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Delayed Massive Hemothorax From Traumatic Inferior Pulmonary Ligament Tear: A Case Report.
Sachie Koike1,2, Ryoichi Kondo1, Kyoko Yamada1
1Department of Thoracic Surgery NHO Matsumoto Medical Center Matsumoto Nagano Japan.
Respirology Case Reports
|October 30, 2025
Summary
A rare case of traumatic hemothorax caused by inferior pulmonary ligament injury is presented. This finding highlights the need to consider this rare cause of hemothorax in trauma patients.
Area of Science:
- Medicine
- Thoracic Surgery
- Trauma Care
Background:
- Hemothorax commonly results from trauma, medical procedures, or tumor erosion.
- Intrathoracic organ damage, like lung or chest wall injury, typically causes traumatic hemothorax.
Purpose of the Study:
- To report an extremely rare case of traumatic hemothorax.
- To highlight inferior pulmonary ligament injury as a potential cause of hemothorax.
Main Methods:
- A 64-year-old male patient with traumatic hemothorax after a bicycle accident was treated.
- Video-assisted thoracic surgery was performed due to shock and ongoing bleeding.
Main Results:
- A small laceration of the inferior pulmonary ligament was identified as the cause of hemothorax.
- Hemostasis was achieved using soft coagulation.
Conclusions:
- Inferior pulmonary ligament injury is an exceedingly rare cause of traumatic hemothorax.
- This condition should be considered in the differential diagnosis of traumatic hemothorax.
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