Four cases of spontaneous hemopneumothorax
Tanaka, F.; Esaki, H.; Isobe, J.; Ueno, Y.; Inoue, R.; Ito, M.; Mori, A.; Shiraki, T.; Uemura, H.
Kyobu Geka. Japanese Journal of Thoracic Surgery 43(13): 1056-1059
1990
ISSN/ISBN: 0021-5252 PMID: 2273672 Document Number: 350142
We reported four cases of spontaneous hemopneumothorax. Of these, one (a 25-year-old man) had right hemopneumothorax and three (a 28-year-old man, a 21-year-old woman and a 24-year-old man) had left hemopneumothorax. In one case, because massive intrapleural bleeding had continued, an emergency operation was performed. In two cases, thoracotomy was performed because of recurrent pneumothorax. In the other case, about one week after hemopneumothorax had been controlled by pleural drainage, pneumothorax recurred and thoracotomy was performed. In conclusion, early thoracotomy is the best treatment for spontaneous hemopneumothorax.