Spontaneous hemopneumothorax simulating acute abdominal affections.

Abstract:

:Spontaneous hemopneumothorax (SHP) is a rare potentially life-threatening condition that occurs in predominantly young adolescents. The resultant massive hemorrhage leading to hypovolemic shock can be a surgical emergency. It constitutes 1-12% of all spontaneous pneumothoraces and presents with two cardinal features, chest pain and dyspnea. However, the pain of SHP may be confined to the abdomen secondary to the irritation of diaphragmatic pleura, which produces signs simulating an acute abdomen. SHP masquerading as an abdominal affection is apparently regarded as extremely rare. We present a case of a 16-year-old male with SHP presenting features simulating acute gallbladder disease. After prompt diagnosis with appropriate surgical intervention, he had an uneventful recovery. Our experience emphasizes the importance of careful and thorough chest examination for each child with atypical pictures for abdominal pain to exclude possible extra-abdominal lesions, even rare as SHP.

journal_name

Pediatr Pulmonol

journal_title

Pediatric pulmonology

authors

Chen TH,Tseng YH,Tseng CM,Chiang HH,Lin TJ

doi

10.1002/ppul.22712

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

E1-4

issue

1

eissn

8755-6863

issn

1099-0496

journal_volume

49

pub_type

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