada, Akira Narita, Kunio Massive hemothorax in a pregnant patient with neurofibromatosis type 1 |
title | Massive hemothorax in a pregnant patient with neurofibromatosis type 1 |
title_full | Massive hemothorax in a pregnant patient with neurofibromatosis type 1 |
title_fullStr | Massive hemothorax in a pregnant patient with neurofibromatosis type 1 |
title_full_unstemmed | Massive hemothorax in a pregnant patient with neurofibromatosis type 1 |
title_short | Massive hemothorax in a pregnant patient with neurofibromatosis type 1 |
title_sort | massive hemothorax in a pregnant patient with neurofibromatosis type 1 |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8086125/ https://www.ncbi.nlm.nih.gov/pubmed/33931082 http://dx.doi.org/10.1186/s13019-021-01504-z |
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