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Hemorrhagic shock caused by preoperative computed tomography-guided microcoil localization of lung nodules: a case report

BACKGROUND: Video-assisted thoracoscopic surgery (VATS) is an emerging technology in minimally invasive surgery, which has become recognized as standard treatments for early-stage lung cancer. Microcoil localization is considered to be a safe and effective way of preoperative localization, and is es...

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Autores principales: Yang, Fan, Min, Jie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9238084/
https://www.ncbi.nlm.nih.gov/pubmed/35761236
http://dx.doi.org/10.1186/s12893-022-01696-8
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author Yang, Fan
Min, Jie
author_facet Yang, Fan
Min, Jie
author_sort Yang, Fan
collection PubMed
description BACKGROUND: Video-assisted thoracoscopic surgery (VATS) is an emerging technology in minimally invasive surgery, which has become recognized as standard treatments for early-stage lung cancer. Microcoil localization is considered to be a safe and effective way of preoperative localization, and is essential to facilitate VATS wedge-resection for lung nodules. CASE PRESENTATION: Here we report a rare case of a 28-year-old female who developed hemorrhagic shock caused by delayed pneumothorax after preoperative computed tomography (CT)-guided microcoil localization. The thoracic CT revealed hydropneumothorax in the right thoracic cavity at 10 h after microcoil localization, and the patient later had significant decreased hemoglobin level (87 g/L). Emergency thoracoscopic exploration demonstrated that the hemorrhagic shock was induced by delayed pneumothorax, which led to the fracture of an adhesive pleura cord and an aberrant vessel. Electrocoagulation hemostasis was then performed for the fractured vessel and the patient gradually recovered from the hypovolemic shock. CONCLUSIONS: Microcoil localization is a relatively safe and effective way of preoperative localization of lung nodules, however, hemorrhagic shock could be induced by rupture of pleural aberrant vessels subsequent to puncture related pneumothorax. Shorten the time interval between localization and thoracoscopic surgery, extend the monitoring time after localization might help to reduce the risk of these complications.
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spelling pubmed-92380842022-06-29 Hemorrhagic shock caused by preoperative computed tomography-guided microcoil localization of lung nodules: a case report Yang, Fan Min, Jie BMC Surg Case Report BACKGROUND: Video-assisted thoracoscopic surgery (VATS) is an emerging technology in minimally invasive surgery, which has become recognized as standard treatments for early-stage lung cancer. Microcoil localization is considered to be a safe and effective way of preoperative localization, and is essential to facilitate VATS wedge-resection for lung nodules. CASE PRESENTATION: Here we report a rare case of a 28-year-old female who developed hemorrhagic shock caused by delayed pneumothorax after preoperative computed tomography (CT)-guided microcoil localization. The thoracic CT revealed hydropneumothorax in the right thoracic cavity at 10 h after microcoil localization, and the patient later had significant decreased hemoglobin level (87 g/L). Emergency thoracoscopic exploration demonstrated that the hemorrhagic shock was induced by delayed pneumothorax, which led to the fracture of an adhesive pleura cord and an aberrant vessel. Electrocoagulation hemostasis was then performed for the fractured vessel and the patient gradually recovered from the hypovolemic shock. CONCLUSIONS: Microcoil localization is a relatively safe and effective way of preoperative localization of lung nodules, however, hemorrhagic shock could be induced by rupture of pleural aberrant vessels subsequent to puncture related pneumothorax. Shorten the time interval between localization and thoracoscopic surgery, extend the monitoring time after localization might help to reduce the risk of these complications. BioMed Central 2022-06-27 /pmc/articles/PMC9238084/ /pubmed/35761236 http://dx.doi.org/10.1186/s12893-022-01696-8 Text en © The Author(s) 2022 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
Yang, Fan
Min, Jie
Hemorrhagic shock caused by preoperative computed tomography-guided microcoil localization of lung nodules: a case report
title Hemorrhagic shock caused by preoperative computed tomography-guided microcoil localization of lung nodules: a case report
title_full Hemorrhagic shock caused by preoperative computed tomography-guided microcoil localization of lung nodules: a case report
title_fullStr Hemorrhagic shock caused by preoperative computed tomography-guided microcoil localization of lung nodules: a case report
title_full_unstemmed Hemorrhagic shock caused by preoperative computed tomography-guided microcoil localization of lung nodules: a case report
title_short Hemorrhagic shock caused by preoperative computed tomography-guided microcoil localization of lung nodules: a case report
title_sort hemorrhagic shock caused by preoperative computed tomography-guided microcoil localization of lung nodules: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9238084/
https://www.ncbi.nlm.nih.gov/pubmed/35761236
http://dx.doi.org/10.1186/s12893-022-01696-8
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