Massive right hemothorax as the source of hemorrhagic shock after laparoscopic cholecystectomy - case report of a rare intraoperative complication

Rapicetta Cristian, Paci Massimiliano, Ricchetti Tommaso, Tenconi Sara, Biolchini Federico, Belluzzi Emilio, Sgarbi Giorgio

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Abstract

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.

Original languageEnglish
Article number12
JournalPatient Safety in Surgery
Volume5
Issue number1
DOIs
Publication statusPublished - May 19 2011

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ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Anesthesiology and Pain Medicine

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