https://doi.org/10.4081/monaldi.2023.2496

Spontaneous large volume hemothorax managed with a small-bore chest tube

Vol. 93 No. 4 (2023)
Submitted: November 28, 2022
Accepted: January 25, 2023
Published: February 2, 2023
Hemothorax, lung cancer, small-bore chest tube, pleural effusion
Abstract Views: 593
PDF: 119
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Authors

Moiz Salahuddin
moiz_salahuddin@hotmail.com
Department of Medicine, Aga Khan University, Karachi, Pakistan.
Samia Ayub
Department of Medicine, Aga Khan University, Karachi, Pakistan.

A 67-year-old male with metastatic lung cancer presented with acute shortness of breath and increasing oxygen requirements. He had a decreasing hemoglobin for which he required red blood cell transfusions. His chest X-ray showed near complete white-out of the left lung. Bedside ultrasound (Handheld Sonostar C4PL) showed a large pleural effusion with swirling echogenic material suggestive of plankton sign. The pleural effusion was aspirated and showed frank blood, after which a small-bore chest tube (SBCT) was inserted. A total of 3200 mL of blood was drained with the SBCT. There was complete clearance of the pleural space, and no further blood product transfusions were needed. This case highlights that conservative management can be considered in patients with spontaneous hemothorax due to metastatic disease.

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How to Cite

Salahuddin, Moiz, and Samia Ayub. 2023. “Spontaneous Large Volume Hemothorax Managed With a Small-Bore Chest Tube”. Monaldi Archives for Chest Disease 93 (4). https://doi.org/10.4081/monaldi.2023.2496.
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