Spontaneous hemothorax in pregnant patient with pulmonary arteriovenous malformation
We present a case of a 34-year-old pregnant patient at 26 weeks' gestation by in vitro fertilization with past medical history of hypertension and infertility who presented to the hospital with abdominal pain. The patient stated her pain was in her left upper quadrant. The morning before arrivi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322009803 |
| _version_ | 1811197467587248128 |
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| author | Taylor J. Robinson, BS Brandon Anamah, BA William B. Winter, MD Reza Imani-Shikhabadi, MD |
| author_facet | Taylor J. Robinson, BS Brandon Anamah, BA William B. Winter, MD Reza Imani-Shikhabadi, MD |
| author_sort | Taylor J. Robinson, BS |
| collection | DOAJ |
| description | We present a case of a 34-year-old pregnant patient at 26 weeks' gestation by in vitro fertilization with past medical history of hypertension and infertility who presented to the hospital with abdominal pain. The patient stated her pain was in her left upper quadrant. The morning before arriving to the hospital the patient stated she woke up at 0300 with increasingly severe pain in the same area.A computed tomography angiogram of the chest demonstrated a left-sided pulmonary arteriovenous malformation with adjacent complex left effusion on chest suspicious for a hemothorax. The hemothorax was thought to be brought about by rupture of the arteriovenous malformation with likely intermittent small volume hemorrhages into the pleural space. Thoracic Surgery and Interventional radiology (IR) were each consulted for management of the arteriovenous malformation. Due to the patient’s stable hemodynamic status and concern that an invasive procedure might enable a larger rupture and more substantial hemorrhage, the decision was made for embolization of the arteriovenous malformation. |
| first_indexed | 2024-04-12T01:14:18Z |
| format | Article |
| id | doaj.art-4924c0ae7b234e2e9cc56c9508fec617 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-12T01:14:18Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-4924c0ae7b234e2e9cc56c9508fec6172022-12-22T03:54:00ZengElsevierRadiology Case Reports1930-04332023-02-01182679684Spontaneous hemothorax in pregnant patient with pulmonary arteriovenous malformationTaylor J. Robinson, BS0Brandon Anamah, BA1William B. Winter, MD2Reza Imani-Shikhabadi, MD3Vanderbilt Medical Center, School of Medicine, 5025 Hillsboro Pike, Unit 8D, Nashville, TN USA; Corresponding author.Meharry Medical College, Nashville, TN USADepartment of Radiology, Vanderbilt Medical Center, Nashville, TN USADepartment of Radiology, Vanderbilt Medical Center, Nashville, TN USAWe present a case of a 34-year-old pregnant patient at 26 weeks' gestation by in vitro fertilization with past medical history of hypertension and infertility who presented to the hospital with abdominal pain. The patient stated her pain was in her left upper quadrant. The morning before arriving to the hospital the patient stated she woke up at 0300 with increasingly severe pain in the same area.A computed tomography angiogram of the chest demonstrated a left-sided pulmonary arteriovenous malformation with adjacent complex left effusion on chest suspicious for a hemothorax. The hemothorax was thought to be brought about by rupture of the arteriovenous malformation with likely intermittent small volume hemorrhages into the pleural space. Thoracic Surgery and Interventional radiology (IR) were each consulted for management of the arteriovenous malformation. Due to the patient’s stable hemodynamic status and concern that an invasive procedure might enable a larger rupture and more substantial hemorrhage, the decision was made for embolization of the arteriovenous malformation.http://www.sciencedirect.com/science/article/pii/S1930043322009803Hereditary hemorrhagic telangiectasiaChestArteriovenous malformation |
| spellingShingle | Taylor J. Robinson, BS Brandon Anamah, BA William B. Winter, MD Reza Imani-Shikhabadi, MD Spontaneous hemothorax in pregnant patient with pulmonary arteriovenous malformation Radiology Case Reports Hereditary hemorrhagic telangiectasia Chest Arteriovenous malformation |
| title | Spontaneous hemothorax in pregnant patient with pulmonary arteriovenous malformation |
| title_full | Spontaneous hemothorax in pregnant patient with pulmonary arteriovenous malformation |
| title_fullStr | Spontaneous hemothorax in pregnant patient with pulmonary arteriovenous malformation |
| title_full_unstemmed | Spontaneous hemothorax in pregnant patient with pulmonary arteriovenous malformation |
| title_short | Spontaneous hemothorax in pregnant patient with pulmonary arteriovenous malformation |
| title_sort | spontaneous hemothorax in pregnant patient with pulmonary arteriovenous malformation |
| topic | Hereditary hemorrhagic telangiectasia Chest Arteriovenous malformation |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322009803 |
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