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Hemothorax after sneezing.

Andrew Neff^1,2, Cassandra Bradby¹

¹Department of Emergency Medicine, East Carolina University Greenville North Carolina USA.

Journal of the American College of Emergency Physicians Open

|August 14, 2023

Summary

This summary is machine-generated.

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Spontaneous intercostal artery rupture causing hemothorax is rare. This case report details a patient experiencing hemothorax after sneezing, emphasizing prompt medical evaluation for chest pain with viral symptoms.

Area of Science:

Cardiology
Thoracic Surgery
Emergency Medicine

Background:

Acute hemothorax typically results from chest trauma, aortic aneurysm rupture, or aortic dissection.
Other known causes include iatrogenic factors, vascular issues, neoplasms, coagulopathy, and infections.

Observation:

A rare case of spontaneous intercostal artery rupture leading to massive hemothorax following a sneezing episode is presented.
This contrasts with a previous single report of similar rupture after coughing.

Findings:

Sneezing can precipitate spontaneous intercostal artery rupture and hemothorax.
Massive hemothorax is a life-threatening condition requiring immediate medical attention.

Implications:

Keywords:

ecchymosis hemothorax sneeze

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Clinicians should consider spontaneous hemothorax in patients presenting with chest pain and viral symptoms like sneezing or coughing.

A comprehensive evaluation is crucial for diagnosing and managing this rare but severe condition.