SPONTAN HEMOPNÖMOTORAKS:
HAYATI TEHDİT EDEN NADİR BİR KLİNİK
ANTİTE
Year 2011,
Volume: 2 Issue: 1, 17 - 20, 01.01.2011
İbrahim Ethem Özsoy
,
Rasih Yazkan
Abstract
Spontan hemopnömotoraks, travma veya başka bir neden olmaksızın
plevral kavitede hava ve kanın eşzamanlı birikmesi ile karakterize
nadir görülen bir hastalıktır. Spontan pnömotorakslı olguların % 0.5-
12’sinde spontan hemopnömotoraks gözlenebilir. Tanı travma öyküsü
olmaksızın ani başlayan göğüs ağrısı ve dispnesi olan hastaya çekilen
posteroanterior akciğer grafisinde pnömotoraks hattı ve hava sıvı
seviyesi görülmesi ile konur. Kanama çoğunlukla parietal ve visseral
plevra arasındaki yapışıklığın yırtılması sonucu ya da vasküler büllerin
rüptürü sonucu oluşmaktadır. Erken tanı ve uygun cerrahi yaklaşım ile
ölümcül komplikasyonların önüne geçilebilir. Bu sunumda spontan
hemopnömotorakslı iki olgunun sunumu amaçlanmıştır
References
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- Kakaris S, Athanassiadi K, Vassilikos K, Skottis I. Spontaneous hemopneumothorax: a rare but life-threatening entity. Eur J Car- diothorac Surg 2004;25:856-58.
- Hsu NY, Shih CS, Hsu CP, Chen PR. Spontaneous hemopneu- mothorax revisited: clinical approach and systemic review of the literature. Ann Thorac Surg. 2005;80:1859-63.
- Rowell NR. Spontaneous haemopneumothorax. Br J tuberc 1956;50:214-20.
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- Ohmori K, Ohata M, Narata M, Lida M, Nakaoka Y, Irako M. 28 cases of spontaneous hemopneumothorax. Nippon Kyobu Geka Gakkai Zasshi 1988;36:1059-64.
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- Lee SC, Cheng YL, Yu CP. Hemopneumothorax from congenital cystic adenomatoid malformation in a cryptorchidism patient. Eur Respir J 2000;15:430-32.
- Passero FC, Myers AR. Hemopneumothorax in sys- temic lupus erythematosis. J Rheumatol 1980;7:183-86.
- Kanno R, Suzuki H, Fujiu K, Yoshino Y, Ohishi A, Gotoh M. He- mopneumothorax associated with Marfan’s syndrome and congen- ital afibrinogenemia. Ann Thorac Surg 2003;75:1304-06.
- Sharpe DA, Dixon K, Moghissi K. Spontaneous hemopneumotho- rax: a surgical emergency. Eur Respir J 1995;8:1611-12.
- Meysman M, Verhaege W, Sacre R, Vanhulle A, van de Maele B, Vincken W. Emergency treatment of life-threatening spontaneous haematopneuthorax. Eur J Emerg Med 1996;3:274-76.
- Hsu NY, Hsieh MJ, Liu HP, Kao ChL, Chang JP, Lin PJ, et al. Video-assisted thoracoscopic surgery for spontaneous hemopneu- mothorax. World J Surg 1998;22:23-27.
- Muragushi T, Tsukioka K, Hirata S, Fukuda S, Mizugami K, Kishi A, et al. Spontaneous hemopneumothorax with aberrant vessels found to be the source of bleeding. Surg Today 1993;23:1119-23.
- Wu YC, Lu MS, Yeh CH, Liu YH, Hsieh MJ, Lu Hi, et al. Justi- fying video-assisted thoracic surgery for spontaneous hemopneu- mothorax. Chest 2002;122:1844–47.
- Hsu CC, Wu YL, Lin HJ, LIN MP, Guo HR. Indicators of hae- mothorax in patients with spontaneous pneumothorax. Emerg Med J. 2005;22:415-17.
- Deslauriers J, Leblanc P, McClish A. Bullous and bleb diseases of the lung, Third edition. Thomas W. Shields, Philadelphia:1989;745.
- Horio H, Nomori H, Suemasu K. Video-assisted thoracoscopic surgery in spontaneous hemopneumothorax. Jpn J Thorac Cardio- vasc Surg 1998;46:987-91.
- Miyazawa M, Fujita T, Misawa R, Sakai T, Toishi M, Koyama H, et al. Thoracoscopic treatment for spontaneous hemopneumotho- rax. Surg Endosc 2002;16:1106.
