Spontaneous Hemopneumothorax: A Rare but Life-Threatening Emergency

Spontaneous hemopneumothorax is rarely seen, but it is a surgical emergency. This case describes a young male who presented with chest pain and was found to have spontaneous hemopneumothorax. The patient was treated with chest tube insertion and emergent thoracotomy, as well as ligation of the suspected source of bleeding and resection of the affected lobe. The patient was discharged on postoperative day four and did not present with any issues or complications postoperatively. It is important to recognize and treat spontaneous hemopneumothorax promptly and appropriately with initial stabilization and then definitive surgical management in order to avoid morbidity and mortality. This case demonstrates a situation in which the patient was treated appropriately and avoided significant complications, and highlights the importance of future research into the contributing factors and pathophysiology of spontaneous hemopneumothorax.

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Publication Details

Journal
Cureus
Published
2025-05-22
DOI
https://doi.org/10.7759/cureus.84641
Primary Topic
Pleural and Pulmonary Diseases
Type
article
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article

Spontaneous Hemopneumothorax: A Rare but Life-Threatening Emergency

Rocco J. Lafaro, MS Ahmad, Samantha Colon, Michelle Sahagian
Cureus
Pleural and Pulmonary Diseases
article

Spontaneous Hemopneumothorax: A Rare but Life-Threatening Emergency

Rocco J. Lafaro, MS Ahmad, Samantha Colon, Michelle Sahagian
article en

Abstract

Spontaneous hemopneumothorax is rarely seen, but it is a surgical emergency. This case describes a young male who presented with chest pain and was found to have spontaneous hemopneumothorax. The patient was treated with chest tube insertion and emergent thoracotomy, as well as ligation of the suspected source of bleeding and resection of the affected lobe. The patient was discharged on postoperative day four and did not present with any issues or complications postoperatively. It is important to recognize and treat spontaneous hemopneumothorax promptly and appropriately with initial stabilization and then definitive surgical management in order to avoid morbidity and mortality. This case demonstrates a situation in which the patient was treated appropriately and avoided significant complications, and highlights the importance of future research into the contributing factors and pathophysiology of spontaneous hemopneumothorax.

CureusVol. 17(5)
City College of New York (US), CUNY School of Law (US), St. Barnabas Hospital (US)
Openalex Percentile: Top 81%
Pleural and Pulmonary Diseases
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Spontaneous Hemopneumothorax: A Rare but Life-Threatening Emergency — Rocco J. Lafaro, MS Ahmad, et al. · Cureus (2025) | TGRS Research Map | TGRS