BACKGROUND CONTEXT Gelpi retractors are used in surgery because they can reduce paravertebral muscle damage during retraction. No pleural injuries associated with their use in posterior spine surgery have been reported. PURPOSE To describe a patient who suffered a massive postoperative hemothorax caused by a Gelpi retractor used during posterior correction surgery for adolescent idiopathic sc...

BACKGROUND Although posterior correction and fusion surgery using pedicle screws carries the risk of vascular injury, a massive postoperative hemothorax in a patient with adolescent idiopathic scoliosis (AIS) is quite rare. We here report a case of a 12-year-old girl with AIS who developed a massive postoperative hemothorax. CASE PRESENTATION The patient had a double thoracic curve with Cobb ...

INTRODUCTION Hemothorax is one of the most prevalent injuries caused by thoracic traumas. Early detection and treatment of this injury is of utmost importance in prognosis of the patient, but there are still controversial debates on the diagnostic value of imaging techniques in detection of hemothorax. Therefore, the present study aimed to evaluate the diagnostic value of chest ultrasonography ...

A 68-year-old male fell from a height of 3 m. He was conscious and alert, and complained of back pain, dyspnea, and paraplegia with hemodynamic instability. Initial axial and three-dimensional computed tomographic (CT) scans revealed a massive hemothorax on the right side and a dislocation (Th11) of the thoracic bamboo spine (Fig. 1a, b). We believed that the cause of the hemothorax was from th...

Computed tomography (CT) guided percutaneous biopsy is a frequently performed procedure to establish a pathologic diagnosis in thoracic disease. While the most frequent complication of percutaneous chest biopsy is pneumothorax, hemothorax is a rare but potentially fatal complication. The purpose of this study is to assess the risk of post biopsy hemothorax, its associated consequences, and desc...

introduction trauma is the most common cause of death in youngsters. early detection of internal bleeding via imaging in trauma patients is important. the fast-extended method and the extended focused assessment with sonography for trauma (efast) evaluates hemothorax and pneumothorax in addition to abdominopelvic bleedings and tamponade. patients and methods in this cross-sectional study, after...

BACKGROUND The evacuated hemothorax has been poorly described because it varies with time, it has been found to be incoagulable, and its potential effect on the coagulation cascade during autotransfusion is largely unknown. METHODS This is a prospective descriptive study of adult patients with traumatic chest injury necessitating tube thoracostomy. Pleural and venous samples were analyzed for...

Hemorrhagic complications due to warfarin use are frequently seen in emergency departments. However, nontraumatic massive hemothorax is an unexpected complication. We report a 59-year-old woman with warfarin overdose, who had massive hemothorax in right lung without any history of trauma. Her main complaint was significant dyspnea, which has gradually increased in three days. On her physical ex...

Purpose: We report our experience of Video-assisted thoracic surgery (VATS) to treat acute blunt traumatic hemothorax using mini-thoracotomy. Methods: We designed a prospective study to determine if VATS with mini-thoracotomy benefits for patients with blunt traumatic hemothorax compared with conventional repair through full thoracotomy. Twenty-five patients underwent emergency operation for ac...