Spontaneous hemothorax caused by metastasis of a rib tumour

Che-Kim Tan; Kuo-Chin Wu; Reng-Hong Wu; Yu-Hui Lui
March 2008
CMAJ: Canadian Medical Association Journal;3/11/2008, Vol. 178 Issue 6, p679
Academic Journal
The article focuses on spontaneous hemothorax and its pathology. It states that trauma is the most common cause of hemothorax. Spontaneous hemothorax resulted from a primary or metastatic neoplasm, aortic dissection, coagulation disorders, endometriosis and pulmonary infarction. Hemothorax caused by the break of a metastatic hepatocellular carcinoma is quite rare. Its treatment include tube thoracotomy, surgical hemostasis, transcatherer arterial embolization and percutaneous ethanol injection. However, the author adds that in their case, most patients die as a result of uncontrollable hemorrhage.


Related Articles

  • Fluid management in patients with trauma: Restrictive versus liberal approach. Chatrath, Veena; Khetarpal, Ranjana; Ahuja, Jogesh // Journal of Anaesthesiology Clinical Pharmacology;Jul-Sep2015, Vol. 31 Issue 3, p308 

    Trauma is a leading cause of death worldwide, and almost 30% of trauma deaths are due to blood loss. A number of concerns have been raised regarding the advisability of the classic principles of aggressive crystalloid resuscitation in traumatic hemorrhagic shock. Some recent studies have shown...

  • Complete hepatocellular carcinoma necrosis following sequential porto-arterial embolization. Zalinski, Stéphane; Scatton, Olivier; Randone, Bruto; Vignaux, Olivier; Dousset, Bertrand; Garcia-Compean, Diego; Helmy, Ahmed // World Journal of Gastroenterology;11/28/2008, Vol. 14 Issue 44, p6869 

    Most patients with hepatocellular carcinoma (HCC) are not eligible for curative treatment, which is resection or transplantation. Two recent series have emphasized the potential benefits of preoperative arterio-portal embolization prior to surgical resection of such tumours. This preoperative...

  • Outcome and predictive factors of successful transarterial embolization for the treatment of acute gastrointestinal hemorrhage. Hongsakul, Keerati; Pakdeejit, Songklod; Tanutit, Pramot // Acta Radiologica;Mar2014, Vol. 55 Issue 2, p186 

    The article focuses on the treatment of acute gastrointestinal bleeding (GIB). Gastrointestinal bleeding (GIB) is categorized as upper or lower GIB when the cause is located either proximal or distal to the ligament of Treitz. It states that transarterial embolization (TAE) is an effective...

  • Management of Trauma-Induced Coagulopathy: Trends and Practices. D'Angelo, Matthew R.; Dutton, Richard P. // AANA Journal;Feb2010, Vol. 78 Issue 1, p35 

    Nearly one-fourth of all trauma admissions present in varying degrees of coagulopathy. According to a US study, 40% of trauma fatalities are due to hemorrhage and hemorrhagic shock, and nearly all patients who are alive when they reach the hospital are coagulopathic when they die. Once...

  • Coagulopathy: Its Pathophysiology and Treatment in the Injured Patient. Tieu, Brandon; Holcomb, John; Schreiber, Martin // World Journal of Surgery;May2007, Vol. 31 Issue 5, p1055 

    Hemorrhage continues to be one of the leading causes of death following trauma. Trauma patients are susceptible to the early development of coagulopathy and the most severely injured patients are coagulopathic on hospital admission. Hypothermia, acidosis, and dilution from standard resuscitation...

  • The efficacy of selective arterial embolization in the management of colonic bleeding. Adusumilli, S.; Gosselink, M.; Ctercteko, G.; Pathmanathan, N.; El-Khoury, T.; Dutton, P.; Makin, G.; Wallace, M. // Techniques in Coloproctology;Jun2014, Vol. 18 Issue 6, p529 

    Background: The aim of the present study was to determine the efficacy of mesenteric embolization in the management of acute haemorrhage from the colon. Methods: A retrospective review was performed of a consecutive series of patients who underwent selective arterial embolization between 2002...

  • Combined Transcatheter Arterial Embolization and Expanded Liver Resection for Hepatocellular Carcinoma with Multiple Intrahepatic Metastasis. Tanaka, Akira; Kumada, Kaoru; Yamaoka, Yoshio; Ozawa, Kazue // American Journal of Gastroenterology;Oct1992, Vol. 87 Issue 10, p1496 

    After repeated transcatheter arterial embolization, a patient with hepatocellular carcinoma with multiple intrahepatic metastase in the entire lobe was successfully treated by extended right lobectomy with resection of the retrohepatic inferior vena eava under extracorporeal venovenous bypass.

  • Recombinant Activated Factor VII: Current Perspectives and Epworth Experience Labattaglia, Matthew P.; Ihle, Benno // Heart, Lung & Circulation;Jun2007 Supplement 3, Vol. 16 Issue s3, pS96 

    Recombinant factor VII was first developed for control and prevention of bleeding in haemophilia with antibodies to factor VIII and IX. Its efficacy in these situations is well established. Over recent years, the ‘off-label’ use of this substance has become more widespread in...

  • Postpartum haemorrhage from ruptured pseudoaneurysm: efficacy of transcatheter arterial embolisation using N-butyl-2-cyanoacrylate. Kim, Gyoung; Yoon, Chang; Seong, Nak; Kang, Sung-Gwon; Kim, Young-Joo // European Radiology;Aug2013, Vol. 23 Issue 8, p2344 

    Objectives: To evaluate the efficacy of transcatheter arterial embolisation (TAE) using N-butyl-2-cyanoacrylate (NBCA) in the treatment of postpartum haemorrhage (PPH) due to ruptured pseudoaneurysm. Methods: From March 2004 to December 2010, 33 patients underwent TAE using NBCA for massive PPH....


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics