Diaphragmatic hemothorax. Medical search. Frequent questions

Diaphragmatic rupture (also called diaphragmatic injury or tear) is a tear of the diaphragm, the muscle across the bottom of the ribcage that plays a crucial role in breathing. (wikipedia.org)
Since the pressure is higher in the abdominal cavity than the chest cavity, rupture of the diaphragm is almost always associated with herniation of abdominal organs into the chest cavity, which is called a diaphragmatic hernia. (wikipedia.org)
May J, Ades A. Porous diaphragm syndrome: haemothorax secondary to haemoperitoneum following laparoscopic hysterectomy. (medscape.com)
For asymptomatic patients with an incidental finding of diaphragmatic endometriosis, the suggestion is not to treat lesions in order to avoid the potential risk of injury to the diaphragm, phrenic nerve, lungs, or heart - especially when an adequate multidisciplinary team is not available. (nezhat.org)
A chest X-ray film and computed tomography (CT) scan showed multiple left rib fractures, hemothorax in the left pleural cavity, and obscurity of the left diaphragm. (bvsalud.org)
There is a positive on 2 fronts - 1) Fluid in the peritoneum between the spleen and left kidney 2) A haemothorax visible above the diaphragm DOH! (broomedocs.com)

Congenital ̶ pets have these at birth (The most common type of this subcategory is the peritoneal-pericardial diaphragmatic hernia (PPDH). (acvs.org)
A diaphragmatic hernia can cause significant respiratory difficulty . (acvs.org)
Abdominal organs, displaced through a diaphragmatic hernia, may experience compromise to their blood supply. (acvs.org)
Signs associated with an acute diaphragmatic hernia are usually related to difficulty expanding the lungs with the additional contents in the chest. (acvs.org)
If the initial insult is tolerated, a diaphragmatic hernia may be diagnosed later in life. (acvs.org)
In the case of diaphragmatic hernia, loss of the diaphragmatic line, loss of the cardiac silhouette, displacement of lung fields, and presence of abdominal contents within the chest cavity may be noted on chest radiographs (Figures 3 and 4). (acvs.org)
He was admitted to the cardiothoracic intensive care unit where he underwent a flexible bronchoscopy, right video-assisted thoracoscopic surgery, evacuation of a haemothorax, complete decortication, and repair of a diaphragmatic hernia. (ejcrim.com)
Accessory liver in an infant with congenital diaphragmatic hernia. (ucy.ac.cy)
Incidence of congenital diaphragmatic hernia (CDH) ranges from 1 in 2,400 to one in 5,000 live births. (ucy.ac.cy)

Diaphragmatic rupture can result from blunt or penetrating trauma and occurs in about 0.5% of all people with trauma. (wikipedia.org)
Diaphragmatic rupture may be caused by blunt trauma, penetrating trauma, and by iatrogenic causes (as a result of medical intervention), for example during surgery to the abdomen or chest. (wikipedia.org)
Clinicians are trained to suspect diaphragmatic rupture particularly if penetrating trauma has occurred to the lower chest or upper abdomen. (wikipedia.org)
A blow to the side is three times more likely to cause diaphragmatic rupture than a blow to the front. (wikipedia.org)
this sign is pathognomonic for diaphragmatic rupture, but it is rare. (wikipedia.org)
Ota H, Kawai H, Matsuo T. Video-assisted minithoracotomy for blunt diaphragmatic rupture presenting as a delayed hemothorax. (medscape.com)
The patient was diagnosed as having diaphragmatic rupture with hemothorax in the left pleural cavity due to splenic injury. (bvsalud.org)
rupture of cardiovascular system and diaphragmatic rupture. (tvb-climatechallenge.org.uk)

