Anesth Pain Med.  2011 Jul;6(3):280-283.

Hemothorax induced by postoperative abdominal bleeding in gynecologic patient with undiagnosed porous diaphragm syndrome: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. tshahm@skku.edu

Abstract

Porous diaphragm syndromes are characterized by the passages of substances such as fluids, blood and gases through diaphragmatic defect from the peritoneal cavity into the pleural space. Clinically, they usually present with pleural effusions, hemothorax, pneumothorax and even empyema, secondary to the abdominal pathology. This condition may give rise to respiratory and cardiovascular problems in peri-anesthetic period. We report a case of progressive hemothorax induced by postoperative abdominal bleeding leading to cardiac arrest in gynecologic patient with undiagnosed porous diaphragmatic syndrome.

Keyword

Abdominal bleeding; Hemothorax; Porous diaphragm syndrome

MeSH Terms

Diaphragm
Empyema
Gases
Heart Arrest
Hemorrhage
Hemothorax
Humans
Peritoneal Cavity
Pleural Effusion
Pneumothorax
Gases
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