A Deadly Spontaneus Hemopneumothorax: A Case Report
DOI:
https://doi.org/10.37275/bsm.v6i8.554Keywords:
Hemopneumothorax, Arterial-vein malformation, ThoracotomyAbstract
Background: Spontaneous hemopneumothorax (SHP) is a subtype of hemopneumothorax in which there is an accumulation of blood and air in the pleural space without trauma or other definitive cause. Spontaneous hemopneumothorax is a rare disease.
Case presentation: A man, aged 32 years, came with a complaint of sudden shortness of breath due to a right hemopneumothorax patient who was put on a chest tube insertion. It looked like 1500 cc of blood came out accompanied by an air component. Next, the chest tube is connected to the water-sealed drainage. The patient found a decrease in Hb from 15 mg/dl to 12 mg/dl. In the next nine hours, the patient's Hb became 10 mg/dl. As a result of this condition, the patient underwent an emergency thoracotomy to evaluate the source of bleeding, where the patient's source bleeding was found to be an arterial vein malformation (AVM) at the apex of the lung attached to the chest wall. Anatomical and pathological examination showed confirmed arterial vein malformation.
Conclusion: Spontaneous hemopneumothorax, in this case, is a rare case caused by arterial-vein malformation. The right decision in patient management will determine the outcome and outcome of the treatment given.
Authors
- Muhammad Zulfikar Karim Chan1*
- Kelly Christy2
- Herman Darmawan3
- Brilliant Bergant4
- 1General Practitioner, Eka Hospital, Pekanbaru, Indonesia
- 2Thorax and Cardiovascular Surgeon, Awal Bros Hospital, Pekanbaru, Indonesia
- 3Pulmonologist, Awal Bros Hospital, Pekanbaru, Indonesia
- 4Thorax and Cardiovascular Surgeon, Eka Hospital, Pekanbaru, Indonesia
Corresponding author Muhammad Zulfikar Karim Chan — zulfikarkarim3@gmail.com
Article history
- Submitted
- Accepted
- Published
Downloads
Published
Issue
Section
License
As our aim is to disseminate original research article, hence the publishing right is a necessary one. The publishing right is needed in order to reach the agreement between the author and publisher. As the journal is fully open access, the authors will sign an exclusive license agreement.
The authors have the right to:
- Share their article in the same ways permitted to third parties under the relevant user license.
- Retain copyright, patent, trademark and other intellectual property rights including research data.
- Proper attribution and credit for the published work.
For the open access article, the publisher is granted to the following right.
- The non-exclusive right to publish the article and grant right to others.
- For the published article, the publisher applied for the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
