Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period.
10.5090/kjtcs.2016.49.2.122
- Author:
Jeong Hee YUN
1
;
Yeong Jeong JEON
;
Tae Hee HONG
;
Joung Hun BYUN
;
Sang Won HWANG
;
Jae Hong PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Intramural;
Hemothorax;
Pregnancy
- MeSH:
Adult;
Aorta, Thoracic*;
Cesarean Section;
Dyspnea;
Female;
Hematoma*;
Hemorrhage;
Hemothorax*;
Humans;
Postpartum Period*;
Pregnancy;
Thoracotomy;
Thorax;
Twins
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(2):122-125
- CountryRepublic of Korea
- Language:English
-
Abstract:
Postpartum aortic intramural hematoma (IMH) is a rare but potentially lethal condition. We report a case of aortic IMH with massive hemothorax in a postpartum woman. The patient was a 31-year-old woman who had delivered twins by cesarean section. Two days after delivery, she complained of sudden-onset dyspnea. Chest computed tomography revealed a massive left hemothorax. Exploratory thoracotomy was performed, and we found a defect measuring approximately 6 mm in the adventitial layer of the thoracic aorta and an IMH. We repaired the defect primarily, and no more bleeding was observed. The patient was discharged on the 19th postoperative day without any complications.
