التفاصيل البيبلوغرافية
| العنوان: |
Unusual case of spontaneous hemopneumothorax in a Tunisian pulmonology department: a case report. |
| المؤلفون: |
Jazia, Rahma Ben1 rahmarr757@yahoo.fr, Ayachi, Jihene2, Chatbouri, Farouk3, Kacem, Ameni1, Faidi, Amira1, Braiek, Dhouha Ben2, Maatallah, Anis1 |
| المصدر: |
Pan African Medical Journal. Jan-Apr2021, Vol. 38, p1-7. 7p. |
| مصطلحات موضوعية: |
*PNEUMOTHORAX, *VIDEO-assisted thoracic surgery, *CONSERVATIVE treatment, *CHEST endoscopic surgery, *DIAGNOSIS, *HEMODYNAMIC monitoring |
| مستخلص: |
pontaneous hemopneumothorax is a rare encountered entity in clinical practice. It can be life threatening, so a prompt diagnosis and therapeutic intervention are required. We report a case of a right spontaneous hemopneumothorax in a 31- year-old man, complicated with hemorrhagic shock. Conservative therapy with only thoracic drainage with close monitoring of outflow and hemodynamic parameters was performed. In front of hemodynamic instability, an emergency videoassisted thoracoscopic surgery was performed. An apical bulla adhering to the parietal pleura has been identified as the source of the bleeding. The resection of the bullae and electrocauterization of the bleeding adhesion were effectuated. The hemostasis was easily achieved. The actual experience suggests that video-assisted thoracoscopic surgery should be performed as soon as possible after the diagnosis of spontaneous hemopneumothorax. Indeed, conservative therapy with chest drainage should only be performed as bridge to recovery for the stabilization before the video-assisted thoracoscopic surgery. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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