Nontraumatic Hemopneumothorax Treated by Transcatheter Arterial Embolization

VernacularTitle:経カテーテル的動脈塞栓術を施行した非外傷性血気胸の1例 ──本邦報告例を踏まえて──
Author: Noriyasu WAKAZONO ¹ ; Kei TAKAMURA ¹ ; Ai SHIWAKU ¹ ; Hajime KIKUCHI ¹ ; Makoto YAMAMOTO ¹ ; Noriyuki MIYAMOTO ²
Author Information

1. Depts. of Respiratory Medicine, Obihiro Kosei General Hospital
2. Depts. of Radiology, Obihiro Kosei General Hospital
From:Journal of the Japanese Association of Rural Medicine 2020;69(4):373-
CountryJapan
Language:Japanese
Abstract: From April 2009 to April 2017, we experienced on average 40 cases of spontaneous pneumothorax per year at our hospital, but we encountered only 2 cases of nontraumatic hemopneumothorax over the entire 8-year period. In one of these cases, we performed transcatheter artery embolization. Extravasation of contrast media was observed on CT near the apex of the lung, and angiography revealed the culprit vessel. We performed embolization and were able to achieve hemostasis and symptomatic improvement. However, hemopneumothorax recurred as a result of adhesion tear due to re-collapse of the lung and required surgical treatment. In this report, we describe our experience of this relatively rare condition and discuss the case with reference to the literature.