Spontaneous massive haemothorax caused by rupture of an intercostal vein
Spontaneous massive haemothorax is rare. We describe a healthy 44 year old woman who experience sudden onset chest pain while sleeping. Chest radiograph revealed massive right pleural effusion. Progressive dyspnoea, cold sweating, and tachycardia developed later. A tube thoracostomy was performed im...
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| Veröffentlicht in: | Emergency medicine journal : EMJ 2006-09, Vol.23 (9), p.e49-e49 |
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| creator | Ke, H-Y Lee, S-C Tzao, C Chang, H Liao, G-S Cheng, Y-L |
| description | Spontaneous massive haemothorax is rare. We describe a healthy 44 year old woman who experience sudden onset chest pain while sleeping. Chest radiograph revealed massive right pleural effusion. Progressive dyspnoea, cold sweating, and tachycardia developed later. A tube thoracostomy was performed immediately and massive haemothorax was noted. An emergency thoracotomy was performed because of unstable vital signs. Disruption of the right third intercostal vein with continuous bleeding was observed, and suture ligation of the vein was performed. The total blood loss was about 4000 ml. The patient recovered uneventfully, and her condition at follow up visits to the outpatient department was satisfactory. |
| doi_str_mv | 10.1136/emj.2006.036087 |
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We describe a healthy 44 year old woman who experience sudden onset chest pain while sleeping. Chest radiograph revealed massive right pleural effusion. Progressive dyspnoea, cold sweating, and tachycardia developed later. A tube thoracostomy was performed immediately and massive haemothorax was noted. An emergency thoracotomy was performed because of unstable vital signs. Disruption of the right third intercostal vein with continuous bleeding was observed, and suture ligation of the vein was performed. The total blood loss was about 4000 ml. The patient recovered uneventfully, and her condition at follow up visits to the outpatient department was satisfactory.</description><identifier>ISSN: 1472-0205</identifier><identifier>EISSN: 1472-0213</identifier><identifier>DOI: 10.1136/emj.2006.036087</identifier><identifier>PMID: 16921070</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</publisher><subject>Adult ; Blood pressure ; Chest Pain - etiology ; Emergency Casebook ; Evacuations & rescues ; Female ; Hemothorax - diagnosis ; Hemothorax - etiology ; Hemothorax - therapy ; Humans ; Intercostal Muscles - blood supply ; intercostal vein rupture ; Ostomy ; Pleural Effusion - diagnostic imaging ; Pleural Effusion - etiology ; Radiography ; Rupture, Spontaneous - complications ; Rupture, Spontaneous - diagnosis ; Rupture, Spontaneous - therapy ; spontaneous haemothorax ; Thoracic surgery ; Thoracostomy ; Thrombosis ; Treatment Outcome ; Vascular Diseases - complications ; Vascular Diseases - diagnosis ; Vascular Diseases - surgery ; Veins ; Veins & arteries</subject><ispartof>Emergency medicine journal : EMJ, 2006-09, Vol.23 (9), p.e49-e49</ispartof><rights>Copyright 2006 by the Emergency Medicine Journal</rights><rights>Copyright: 2006 Copyright 2006 by the Emergency Medicine Journal</rights><rights>Copyright ©2006 Emergency Medicine Journal.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b492t-d0bfcc0c60da0f17723fd93f7e9229f02e63df7e20e9ea71d37f52da0fcc93ee3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://emj.bmj.com/content/23/9/e49.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://emj.bmj.com/content/23/9/e49.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,723,776,780,881,3183,23550,27901,27902,53766,53768,77342,77373</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16921070$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ke, H-Y</creatorcontrib><creatorcontrib>Lee, S-C</creatorcontrib><creatorcontrib>Tzao, C</creatorcontrib><creatorcontrib>Chang, H</creatorcontrib><creatorcontrib>Liao, G-S</creatorcontrib><creatorcontrib>Cheng, Y-L</creatorcontrib><title>Spontaneous massive haemothorax caused by rupture of an intercostal vein</title><title>Emergency medicine journal : EMJ</title><addtitle>Emerg Med J</addtitle><description>Spontaneous massive haemothorax is rare. We describe a healthy 44 year old woman who experience sudden onset chest pain while sleeping. Chest radiograph revealed massive right pleural effusion. Progressive dyspnoea, cold sweating, and tachycardia developed later. A tube thoracostomy was performed immediately and massive haemothorax was noted. An emergency thoracotomy was performed because of unstable vital signs. Disruption of the right third intercostal vein with continuous bleeding was observed, and suture ligation of the vein was performed. The total blood loss was about 4000 ml. The patient recovered uneventfully, and her condition at follow up visits to the outpatient department was satisfactory.