The outcome often depends more on associated injuries than on the diaphragmatic injury itself. (wikipedia.org)
Stab and gunshot wounds can cause diaphragmatic injuries. (wikipedia.org)
These injuries may lead to pneumothorax (air in the chest outside the lungs), or hemothorax (blood in the chest cavity). (acvs.org)
Principals of surgical management of specific thoracic injuries like: tension pneumothorax, open pneumothorax, massive haemothorax, flail chest, cardiac injuries, ruptures of the aorta, tracheobronchial tree lesions, oesophageal and diaphragmatic injuries have been reviewed. (edu.pl)
Teaching point : In the past haemoperocardium, haemothorax and pneumothorax were injuries diagnosed by clinical examination, chest Xray, ECG and pericardiocentesis. (criticalcare-sonography.com)
Dual-phase (arterial and portal venous) CT should be performed in all patients with penetrating stab wounds to the torso, and specific focus must be placed on assessing for diaphragmatic and bowel injuries, according to a new study from a top London hospital. (auntminnieeurope.com)
They need to bear in mind that dual-phase CT is an excellent tool for predicting injuries related to penetrating stabbing injuries to the torso, but a negative scan cannot entirely exclude gastrointestinal luminal injuries, diaphragmatic injuries, and peritoneal violation, he explained. (auntminnieeurope.com)
Diaphragmatic injuries are associated with significant morbidity and the management of such injuries in hemodynamically stable patients remains somewhat contentious, according to the authors. (auntminnieeurope.com)

Although some authors state that a hematocrit value of at least 50% is necessary to differentiate a hemothorax from a bloody pleural effusion, most do not agree on any specific distinction. (medscape.com)

Patients were selected for primary conservative management if they were haemodynamically stable with no significant pneumothorax or haemothorax. (deepdyve.com)
Penetrating trauma may cause pneumothorax or haemothorax with massive blood loss. (edu.pl)

Thoracotomy is the procedure of choice for surgical exploration of the chest when massive hemothorax or persistent bleeding is present. (medscape.com)
Massive hemothorax or exsanguinating hemorrhage may result from injury to major arterial or venous structures contained within the thorax or from the heart itself. (medscape.com)
Di Crescenzo V, Laperuta P, Napolitano F, Carlomagno C, Garzi A, Vitale M. Pulmonary sequestration presented as massive left hemothorax and associated with primary lung sarcoma. (medscape.com)
Tantraworasin A, Saeteng S. Massive hemothorax due to intrathoracic extramedullary hematopoiesis in a patient with beta thalassemia hemoglobin E disease. (medscape.com)
Vaziri M, Mehrazma M. Massive spontaneous hemothorax associated with Von Recklinghausen's disease. (medscape.com)
Massive hemothorax is most often defined as rapid accumulation of ≥ 1000 mL of blood. (msdmanuals.com)
You know immediately that this is a massive hemothorax. (emdocs.net)
This case report describes an injury to the left inferior phrenic artery caused by blunt trauma, which was complicated by massive hemothorax, and treated with transcatheter arterial embolization (TAE). (biomedcentral.com)
In the present case, blunt trauma led to left inferior phrenic artery injury associated with massive hemothorax, which was treated with TAE alone. (biomedcentral.com)
To the author's knowledge, this is the first report of massive hemothorax due to inferior phrenic artery injury treated definitively by TAE. (biomedcentral.com)
Identify and treat respiratory failure and shock , tension pneumothorax , massive hemothorax , and cardiac tamponade (see "Management" for details). (amboss.com)

Prompt identification and treatment of traumatic hemothorax is an essential part of the care of the injured patient. (medscape.com)

Costal surface of the parietal pleura drains to parasternal and para vertebral nodes, while diaphragmatic surface drains to the tracheobronchial nodes. (wikidoc.org)

Pleural fluid is filtered across the parietal mesothelium in the top of the pleural cavity and removed by lymphatic stomatas in the more dependent mediastinal and diaphragmatic regions. (wikidoc.org)

