Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Pleural Effusion I: Introduction

Pleural Effusion I: Introduction

Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's criteria,...

Pneumothorax-II

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:

Hemorrhagic Stroke ll: Pathophysiology

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...

Pneumothorax II: Pathophysiology

Pneumothorax II: Pathophysiology

Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance between...

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...

Increased Intracranial Pressure l: Introduction

Increased Intracranial Pressure l: Introduction

Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Kinetics of CO<sub>2</sub> capture by Re(I) complexes coordinated by deprotonated triethanolamine.

Chemical communications (Cambridge, England)·2026

Same author

Comparison of the perioperative outcomes between uniportal thoracoscopic lobectomy and segmentectomy for early-stage non-small-cell lung cancer in Japan.

Surgical endoscopy·2026

Same author

Reduced incidence of significant vessel injury in robotic-assisted thoracic surgery compared with video-assisted thoracic surgery.

Surgical endoscopy·2026

Same author

The impact of institutional surgical volume on perioperative outcomes in uniportal thoracoscopic major pulmonary resections: a nationwide study in Japan.

Surgical endoscopy·2026

Same author

Robotic right upper sleeve lobectomy with bronchoplasty for primary adenocarcinoma.

Multimedia manual of cardiothoracic surgery : MMCTS·2026

Same author

Robotic sleeve lobectomy with bronchoplasty for primary squamous cell carcinoma of the left upper lobe.

Multimedia manual of cardiothoracic surgery : MMCTS·2026

Search research articles

Related Experiment Video

Updated: Jun 29, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

Rapidly expanding extrapleural hematoma.

Hitoshi Igai¹, Norihito Okumura, Keiji Ohata

¹Department of General Thoracic Surgery, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama, 710-8602, Japan. hitoshi-iga@hotmail.co.jp

General Thoracic and Cardiovascular Surgery

|October 16, 2008

Summary

This case highlights a rare extrapleural hematoma in an anticoagulated patient with chest trauma and liver cirrhosis. Surgical intervention was required due to persistent bleeding and hemodynamic compromise.

Related Experiment Videos

Last Updated: Jun 29, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

Area of Science:

Trauma Surgery
Thoracic Surgery
Hematology

Background:

Extrapleural hematomas are rare, particularly in anticoagulated patients.
Alcoholic liver cirrhosis can lead to coagulopathy and thrombocytopenia, increasing bleeding risk.

Observation:

A patient with chest trauma and alcoholic liver cirrhosis developed a large, expanding extrapleural hematoma.
Computed tomography revealed rib fractures and a D-shaped thoracic opacity.
The hematoma caused severe anemia and circulatory/ventilatory disturbances.

Findings:

Standard embolization failed to control the bleeding from the intercostal artery.
Surgical evacuation of the hematoma and bleeding control were ultimately necessary.
The case underscores diagnostic and therapeutic challenges in managing complex extrapleural hematomas.

Implications:

Anticoagulation status and underlying liver disease significantly complicate the management of traumatic extrapleural hematomas.
Multidisciplinary approaches involving thoracic surgery and interventional radiology are crucial.
Prompt surgical intervention may be required when conservative measures fail.