Hemothorax induced by severe cough: An unusual presentation
Massive hemothorax resulting from cough-induced rib fracture is a condition in which blood accumulates in the chest, compromising the lungs and mediastinal structures. The most common cause of massive hemothorax is acute pro-traumatic injury. We present a case of a 47-year-old gentleman with morbid...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2019-04-01
|
| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X19846043 |
| _version_ | 1818317799694532608 |
|---|---|
| author | Luis Arturo Camarillo-Reyes Roberto Ivan Marquez-Córdova Salim Surani Joseph Varon |
| author_facet | Luis Arturo Camarillo-Reyes Roberto Ivan Marquez-Córdova Salim Surani Joseph Varon |
| author_sort | Luis Arturo Camarillo-Reyes |
| collection | DOAJ |
| description | Massive hemothorax resulting from cough-induced rib fracture is a condition in which blood accumulates in the chest, compromising the lungs and mediastinal structures. The most common cause of massive hemothorax is acute pro-traumatic injury. We present a case of a 47-year-old gentleman with morbid obesity and psoriasis, who was admitted to the emergency department due to shortness of breath that has been increased progressively after coughing for a period of 2 weeks. Chest radiograph demonstrated a large density in the left hemithorax, collapsing the left lung. Chest computerized tomography showed a left seventh rib fracture and massive pleural effusion. A closed chest tube thoracostomy was performed draining 3 L of hemorrhagic effusion, likely due to bleeding from the intercostal artery tear due to severe and prolonged cough. Cough-induced hemothorax due to spontaneous rib fractures are rare and clinicians should be well aware of this entity to prevent hemorrhagic shock and organ damage. |
| first_indexed | 2024-12-13T09:43:04Z |
| format | Article |
| id | doaj.art-abfb3c6569394745a8dff24ad412b9f7 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-13T09:43:04Z |
| publishDate | 2019-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-abfb3c6569394745a8dff24ad412b9f72022-12-21T23:52:08ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2019-04-01710.1177/2050313X19846043Hemothorax induced by severe cough: An unusual presentationLuis Arturo Camarillo-Reyes0Roberto Ivan Marquez-Córdova1Salim Surani2Joseph Varon3Dorrington Medical Associates, Houston, TX, USAUniversidad Autonoma de Baja California, Mexicali, MexicoTexas A&M University-Corpus Christi, Corpus Christi, TX, USAUnited Memorial Medical Center/United General Hospital, Houston, TX, USAMassive hemothorax resulting from cough-induced rib fracture is a condition in which blood accumulates in the chest, compromising the lungs and mediastinal structures. The most common cause of massive hemothorax is acute pro-traumatic injury. We present a case of a 47-year-old gentleman with morbid obesity and psoriasis, who was admitted to the emergency department due to shortness of breath that has been increased progressively after coughing for a period of 2 weeks. Chest radiograph demonstrated a large density in the left hemithorax, collapsing the left lung. Chest computerized tomography showed a left seventh rib fracture and massive pleural effusion. A closed chest tube thoracostomy was performed draining 3 L of hemorrhagic effusion, likely due to bleeding from the intercostal artery tear due to severe and prolonged cough. Cough-induced hemothorax due to spontaneous rib fractures are rare and clinicians should be well aware of this entity to prevent hemorrhagic shock and organ damage.https://doi.org/10.1177/2050313X19846043 |
| spellingShingle | Luis Arturo Camarillo-Reyes Roberto Ivan Marquez-Córdova Salim Surani Joseph Varon Hemothorax induced by severe cough: An unusual presentation SAGE Open Medical Case Reports |
| title | Hemothorax induced by severe cough: An unusual presentation |
| title_full | Hemothorax induced by severe cough: An unusual presentation |
| title_fullStr | Hemothorax induced by severe cough: An unusual presentation |
| title_full_unstemmed | Hemothorax induced by severe cough: An unusual presentation |
| title_short | Hemothorax induced by severe cough: An unusual presentation |
| title_sort | hemothorax induced by severe cough an unusual presentation |
| url | https://doi.org/10.1177/2050313X19846043 |
| work_keys_str_mv | AT luisarturocamarilloreyes hemothoraxinducedbyseverecoughanunusualpresentation AT robertoivanmarquezcordova hemothoraxinducedbyseverecoughanunusualpresentation AT salimsurani hemothoraxinducedbyseverecoughanunusualpresentation AT josephvaron hemothoraxinducedbyseverecoughanunusualpresentation |