A case of hemopneumothorax caused by ruptured pulmonary sequestration during pregnancy
10.3760/cma.j.cn113903-20240918-00638
- VernacularTitle:妊娠期隔离肺破裂致血气胸1例
- Author:
Huayang SUN
1
;
Lihang ZHONG
;
Yufang CUI
;
Xiaojing ZHANG
;
Xietong WANG
;
Chunhua ZHANG
Author Information
1. 山东第一医科大学（山东省医学科学院）研究生部，济南 250017
- Publication Type:Journal Article
- Keywords:
Pregnancy;
Hemopneumothorax;
Pulmonary sequestration
- From:
Chinese Journal of Perinatal Medicine
2025;28(4):335-338
- CountryChina
- Language:Chinese
-
Abstract:
This article reported a pregnant woman admitted to the hospital due to "25 +2 weeks of amenorrhea and a 1-day history of shortened cervical canal accompanied by vaginal bleeding". The patient with pregestational diabetes mellitus and suboptimal glycemic control required prolonged hospitalization for tocolytic therapy due to shortened cervical length. She developed a cough at 31 weeks and 4 days of gestation, followed by right-sided intercostal pain and hypotension after coughing at 31 weeks and 6 days of gestation. Bedside chest ultrasound showed a small anechoic fluid collection (approximately 1.1 cm in width) in the right pleural cavity. The emergency cesarean section was performed at 31 weeks and 4 days of gestation. However, the intraoperative bleeding and other conditions were inconsistent with the obstetric clinical presentations of blood loss. Subsequent repeated ultrasound and CT examinations confirmed the diagnosis of pulmonary sequestration and right-sided progressive hemopneumothorax. On the same day, an emergency right lower lobectomy was performed, achieving stable postoperative recovery. Both mother and infant had favorable outcomes. Hemopneumothorax complicated by pulmonary sequestration is uncommon, and its occurrence during pregnancy is exceedingly rare. Multidisciplinary consultations, aggressive, rapid, and accurate diagnosis, and combined treatment are critical to ensuring maternal-fetal survival. Hemopneumothorax caused by the rupture of pulmonary sequestration during pregnancy represents a life-threatening condition. Emergency thoracotomy can timely clarify the cause, arrest bleeding, relieve compression, and resect the lesion, thereby reducing mortality and the complications risk.
