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Spontaneous haemothorax: a case report.

C Ho1, A R Ismail2

  • 1Hospital Sultanah Aminah Johor Bahru, Surgical Department, Johor, Malaysia. choonaik81@gmail.com.

The Medical Journal of Malaysia
|February 2, 2015
PubMed
Summary
This summary is machine-generated.

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Spontaneous haemothorax, a rare condition, can occur without apparent cause, often linked to pleural adhesions. This report details two young adults experiencing massive spontaneous haemothorax requiring emergency surgery.

Area of Science:

  • Thoracic Surgery
  • Pulmonology
  • Emergency Medicine

Background:

  • Haemothorax is an uncommon cause for hospital admission.
  • Spontaneous haemothorax is a rare subtype, often linked to pleural adhesions.
  • It typically lacks an identifiable underlying cause.

Purpose of the Study:

  • To report two cases of spontaneous haemothorax in young adults.
  • To highlight the presentation and management of massive spontaneous haemothorax.
  • To discuss the role of emergency thoracotomy in haemostasis.

Main Methods:

  • Case report of two young adult patients.
  • Clinical presentation and diagnostic workup.
  • Surgical intervention via emergency thoracotomy for bleeding control.

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Main Results:

  • Both patients presented with massive spontaneous haemothorax.
  • Emergency thoracotomy was required for haemostasis in both cases.
  • Successful bleeding control was achieved through surgical intervention.

Conclusions:

  • Spontaneous haemothorax, though rare, necessitates prompt diagnosis and management.
  • Emergency thoracotomy can be a life-saving procedure for massive spontaneous haemothorax.
  • Pleural adhesions may play a significant role in the etiology of spontaneous haemothorax.