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World Journal of Surgery
Published in: World Journal of Surgery 3/2009

01-03-2009

Idiopathic Massive Spontaneous Hemothorax: Adhesion Disruption

Authors: Shyam Singh, Mukhand L. Sharma, Reyaz A. Lone, Mehmood A. Wani, Zahur Hussain, Ishtiyaq Mir, Puja Vimesh

Published in: World Journal of Surgery | Issue 3/2009

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Abstract

Background

Hemothorax has been reported to occur along with spontaneous pneumothorax due to adhesion disruption. Rupture of pleural adhesions spontaneously or after unnoticeable trivial trauma causing massive hemothorax alone is rare.

Methods

We present a series of seven cases of idiopathic massive spontaneous hemothorax due to adhesion disruption, of which all required emergency thoracotomy with ligation or cauterization of bleeding adhesions.

Results

Six patients had bleeding pleural lung adhesions of which five involved the upper lobes. Another had bleeding from pleuropericardial adhesions. All patients are doing well on follow-up.

Conclusions

Disruption of pleural adhesions may cause massive hemothorax, requiring early surgical intervention. After thoracotomy the outcome in these patients is excellent.
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Metadata
Title
Idiopathic Massive Spontaneous Hemothorax: Adhesion Disruption
Authors
Shyam Singh
Mukhand L. Sharma
Reyaz A. Lone
Mehmood A. Wani
Zahur Hussain
Ishtiyaq Mir
Puja Vimesh
Publication date
01-03-2009
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 3/2009
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-008-9844-x

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