TY  - JOUR
TT  - Evaluation of patients diagnosed with spontaneous hemopneumothorax
AU  - Oruç, Menduh
AU  - Monis, Serdar
AU  - Şahin, Atalay
AU  - Erbey, Ahmet
AU  - Meterolu, Fatih
AU  - Onat, Serdar
PY  - 2017
DA  - October
DO  - 10.5472/marumj.370858
JF  - Marmara Medical Journal
JO  - Marmara Med J
PB  - Marmara University
WT  - DergiPark
SN  - 1019-1941
SP  - 177
EP  - 180
VL  - 30
IS  - 3
KW  - Spontan
KW  - Hemotoraks
KW  - Pnömotoraks
N2  - Objective: Spontaneous hemopneumothorax (SHP) may threatenlife unless timely diagnosed and appropriately treated. The aimof this study was to review our institutional experience in themanagement of patients with SHP.Patients and Methods: We retrospectively analyzed age, gender,the affected side, the amount of drainage, clinical findings, andtreatment outcomes of 610 patients with diagnosis of spontaneouspneumothorax at emergency department. Later, they were admittedto the Department of Thoracic Surgery, Dicle University Hospital.Results: Posteroanterior chest radiographs, thoracic computedtomography (CT) scans, biochemistry and coagulation test results of allpatients were evaluated. All patients underwent closed chest drainage.Seven (1.14%) of 610 patients were diagnosed with SHP. These patientsunderwent operation after thoracic drainage. Three of them wereoperated by video-assisted thoracoscopic surgery (VATS) and the othersby thoracotomy. No postoperative complication was observed.Conclusion: SHP should be considered in patients presentingwith sudden chest pain and dyspnea when there is air-fluid levelin addition to pneumothorax on radiography. The first treatmentapproach should be the application of tube thoracostomy. Nextstep should include close clinical and hemodynamic control andbe followed primarily by VATS or urgent thoracotomy in case ofcontinued bleeding. An early diagnosis and appropriate surgicalapproach can prevent fatal complications.
CR  - Homma T, Sugiyama S, Kotoh K, Doki Y, Tsuda M,
Misaki T. Early surgery for treatment of spontaneous
hemopneumothorax. Scand J Surg 2009; 98: 160-3. doi:
10.1177/145749690909800306
CR  - Tatebe S, Kanazawa H, Yamazaki Y, Aoki E, Sakurai
Y. Spontaneous hemo-pneumothorax. Ann Thorac Surg
1996;62:1011-5. doi: 10.1016/0003-4975(96)00445-6
CR  - Calvin SH NG, Anthony PC Y. Spontaneous
hemopneumothorax. Curr Opin Pulm Med 2006;12:273-7.
CR  - Hsu CC, Wu YL, Lın HJ, et al. Indicators of haemothorax
in patients with spontaneous pneumothorax. Emerg Med J
2005; 22: 415-7. doi: 10.1136/emj.2003.013441
CR  - Abyholm F, Storen G. Spontaneous hemopneumothorax.
Thorax 1973; 28:376-8.
CR  - Kakamad F, Othman S. Primary spontaneous
hemopneumothorax: A meta-analysis study. Edorium J
Cardiothorac Vasc Surg 2016;2:6-11. doi: 10.5348/C04-
2016-10-OA-2
CR  - Tulay CM, Aygün M. Emergency surgery for spontaneous
hemopneumothorax. J Coll Physicians Surg Pak 2014;24:435-
47. doi: 06.2014/JCPSP.435437
CR  - Tay CK, Yee YC, Asmat A. Spontaneous hemopneumothorax:
Our experience with surgical management. Asian
Cardiovasc Thorac Ann 2015;23:308-10. doi:
10.1177/0218492314561502
CR  - Haciibrahimoglu G, Cansever L, Kocaturk C, Aydogmus
U, Bedirhan MA. Spontaneous Hemopneumothorax: Is
conservative treatment enough? Thorac Cardiovasc Surg
2005; 53: 240-2. doi: 10.1055/s-2005-837647
CR  - Çobanoğlu U, Sayır F, Sertoğullarından B, Mergan, Aydın
İ. Spontaneous Hemopneumothorax: Analysis of 8 cases. J
Clin Anal Med 2012;3:59-62. doi: 10.4328/JCAM.561
CR  - Ng CSH, Lee TW, Wan S, Yim APC. Video assisted thoracic
surgery in the management of spontaneous pneumothorax:
the current status. Postgrad Med J 2006;82:179-85. doi:
10.1136/pgmj.2005.038398
CR  - Kim ES, Kang JY, Pyo CH, Jeon EY, Lee WB. 12 year
experience of spontaneous hemopneumothorax. Ann Thorac
Cardiovasc Surg 2008:14:149-53.
CR  - Miyazawa M, Fujita T, Misawa R, et al. Thoracoscopic
treatment for spontaneous hemo-pneumothorax. Surg Endosc
2002;16:1106. doi: 10.1007/s00464-001-4182-1
CR  - Patrini D, Panagiotopoulos N, Pararajasingham J, Gvinianidze
L, Iqbal Y, Lawrence DR. Etiology and management of
spontaneous hemothorax. J Thorac Dis 2015:7:520-6. doi:
10.3978/j.issn.2072-1439.2014.12.50
UR  - https://doi.org/10.5472/marumj.370858
L1  - https://dergipark.org.tr/en/download/article-file/408836
ER  -