Idiopathic hemothorax associated with shock during transporting in an ambulance; report of a case
Mukoyama, N.; Ishikawa, Y.; Toki, S.; Tsuzuki, T.
Kyobu Geka. Japanese Journal of Thoracic Surgery 57(7): 583-585
2004
ISSN/ISBN: 0021-5252 PMID: 15285390 Document Number: 566782
A 37-year-old man was admitted to our hospital. The patient noted sudden right back pain after coughing before 1 hour. Loss of consciousness was occurred in an ambulance. Chest X-P revealed whole fluid in the right chest. Enhanced chest computed tomography (CT) revealed extravasation of contrast media into the pleural cavity from the right chest wall. Thoracentesis was performed to relieve dyspnea and 2,000 ml of blood was removed. Then hemoglobin count was dropped to 3.8 g/dl. At thoracotomy whole blood was sucked about 3,900 ml. Bleeding point was found at third intercostal vein. The vein was knotted and sutured by prolene thread. The bleeding lesion was no inflammation and no string like tissue. We report a case of idiopathic hemothorax and enhanced chest CT was useful for diagnosis of bleeding lesion of pleural cavity.