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A Case of Spontaneous Hemothorax with a Ruptured Variceal Phrenic Vein

  • Juhyun, Lee (Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) ;
  • Sung Kwang, Lee (Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) ;
  • Jinhong, Wi (Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) ;
  • Yoo Sang, Yoon (Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) ;
  • Il-Yong, Han (Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) ;
  • Yang Haeng, Lee (Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine)
  • Received : 2022.02.22
  • Accepted : 2022.07.07
  • Published : 2022.12.05

Abstract

Spontaneous hemothorax is rare, with limited data available on its etiology and treatment. We report a case of massive spontaneous hemothorax with a ruptured variceal phrenic vein during pregnancy, likely a complication of the Kasai procedure. Despite closed thoracostomy, the patient's symptoms and imaging findings did not improve. Emergent open thoracotomy and bleeding control were performed.

Keywords

References

  1. Patrini D, Panagiotopoulos N, Pararajasingham J, Gvinianidze L, Iqbal Y, Lawrence DR. Etiology and management of spontaneous haemothorax. J Thorac Dis 2015;7:520-6. https://doi.org/10.3978/j.issn.2072-1439.2014.12.50 
  2. Bijl EJ, Bharwani KD, Houwen RH, de Man RA. The long-term outcome of the Kasai operation in patients with biliary atresia: a systematic review. Neth J Med 2013;71:170-3. 
  3. Todani T, Watanabe Y, Mizuguchi T, Fujii T, Toki A. Portal hypertension after successful Kasai's operation for biliary atresia: special reference to esophageal varices. Z Kinderchir 1981;34:240-8. https://doi.org/10.1055/s-2008-1063353 
  4. Saad WE, Lippert A, Saad NE, Caldwell S. Ectopic varices: anatomical classification, hemodynamic classification, and hemodynamic-based management. Tech Vasc Interv Radiol 2013;16:158-75. https://doi.org/10.1053/j.tvir.2013.02.004 
  5. Sarin SK, Kumar CK. Ectopic varices. Clin Liver Dis (Hoboken) 2012;1:167-72. https://doi.org/10.1002/cld.95 
  6. Sanghavi M, Rutherford JD. Cardiovascular physiology of pregnancy. Circulation 2014;130:1003-8. https://doi.org/10.1161/CIRCULATIONAHA.114.009029 
  7. Petrenko AP, Castelo-Branco C, Marshalov DV, et al. Physiology of intra-abdominal volume during pregnancy. J Obstet Gynaecol 2021;41:1016-22. https://doi.org/10.1080/01443615.2020.1820470