TY - JOUR
T1 - Massive right hemothorax as the source of hemorrhagic shock after laparoscopic cholecystectomy - case report of a rare intraoperative complication
AU - Cristian, Rapicetta
AU - Massimiliano, Paci
AU - Tommaso, Ricchetti
AU - Sara, Tenconi
AU - Federico, Biolchini
AU - Emilio, Belluzzi
AU - Giorgio, Sgarbi
PY - 2011/5/19
Y1 - 2011/5/19
N2 - A 62-year old man was referred to our institution in hemorrhagic shock after a laparoscopic cholecystectomy for acute cholecystitis, performed at an outside hospital. A chest X-ray revealed a right-sided massive pleural effusion. Urgent surgical exploration was performed through a video-assisted mini-thoracotomy which revealed active bleeding from a pleural adherence. Successful hemostasis was achieved intraoperatively and the patient had an uneventful recovery. In absence of intra-abdominal hemorrhage, a hemothorax should be considered as a potential source of major bleeding in patients who develop symptoms of hypovolemia after laparoscopic surgery.
AB - A 62-year old man was referred to our institution in hemorrhagic shock after a laparoscopic cholecystectomy for acute cholecystitis, performed at an outside hospital. A chest X-ray revealed a right-sided massive pleural effusion. Urgent surgical exploration was performed through a video-assisted mini-thoracotomy which revealed active bleeding from a pleural adherence. Successful hemostasis was achieved intraoperatively and the patient had an uneventful recovery. In absence of intra-abdominal hemorrhage, a hemothorax should be considered as a potential source of major bleeding in patients who develop symptoms of hypovolemia after laparoscopic surgery.
UR - http://www.scopus.com/inward/record.url?scp=79959269988&partnerID=8YFLogxK
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U2 - 10.1186/1754-9493-5-12
DO - 10.1186/1754-9493-5-12
M3 - Article
C2 - 21595900
AN - SCOPUS:79959269988
VL - 5
JO - Patient Safety in Surgery
JF - Patient Safety in Surgery
SN - 1754-9493
IS - 1
M1 - 12
ER -