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Published on: May 29, 2021
Idiopathic massive spontaneous hemothorax: adhesion disruption.
Shyam Singh1, Mukhand L Sharma, Reyaz A Lone
1Department of Cardiovascular and Thoracic Surgery, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
World Journal of Surgery
|January 6, 2009
Summary
Ruptured pleural adhesions can cause spontaneous massive hemothorax, a rare condition. Emergency surgery, like thoracotomy, is often needed to stop bleeding and achieve excellent outcomes in patients.
Area of Science:
- Thoracic Surgery
- Pulmonology
- Medical Case Studies
Background:
- Spontaneous hemothorax can occur secondary to spontaneous pneumothorax via adhesion rupture.
- Massive hemothorax caused solely by spontaneous or minor trauma-induced pleural adhesion rupture is uncommon.
Purpose of the Study:
- To report on a series of idiopathic massive spontaneous hemothorax cases.
- To highlight the etiology and management of hemothorax from adhesion disruption.
Main Methods:
- Retrospective case series of seven patients.
- All patients underwent emergency thoracotomy.
- Surgical intervention included ligation or cauterization of bleeding adhesions.
Main Results:
- Six patients presented with bleeding pleural adhesions, predominantly in the upper lobes.
- One patient had bleeding from pleuropericardial adhesions.
- All patients demonstrated positive outcomes post-intervention.
Conclusions:
- Disruption of pleural adhesions is a potential cause of massive spontaneous hemothorax.
- Early surgical intervention, such as thoracotomy, is crucial for managing this condition.
- Surgical treatment of hemothorax due to adhesion rupture leads to excellent patient outcomes.
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