Related Experiment Video
Updated: Jun 16, 2025
07:57
Establishment of a Minimally Invasive Rat Model of Pulmonary Embolism Using Autologous Blood Clots
Published on: October 25, 2024
281
Spontaneous Hemothorax from Pulmonary Intralobar Sequestration: A Case Report
Clayton Korson1, Jasmine Yu2, John M Pester1
1St. Luke's University Health Network Emergency Department, Bethlehem, Pennsylvania.
Clinical Practice and Cases in Emergency Medicine
|August 19, 2024
Summary
Pulmonary sequestration, a rare lung abnormality, can lead to spontaneous hemothorax, a life-threatening condition. Prompt diagnosis and intervention are critical for managing this rare complication.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Emergency Medicine
Background:
- Pulmonary sequestration is a rare congenital anomaly involving aberrant lung tissue.
- Complications include hemothorax, though this is infrequently described.
Purpose of the Study:
- To report a case of intralobar pulmonary sequestration presenting as atraumatic tension hemothorax.
- To highlight the critical importance of timely diagnosis and management in the emergency department.
Main Methods:
- Case report of a 73-year-old female presenting with acute symptoms.
- Computed tomographic angiography (CTA) for diagnosis.
- Emergency finger thoracostomy and thoracotomy.
Main Results:
- A large intralobar pulmonary sequestration was identified as the cause of spontaneous hemothorax.
- The patient experienced cardiac arrest due to hemothorax.
- Initial management included emergency thoracostomy for hemothorax evacuation.
Conclusions:
- Pulmonary intralobar sequestration can precipitate spontaneous, fatal hemorrhage.
- Accurate interpretation of imaging and prompt surgical intervention are vital for emergency department patient outcomes.
Related Concept Videos
01:26Pneumothorax-I
181
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
181
01:27Pneumothorax-II
127
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:
Clinical Manifestations:
127
01:13Pleura of the Lungs
1.7K
The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
1.7K