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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

Case Report

A case of spontaneous hemopneumothorax with hemorrhagic shock treated by transcatheter arterial embolization

Rioto Suzukia  Minoru Tandaa  Mari Terayamaa  Kenichi Katob  Yoshihiro Inouea 

aAdvanced Critical Care and Emergency Center, Iwate Medical University Hospital
bDepartment of Radiology, Iwate Medical University Hospital

ABSTRACT

A 71-year-old man visited a different hospital with a chief complaint of left chest pain. Chest computed tomography (CT) showed left pleural effusion. A chest tube was inserted into the left thoracic cavity, and copious hemorrhagic fluid was drained. His blood pressure dropped and he was transported to our hospital with hemorrhagic shock. We diagnosed left spontaneous hemopneumothorax by contrast-enhanced CT which showed extravasation of contrast agents in the left thoracic cavity. Transcatheter arterial embolization was performed to the left supreme intercostal artery that was the source of the extravasation. In general, surgical treatment is given for spontaneous hemopneumothorax, but transcatheter arterial embolization may be an option.

KEYWORDS

Spontaneous hemopneumothorax  Hemorrhagic shock  Transcatheter arterial embolization (TAE)  Supreme intercostal artery 

Received 25 May 2021 / Accepted 13 Jul 2021

AJRS, 10(5): 437-440, 2021

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