Spontaneous Tension Hemothorax in a Patient with Asbestosis
Case Presentation: A 75-year-old man with a history of asbestosis presented to the emergency department with sudden-onset dyspnea and hemoptysis, triggered by coughing. The patient was hemodynamically unstable and in respiratory distress. Computed tomography revealed a massive hemothorax on the left...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2022-11-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/0kv4x057 |
| _version_ | 1811304083495059456 |
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| author | Toshinao Suzuki Toshihiko Takada |
| author_facet | Toshinao Suzuki Toshihiko Takada |
| author_sort | Toshinao Suzuki |
| collection | DOAJ |
| description | Case Presentation: A 75-year-old man with a history of asbestosis presented to the emergency department with sudden-onset dyspnea and hemoptysis, triggered by coughing. The patient was hemodynamically unstable and in respiratory distress. Computed tomography revealed a massive hemothorax on the left side and compression of the descending thoracic aorta. He underwent emergency surgical exploration after decompression by chest tube insertion. The hemothorax was caused by tears in the pleural adhesions due to asbestosis and induced by coughing. Discussion: Spontaneous hemothorax is a rare subtype of hemothorax. There have been only a few case reports of spontaneous tension hemothorax. In addition to its typical findings, compression of the thoracic descending aorta was observed in our patient. We hypothesize that severely diminished pulmonary compliance contributed to the extremely high intrathoracic pressure, which led to this unusual finding. |
| first_indexed | 2024-04-13T07:59:40Z |
| format | Article |
| id | doaj.art-e12e8acfdcc34ccc83924f88b56b95c6 |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-04-13T07:59:40Z |
| publishDate | 2022-11-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-e12e8acfdcc34ccc83924f88b56b95c62022-12-22T02:55:19ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2022-11-016410.5811/cpcem.2022.6.57031cpcem-06-330Spontaneous Tension Hemothorax in a Patient with AsbestosisToshinao Suzuki0Toshihiko Takada1Teikyo University Chiba Medical Center, Interventional Radiology Center, Chiba, JapanFukushima Medical University, Department of General Medicine, Shirakawa Satellite for Teaching And Research (STAR), Fukushima, JapanCase Presentation: A 75-year-old man with a history of asbestosis presented to the emergency department with sudden-onset dyspnea and hemoptysis, triggered by coughing. The patient was hemodynamically unstable and in respiratory distress. Computed tomography revealed a massive hemothorax on the left side and compression of the descending thoracic aorta. He underwent emergency surgical exploration after decompression by chest tube insertion. The hemothorax was caused by tears in the pleural adhesions due to asbestosis and induced by coughing. Discussion: Spontaneous hemothorax is a rare subtype of hemothorax. There have been only a few case reports of spontaneous tension hemothorax. In addition to its typical findings, compression of the thoracic descending aorta was observed in our patient. We hypothesize that severely diminished pulmonary compliance contributed to the extremely high intrathoracic pressure, which led to this unusual finding.https://escholarship.org/uc/item/0kv4x057 |
| spellingShingle | Toshinao Suzuki Toshihiko Takada Spontaneous Tension Hemothorax in a Patient with Asbestosis Clinical Practice and Cases in Emergency Medicine |
| title | Spontaneous Tension Hemothorax in a Patient with Asbestosis |
| title_full | Spontaneous Tension Hemothorax in a Patient with Asbestosis |
| title_fullStr | Spontaneous Tension Hemothorax in a Patient with Asbestosis |
| title_full_unstemmed | Spontaneous Tension Hemothorax in a Patient with Asbestosis |
| title_short | Spontaneous Tension Hemothorax in a Patient with Asbestosis |
| title_sort | spontaneous tension hemothorax in a patient with asbestosis |
| url | https://escholarship.org/uc/item/0kv4x057 |
| work_keys_str_mv | AT toshinaosuzuki spontaneoustensionhemothoraxinapatientwithasbestosis AT toshihikotakada spontaneoustensionhemothoraxinapatientwithasbestosis |