Indian Journal of Respiratory Care

Register      Login

VOLUME 11 , ISSUE 4 ( October-December, 2022 ) > List of Articles

CASE REPORT

Spontaneous Hemothorax in a Patient of Ruptured Ectopic Pregnancy

Bishakha Swain

Keywords : Diaphragmatic fenestrations, hemoperitoneum, ruptured ectopic pregnancy, spontaneous hemothorax

Citation Information : Swain B. Spontaneous Hemothorax in a Patient of Ruptured Ectopic Pregnancy. Indian J Respir Care 2022; 11 (4):386-388.

DOI: 10.4103/ijrc.ijrc_111_22

License: CC BY-NC-SA 4.0

Published Online: 01-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Hemothorax is a condition characterized by the accumulation of blood within the pleural cavity. Most hemothoraces result from direct trauma, blood vessel rupture, tumor, or iatrogenic complication. Rarely, a hemothorax results from a medical condition such as pulmonary embolism or rupture of an aortic aneurysm. Here, we report an atypical case of hemothorax in a 24-year-old female following hemoperitoneum secondary to a ruptured ectopic pregnancy who had neither amenorrhea nor per vaginal bleeding. She underwent a laparotomy and was operated on for a ruptured right tubal ectopic. Hemothorax was diagnosed postoperatively - which had possibly developed through diaphragmatic fenestrations - and managed with a chest drain.


PDF Share
  1. Pratt JH, Shamblin WR. Spontaneous hemothorax as a direct complication of hemoperitoneum. Ann Surg 1968;167:867-72.
  2. Agrawal N, Tiwari K, Bansal C. Spontaneous hemothorax – A rare presentation of ectopic pregnancy. Int J Adv Res 2022;10:475-80.
  3. Berliner K. Hemorrhagic pleural effusion: An analysis of 1 20 cases. Ann Intern Med 1941;14:2266-84.
  4. Cochran JW. Pancreatic pseudocyst presenting as massive haemothorax. Am J Gastroenterol 1978;69:84-7.
  5. Kirschner PA. Porous diaphragm syndromes. Chest Surg Clin N Am 1998;8:449-72.
  6. Fishman DA, Padilla LA, Joob A, Lurain JR. Ectopic pregnancy causing hemothorax managed by thoracoscopy and actinomycin D. Obstet Gynecol 1998;91:837-8.
  7. Banyai AL, Jurgens GH. Accidental pneumothorax during pneumoperitoneum treatment. Amer Rev Tuberc 1940;42:688-90.
  8. Sompradeekul S, Jitruckthai P. Massive hemothorax in a woman with acute abdominal pain, a rare z. Chest 2012;142:506A.
  9. Boersma WG, Stigt JA, Smit HJ. Treatment of haemothorax. Respir Med 2010;104:1583-7.
  10. Bailey H, Love MN. Torso Trauma. In: Williams NS, O'Connell PR, McCaskie A, editors. Bailey & Love's Short Practice of Surgery. 27th ed. Florida: CRC Press; 2018. p. 368.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.