European Journal of Cardio-Thoracic Surgery, Vol 1, 55-58, Copyright © 1987 by European Association for Cardio-thoracic Surgery
Massive idiopathic spontaneous haemothorax. Case report and literature review
WR Dimitri
Cardiothoracic Unit, St. Thomas' Hospital, London, UK.
Haemothorax is a well-recognized sequela of chest trauma, ruptured aortic
aneurysm, and inadvertent puncture of intrathoracic vessels during
cannulation or intercostal chest drain insertions, as well as numerous
intrapulmonary, pleural and mediastinal conditions. However, massive
idiopathic haemothorax occurring in an otherwise healthy subject is,
extremely rare, with only two cases reported so far. We add another case
and review the scanty literature for identifiable aetiological and
predisposing pathological factors. The pathogenesis is discussed and the
management outlined, emphasising the diagnostic and therapeutic value of
thoracoscopy.