Table of Contents    
Case Report
 
Primary spontaneous hemopneumothorax: A rare presentation
Fahmi Kakamad1, Mustafa Kadhim2, Fitoon Koria2, Rawand Essa2, Suren Hama Baqi2
1Department of Cardiothoracic and Vascular Surgery, University of Sulaimani, Faculty of Medical Sciences, School of Medicine, Sulaimani Teaching Hospital, Sulaimanyah, Iraq.
2Department of Cardiothoracic and Vascular Surgery, Sulaimani Teaching Hospital, Sulaimaniyah, Iraq.

Article ID: 100009C04FK2016
doi:10.5348/C04-2016-9-CR-1

Address correspondence to:
Fahmi Kakamad
University of Sulaimaniyah
Iraq

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How to cite this article
Kakamad F, Kadhim M, Koria F, Essa R, Baqi SH. Primary spontaneous hemopneumothorax: A rare presentation. Edorium J Cardiothorac Vasc Surg 2016;3:1–5.


Abstract
Introduction: Primary spontaneous hemopneumothorax (PSHT) is a condition in which blood and air collects in the pleural space without any obvious cause. It may present with hypovolemic shock. We present a case of recurrent PSHT with brief literature review.
Case Report: A 22-year-old male presented with left side chest pain, looking ill, fatigue and pale with absent air entry on the left side. Chest X-ray showed left hydropneumothorax. Tube thoracostomy inserted, 150 cc of blood drained with air. Within the next hour, another 1350 cc blood drained. Subsequent erect chest x.ray showed expanded lung with clearance of both costodiaphragmatic angle. After one week from discharge, patient presented with the same complaint, he was managed surgically, and discharged. After one month, the patient presented with contralateral Primary spontaneous pneumothorax (PSP) treated conservatively.
Conclusion: Primary spontaneous hemopneumothorax is a surgical emergency, recurrence although very rare, can still occur.

Keywords: Aortic dissection, End stage renal disease (ESRD), Maintenance hemodialysis


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Author Contributions
Fahmi Kakamad – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mustafa Kadhim – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Fitoon Koria – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Rawand Essa – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Suren Hama Baqi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Fahmi Kakamad et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.