Abstract
We report herein our experience of two cases of spontaneous hemopneumothorax in which the source of bleeding was found to be aberrant vessels. Both patients were successfully treated by early thoractomy. Case 1 was a 23-year-old female in whom chest X-ray revealed an air-fluid line and a bulla with a narrow restiform shadow connecting the pleural cupola. Angiography clearly visualized aberrant vessels branching from the costocervical trunk, distributed in and around the bulla in the apex of the lung, being the possible source of bleeding. These aberrant vessels were confirmed at surgery and resected. Case 2 was a 56-year-old male who underwent thoracotomy for persistent bleeding. At surgery, a continuously bleeding vessel from the pleural cupola was seen and ligated. The remnant of the vessel was located in the apex of the lung, and resected with the bulla. Thus, the rare entity of a congenital aberrant vessel lying concealed as a possible source of bleeding should be borne in mind.
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References
Hopkins HW (1937) Idiopathic spontaneous hemopneumothorax. Am J Med Sci 139:763–772
Whittaker JT (1876) Case of hemopneumothorax, relieved by aspiration. Clinic Cincinnatti 10:793–798
Elrod PD, Murphy JD (1948) Spontaneous hemopneumothorax treated by decortication. J Thorac Surg 17:401–406
Hanbert P, Ohresser P, Arnaud A, Chauvin G, Leonardelli M (1971) L'hemopneumothorax spontaneidiopathique. Ann Chir 25:538–542
Abyholm FE, Stoven G (1973) Spontaneous hemopneumothorax. Thorax 28:376–378
Tanaka F, Esaki H, Isobe J, Ueno Y, Inoue R, Ito M, Mori A, Shiraki T, Uemura H (1990) Four cases of spontaneous hemopneumothorax (in Japanese with English abstract). Kyoubu Geka (Jpn J Thorac Surg) 43:1056–1059
Ohmori K, Ohta M, Narata M, Iida M, Nakaoka Y, Irako M, Kitamura K, Nakamura S, Natori H, Sezaki Y (1988) Twenty-eight cases of spontaneous hemopneumothorax (in Japanese with English abstract). Nippon Kyoubu Geka Gakkai Zasshi (J Jpn Assoc Thorac Surg) 36:1059–1064
Rowel NR (1956) Spontaneous hemopneumothorax. Br J Tuberc 50:214–217
Eastridge CE (1985) Spontaneous hemopneumothorax requiring thoracotomy. South Med J 78:1392–1393
Kitahara M, Tajima T, Nonaka H (1974) Spontaneous hemopneumothorax: Report of two cases (in Japanese with English abstract). Nippon Kyoubu Rinshou (Jpn J Chest Disease) 33:589–595
Suzuki R, Itaya H, Kakita N, Ishikawa S (1975) Spontaneous hemopneumothorax with shock (in Japanese with English abstract). Kyoubu Geka (Jpn J Thorac Surg) 28:709–714
Deaton WR, Johanstone FR (1962) Spontaneous hemopneumothorax. J Thorac Cardiovasc Surg 43:413–417
Watanabe Y, Mori A, Satou H, Iwa K, Mituda K, Kitagawa M (1975) Emergency thoracotomy for spontaneous hemopneumothorax (in Japanese with English abstract). Nippon Kyoubu Rinshou (Jpn J Chest Disease) 34:226–232
Yamasaki F, Shinozuka H, Shinizuka K, Chihara K, Takahashi K, Imura S, Akiyama F (1984) Two cases of the spontaneous hemopneumothorax with massive bleeding (in Japanese with English abstract). Kyoubu Geka (Jpn J Thorac Surg) 37:312–315
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Muraguchi, T., Tsukioka, K., Hirata, S. et al. Spontaneous hemopneumothorax with aberrant vessels found to be the source of bleeding: Report of two cases. Surg Today 23, 1119–1123 (1993). https://doi.org/10.1007/BF00309107
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DOI: https://doi.org/10.1007/BF00309107