Spontaneous Tension Hemothorax due to the Rupture of an Intercostal Artery Aneurysm in Type I Neurofibromatosis: A Case Report.
- Author:
Young Ho KO
1
;
Kyung Woon JEUNG
;
Tag HEO
Author Information
1. Department of Emergency Medicine, School of Medicine, Chonnam National University, Gwangju, Korea. docheo@hanmail.net
- Publication Type:Case Report
- Keywords:
Hemothorax;
Aneurysm;
Neurofibromatosis
- MeSH:
Aneurysm*;
Arteries*;
Emergency Service, Hospital;
Hemodynamics;
Hemorrhage;
Hemothorax*;
Humans;
Neurofibromatoses*;
Rupture*;
Thoracotomy;
Thorax
- From:Journal of the Korean Society of Emergency Medicine
2005;16(5):600-603
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A spontaneous tension hemothorax due to the rupture of an intercostal artery aneurysm is a rare complication of type I neurofibromatosis. Until now, around 23 cases have been reported. The patient reported here presented with a spontaneous tension hemothorax. At the emergency department, we were faced with a rapidly aggravating hemodynamic compromise after chest tubing. An emergent thoracotomy revealed an actively bleeding huge intercostal artery aneurysm. We intended primarily to repair the bleeding aneurysm, but we failed with because of vascular fragility. Thus we present this case to share our terrible experience to other physicians.
