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Massive right hemothorax as the source of hemorrhagic shock after laparoscopic cholecystectomy - case report of a rare intraoperative complication.

Cristian R, Massimiliano P, Tommaso R, Sara T, Federico B, Emilio B, Giorgio S - Patient Saf Surg (2011)

Bottom Line: A chest X-ray revealed a right-sided massive pleural effusion.Successful hemostasis was achieved intraoperatively and the patient had an uneventful recovery.In absence of intra-abdominal hemorrhage, a hemothorax should be considered as a potential source of major bleeding in patients who develop symptoms of hypovolemia after laparoscopic surgery.

View Article: PubMed Central - HTML - PubMed

Affiliation: Thoracic Surgery Unit, Arcispedale Santa Maria Nuova, Viale Risorgimento 80, 42100 - Reggio nell'Emilia, Italy. cristian.rapicetta@asmn.re.it.

ABSTRACT
A 62-year old man was referred to our institution in hemorrhagic shock after a laparoscopic cholecystectomy for acute cholecystitis, performed at an outside hospital. A chest X-ray revealed a right-sided massive pleural effusion. Urgent surgical exploration was performed through a video-assisted mini-thoracotomy which revealed active bleeding from a pleural adherence. Successful hemostasis was achieved intraoperatively and the patient had an uneventful recovery. In absence of intra-abdominal hemorrhage, a hemothorax should be considered as a potential source of major bleeding in patients who develop symptoms of hypovolemia after laparoscopic surgery.

No MeSH data available.


Related in: MedlinePlus

A-B. Preoperative chest X-rays and CT-scan showing massive right pleural effusion with complete atelectasis of the lung.
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Figure 1: A-B. Preoperative chest X-rays and CT-scan showing massive right pleural effusion with complete atelectasis of the lung.

Mentions: A chest X-ray performed in the operating theatre revealed a white right hemithorax, suggestive for massive peri-operative pleural effusion, that was soon confirmed by a contrast enhanced chest CT-scan (Figure 1A-B).


Massive right hemothorax as the source of hemorrhagic shock after laparoscopic cholecystectomy - case report of a rare intraoperative complication.

Cristian R, Massimiliano P, Tommaso R, Sara T, Federico B, Emilio B, Giorgio S - Patient Saf Surg (2011)

A-B. Preoperative chest X-rays and CT-scan showing massive right pleural effusion with complete atelectasis of the lung.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3117681&req=5

Figure 1: A-B. Preoperative chest X-rays and CT-scan showing massive right pleural effusion with complete atelectasis of the lung.
Mentions: A chest X-ray performed in the operating theatre revealed a white right hemithorax, suggestive for massive peri-operative pleural effusion, that was soon confirmed by a contrast enhanced chest CT-scan (Figure 1A-B).

Bottom Line: A chest X-ray revealed a right-sided massive pleural effusion.Successful hemostasis was achieved intraoperatively and the patient had an uneventful recovery.In absence of intra-abdominal hemorrhage, a hemothorax should be considered as a potential source of major bleeding in patients who develop symptoms of hypovolemia after laparoscopic surgery.

View Article: PubMed Central - HTML - PubMed

Affiliation: Thoracic Surgery Unit, Arcispedale Santa Maria Nuova, Viale Risorgimento 80, 42100 - Reggio nell'Emilia, Italy. cristian.rapicetta@asmn.re.it.

ABSTRACT
A 62-year old man was referred to our institution in hemorrhagic shock after a laparoscopic cholecystectomy for acute cholecystitis, performed at an outside hospital. A chest X-ray revealed a right-sided massive pleural effusion. Urgent surgical exploration was performed through a video-assisted mini-thoracotomy which revealed active bleeding from a pleural adherence. Successful hemostasis was achieved intraoperatively and the patient had an uneventful recovery. In absence of intra-abdominal hemorrhage, a hemothorax should be considered as a potential source of major bleeding in patients who develop symptoms of hypovolemia after laparoscopic surgery.

No MeSH data available.


Related in: MedlinePlus