SPONTANEOUS HAEMOPNEUMOTHORAX: A RARE CLINICAL ENTITY WITH LIFE THREATENING
Year 2011,
Volume: 2 Issue: 1, 17 - 20, 01.01.2011
İbrahim Ethem Özsoy
,
Rasih Yazkan
Abstract
Spontaneous haemopneumothorax is a rare clinical condition with a
simultaneous accumulation of air and blood in the pleural cavity with
no trauma or other causes. It is occurred in 0.5%-12% of spontaneous
pneumothorax. Diagnosis is performed by chest x-ray. Spontaneous
haemopneumothorax caused by pleural adhesion between the parietal
and visceral pleura or rupture of the vascularized bullae. Early diagnosis
and appropriate surgical treatment can prevent fatal complications.
In this report we aimed to present two cases of spontaneous
haemopneumothorax.
References
- Kim ES, Kang JY, Pyo CH, Jeon EY, Lee WB. 12- Year experience of spontaneous hemopneumothorax. Ann Thorac Cardiovasc Surg. 2008;14:149-53.
- Kakaris S, Athanassiadi K, Vassilikos K, Skottis I. Spontaneous hemopneumothorax: a rare but life-threatening entity. Eur J Car- diothorac Surg 2004;25:856-58.
- Hsu NY, Shih CS, Hsu CP, Chen PR. Spontaneous hemopneu- mothorax revisited: clinical approach and systemic review of the literature. Ann Thorac Surg. 2005;80:1859-63.
- Rowell NR. Spontaneous haemopneumothorax. Br J tuberc 1956;50:214-20.
- Homma T, Sugiyama S, Kotoh K, Doki Y, Tsuda M, Misaki T. Early surgery for treatment of spontaneous hemopneumothorax. Scand J Surg 2009;98:160-63.
- Ohmori K, Ohata M, Narata M, Lida M, Nakaoka Y, Irako M. 28 cases of spontaneous hemopneumothorax. Nippon Kyobu Geka Gakkai Zasshi 1988;36:1059-64.
- Apilioğlulları B, Esme H. Spontan hemopnömotoraksın tedavisi; İki olgu. Cerrahi Sanatlar Dergisi.2009;2:1-5
- Kandiş H, Güngör A, Katırcı Y, Deniz H, Deniz T. Sağlıklı bir gençte gözlenen spontan hemopnömotoraks. Akademik Acil Tıp Dergisi.2008;7:46-48.
- Lee SC, Cheng YL, Yu CP. Hemopneumothorax from congenital cystic adenomatoid malformation in a cryptorchidism patient. Eur Respir J 2000;15:430-32.
- Passero FC, Myers AR. Hemopneumothorax in sys- temic lupus erythematosis. J Rheumatol 1980;7:183-86.
- Kanno R, Suzuki H, Fujiu K, Yoshino Y, Ohishi A, Gotoh M. He- mopneumothorax associated with Marfan’s syndrome and congen- ital afibrinogenemia. Ann Thorac Surg 2003;75:1304-06.
- Sharpe DA, Dixon K, Moghissi K. Spontaneous hemopneumotho- rax: a surgical emergency. Eur Respir J 1995;8:1611-12.
- Meysman M, Verhaege W, Sacre R, Vanhulle A, van de Maele B, Vincken W. Emergency treatment of life-threatening spontaneous haematopneuthorax. Eur J Emerg Med 1996;3:274-76.
- Hsu NY, Hsieh MJ, Liu HP, Kao ChL, Chang JP, Lin PJ, et al. Video-assisted thoracoscopic surgery for spontaneous hemopneu- mothorax. World J Surg 1998;22:23-27.
- Muragushi T, Tsukioka K, Hirata S, Fukuda S, Mizugami K, Kishi A, et al. Spontaneous hemopneumothorax with aberrant vessels found to be the source of bleeding. Surg Today 1993;23:1119-23.
- Wu YC, Lu MS, Yeh CH, Liu YH, Hsieh MJ, Lu Hi, et al. Justi- fying video-assisted thoracic surgery for spontaneous hemopneu- mothorax. Chest 2002;122:1844–47.
- Hsu CC, Wu YL, Lin HJ, LIN MP, Guo HR. Indicators of hae- mothorax in patients with spontaneous pneumothorax. Emerg Med J. 2005;22:415-17.
- Deslauriers J, Leblanc P, McClish A. Bullous and bleb diseases of the lung, Third edition. Thomas W. Shields, Philadelphia:1989;745.
- Horio H, Nomori H, Suemasu K. Video-assisted thoracoscopic surgery in spontaneous hemopneumothorax. Jpn J Thorac Cardio- vasc Surg 1998;46:987-91.
- Miyazawa M, Fujita T, Misawa R, Sakai T, Toishi M, Koyama H, et al. Thoracoscopic treatment for spontaneous hemopneumotho- rax. Surg Endosc 2002;16:1106.