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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...

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Autores principales: Hashimoto, Kumiko, Nomata, Yuji, Fukui, Takayuki, Takada, Akira, Narita, Kunio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
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.
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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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