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Spontaneous Hemopneumothorax: A Rare Cause of Unexplained Hemodynamic Instability in a Young Patient.
Aragão, Antonio Higor Marques; Fonseca, Letícia Aguiar; Deulefeu, Flávio Clemente; Medeiros, Israel Lopes; de Araújo, Rafael Fernandes Viana; da Cruz Neto, Carlos Alberto; Neto, Antero Gomes.
Afiliação
  • Aragão AHM; College of Medicine, Universidade Estadual do Ceará, Fortaleza, CE, Brazil.
  • Fonseca LA; College of Medicine, Universidade Estadual do Ceará, Fortaleza, CE, Brazil.
  • Deulefeu FC; Department of Pulmonology, Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
  • Medeiros IL; Department of Thoracic Surgery, Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
  • de Araújo RFV; Department of Thoracic Surgery, Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
  • da Cruz Neto CA; Department of Thoracic Surgery, Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
  • Neto AG; Department of Thoracic Surgery, Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
Case Rep Pulmonol ; 2020: 5026759, 2020.
Article em En | MEDLINE | ID: mdl-32047694
Spontaneous hemopneumothorax is a rare and potentially life-threatening disorder which complicates about 1-12% of patients presenting with spontaneous pneumothorax and has a remarkable predilection for male patients. It may present with signs of hypovolemic shock without apparent cause. While there are no specific guidelines for the management of patients diagnosed with such condition, wide debate in the literature relating to patient selection for surgery remains unresolved, and recently there seems to be a trend increasingly favorable towards early surgical intervention. Video-assisted thoracic surgery emerges as an excellent option for stable patients and has now been considered the gold standard treatment for spontaneous hemopneumothorax. We report the case of a 17-year-old male patient who presented to the emergency department with a history of sudden chest pain and dyspnea, with no previous evidence of trauma. On admission, the patient presented with hypotension, tachycardia, and cutaneous pallor. Chest X-ray showed hydropneumothorax on the left hemithorax; then, chest tube was placed with an initial drainage of 2000 ml of blood.

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Guideline Idioma: En Revista: Case Rep Pulmonol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Guideline Idioma: En Revista: Case Rep Pulmonol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos