Respiratory Medicine CME
Volume 1, Issue 1 , Pages 28-30, 2008

Primary pulmonary adenocarcinoma presenting as a spontaneous massive hemothorax

  • Mitsuhiro Kamiyoshihara

      Affiliations

    • Department of General Thoracic Surgery, Maebashi Red Cross Hospital, 3-21-36 Asahi-Cho, Maebashi, Gunma 371-0014, Japan
    • Corresponding Author InformationCorresponding author. Tel.: +81272244585; fax: +81272433380.
    • ,
  • Takashi Ibe

      Affiliations

    • Department of General Thoracic Surgery, Maebashi Red Cross Hospital, 3-21-36 Asahi-Cho, Maebashi, Gunma 371-0014, Japan
    • ,
  • Atsushi Takise

      Affiliations

    • Department of Respiratory Medicine, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan
    • ,
  • Hideaki Itou

      Affiliations

    • Department of Pathology, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan
    • ,
  • Izumi Takeyoshi

      Affiliations

    • Division of Thoracic and Visceral Organ Surgery, Gunma Graduate University School of Medicine, Maebashi, Gunma, Japan

Received 18 October 2007; accepted 1 November 2007.

Summary 

We present an unusual case of massive hemothorax caused by a primary pulmonary adenocarcinoma (PPA), in which hemostasis was secured with interventional radiology. A 76-year-old man was hospitalized for a large left pleural effusion. After drainage, about 3000ml blood was obtained, and subsequent computed tomography of the chest showed a mass shadow on the left lower lobe. He then developed shock and was treated with selective embolization of the bronchial artery. A diagnosis of PPA was made based on pleural fluid cytology. He recovered and received chemotherapy, but died of brain metastases 7 months later.

Keywords: Primary pulmonary adenocarcinoma, Massive hemothorax, Transcatheter arterial embolization

 

PII: S1755-0017(07)00006-1

doi:10.1016/j.rmedc.2007.11.002

Respiratory Medicine CME
Volume 1, Issue 1 , Pages 28-30, 2008

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