</description><subject>Adult</subject><subject>Blood pressure</subject><subject>Chest Pain - etiology</subject><subject>Emergency Casebook</subject><subject>Evacuations & rescues</subject><subject>Female</subject><subject>Hemothorax - diagnosis</subject><subject>Hemothorax - etiology</subject><subject>Hemothorax - therapy</subject><subject>Humans</subject><subject>Intercostal Muscles - blood supply</subject><subject>intercostal vein rupture</subject><subject>Ostomy</subject><subject>Pleural Effusion - diagnostic imaging</subject><subject>Pleural Effusion - etiology</subject><subject>Radiography</subject><subject>Rupture, Spontaneous - complications</subject><subject>Rupture, Spontaneous - diagnosis</subject><subject>Rupture, Spontaneous - therapy</subject><subject>spontaneous haemothorax</subject><subject>Thoracic surgery</subject><subject>Thoracostomy</subject><subject>Thrombosis</subject><subject>Treatment Outcome</subject><subject>Vascular Diseases - complications</subject><subject>Vascular Diseases - diagnosis</subject><subject>Vascular Diseases - surgery</subject><subject>Veins</subject><subject>Veins & arteries</subject><issn>1472-0205</issn><issn>1472-0213</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkU1v1DAQhi0Eoh9w5oYsIfWAlO3YTuz4gkSXQpGqcmgLR8txxmyWJF7sZNX-e7LKavm4cLKtefyOxw8hrxgsGBPyHLv1ggPIBQgJpXpCjlmueAaciaeHPRRH5CSlNQArdF4-J0dMas5AwTG5ut2EfrA9hjHRzqbUbJGuLHZhWIVoH6izY8KaVo80jpthjEiDp7anTT9gdCENtqVbbPoX5Jm3bcKX-_WU3H-8vFteZddfPn1evr_OqlzzIauh8s6Bk1Bb8EwpLnythVeoOdceOEpRTycOqNEqVgvlC75jndMCUZySd3PuZqw6rB32Q7St2cSms_HRBNuYvyt9szLfw9bwQuZcqCngbB8Qw88R02C6Jjls2_kTjCyVVCUrJvDNP-A6jLGfhjNMlQBQFOUu7nymXAwpRfSHpzAwO0dmcmR2jszsaLrx-s8JfvN7KROQzUCTBnw41G38YaQSqjA3X5fm4lbnH25KZb5N_NuZr6ZO_-v-CwCEqzk</recordid><startdate>20060901</startdate><enddate>20060901</enddate><creator>Ke, H-Y</creator><creator>Lee, S-C</creator><creator>Tzao, C</creator><creator>Chang, H</creator><creator>Liao, G-S</creator><creator>Cheng, Y-L</creator><general>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>U9A</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20060901</creationdate><title>Spontaneous massive haemothorax caused by rupture of an intercostal vein</title><author>Ke, H-Y ; Lee, S-C ; Tzao, C ; Chang, H ; Liao, G-S ; Cheng, Y-L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b492t-d0bfcc0c60da0f17723fd93f7e9229f02e63df7e20e9ea71d37f52da0fcc93ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Blood pressure</topic><topic>Chest Pain - etiology</topic><topic>Emergency Casebook</topic><topic>Evacuations & rescues</topic><topic>Female</topic><topic>Hemothorax - diagnosis</topic><topic>Hemothorax - etiology</topic><topic>Hemothorax - therapy</topic><topic>Humans</topic><topic>Intercostal Muscles - blood supply</topic><topic>intercostal vein rupture</topic><topic>Ostomy</topic><topic>Pleural Effusion - diagnostic imaging</topic><topic>Pleural Effusion - etiology</topic><topic>Radiography</topic><topic>Rupture, Spontaneous - complications</topic><topic>Rupture, Spontaneous - diagnosis</topic><topic>Rupture, Spontaneous - therapy</topic><topic>spontaneous haemothorax</topic><topic>Thoracic surgery</topic><topic>Thoracostomy</topic><topic>Thrombosis</topic><topic>Treatment Outcome</topic><topic>Vascular Diseases - complications</topic><topic>Vascular Diseases - diagnosis</topic><topic>Vascular Diseases - surgery</topic><topic>Veins</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ke, H-Y</creatorcontrib><creatorcontrib>Lee, S-C</creatorcontrib><creatorcontrib>Tzao, C</creatorcontrib><creatorcontrib>Chang, H</creatorcontrib><creatorcontrib>Liao, G-S</creatorcontrib><creatorcontrib>Cheng, Y-L</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Emergency medicine journal : EMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ke, H-Y</au><au>Lee, S-C</au><au>Tzao, C</au><au>Chang, H</au><au>Liao, G-S</au><au>Cheng, Y-L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous massive haemothorax caused by rupture of an intercostal vein</atitle><jtitle>Emergency medicine journal : EMJ</jtitle><addtitle>Emerg Med J</addtitle><date>2006-09-01</date><risdate>2006</risdate><volume>23</volume><issue>9</issue><spage>e49</spage><epage>e49</epage><pages>e49-e49</pages><issn>1472-0205</issn><eissn>1472-0213</eissn><abstract>Spontaneous massive haemothorax is rare. We describe a healthy 44 year old woman who experience sudden onset chest pain while sleeping. Chest radiograph revealed massive right pleural effusion. Progressive dyspnoea, cold sweating, and tachycardia developed later. A tube thoracostomy was performed immediately and massive haemothorax was noted. An emergency thoracotomy was performed because of unstable vital signs. Disruption of the right third intercostal vein with continuous bleeding was observed, and suture ligation of the vein was performed. The total blood loss was about 4000 ml. The patient recovered uneventfully, and her condition at follow up visits to the outpatient department was satisfactory.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</pub><pmid>16921070</pmid><doi>10.1136/emj.2006.036087</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; BMJ Journals - NESLi2; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adult Blood pressure Chest Pain - etiology Emergency Casebook Evacuations & rescues Female Hemothorax - diagnosis Hemothorax - etiology Hemothorax - therapy Humans Intercostal Muscles - blood supply intercostal vein rupture Ostomy Pleural Effusion - diagnostic imaging Pleural Effusion - etiology Radiography Rupture, Spontaneous - complications Rupture, Spontaneous - diagnosis Rupture, Spontaneous - therapy spontaneous haemothorax Thoracic surgery Thoracostomy Thrombosis Treatment Outcome Vascular Diseases - complications Vascular Diseases - diagnosis Vascular Diseases - surgery Veins Veins & arteries |
| title | Spontaneous massive haemothorax caused by rupture of an intercostal vein |
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