Blunt or penetrating injury involving virtually any intrathoracic structure can result in hemothorax. (medscape.com)
If patient vital signs (hypoxia, persistent hypotension), mechanism of injury (penetrating injury), or physical exam (multiple palpable rib fractures, flail segment, significant chest wall ecchymosis or tenderness to palpation) lead you to suspect a hemothorax à Do not let the supine CXR convince you otherwise. (emdocs.net)
Inferior phrenic artery injury should be recognized as a rare phenomenon and causative factor for hemothorax. (biomedcentral.com)

Costal osteochondroma presenting as haemothorax and diaphragmatic laceration. (medscape.com)
The usual cause of hemothorax is laceration of the lung, intercostal vessel, or an internal mammary artery. (msdmanuals.com)

Tube drainage improves ventilation, decreases risk of clotted hemothorax (which can lead to empyema or fibrothorax), and facilitates assessment of ongoing blood loss and diaphragmatic integrity. (msdmanuals.com)

Hemothorax is usually a consequence of blunt or penetrating trauma. (medscape.com)
In cases of hemothorax unrelated to trauma, a careful investigation for the underlying source must be performed while treatment is provided. (medscape.com)
Most commonly, acquired diaphragmatic tears result from physical trauma. (wikipedia.org)
Prevalence of delayed hemothorax in blunt thoracic trauma. (medscape.com)
A hemothorax, or a collection of blood in the pleural space, most commonly occurs secondary to penetrating or blunt chest wall trauma. (emdocs.net)
In the hemodynamically unstable patient, the EFAST or Extended Focused Assessment with Sonography for Trauma is most commonly utilized to identify a hemothorax given its speed of employment . (emdocs.net)

By the 1870s, early hemothorax evacuation by trocar and cannula or by intercostal incision was considered standard practice. (medscape.com)

The upright chest radiograph is the ideal primary diagnostic study in the evaluation of hemothorax (see Workup). (medscape.com)

Cowles RA, Rowe DH, Arkovitz MS. Hereditary multiple exostoses of the ribs: an unusual cause of hemothorax and pericardial effusion. (medscape.com)
Patients with severe hypotension require an emergency ultrasound to look for pericardial fluid, haemothorax and pneumothorax and immediate transfer to theatre for a thoracotomy with little delay. (criticalcare-sonography.com)

Most diaphragmatic lesions occur on the abdominal side and right hemidiaphragm, which may offer evidence for the theory that retrograde menstruation drives the development of endometriosis because of the clockwise flow of peritoneal fluid. (nezhat.org)

Hemothorax as a complication of costal cartilaginous exostoses. (medscape.com)
Hemothorax in a child as a result of costal exostosis. (medscape.com)

In the normal animal, a diaphragmatic line, a cardiac silhouette, and air-filled lung fields are appreciated on chest radiographs (Figures 1 and 2). (acvs.org)

While Hunter's method was effective in evacuating the hemothorax, the creation of an iatrogenic pneumothorax as a result of the procedure was associated with significant morbidity. (medscape.com)

Some cases are misdiagnosed as other conditions involving the gastrointestinal tract or of cardiothoracic origin, because of the propensity of diaphragmatic disease to occur posteriorly and hide behind the liver. (nezhat.org)

Hemothorax is suspected based on symptoms and physical findings. (msdmanuals.com)
What is clear is that patients who have symptoms consistent with pelvic endometriosis and chest complaints should be evaluated for both diaphragmatic and pelvic endometriosis. (nezhat.org)

There is no correlation between the size/number of lesions and either pneumothorax or hemothorax, nor pain. (nezhat.org)

While diaphragmatic endometriosis often is asymptomatic, patients who are symptomatic can experience progressive and incapacitating pain. (nezhat.org)
A significant number of patients with diaphragmatic endometriosis can go undiagnosed for long periods of time because of a traditional focus on the lower pelvic region. (nezhat.org)

A number of surgeons, including John Hunter in 1794, advocated the creation of an intercostal incision and drainage of the hemothorax. (medscape.com)
1 2 Chest drain (chest tube, tube thoracostomy, or intercostal drain) is a fairly simple yet life-saving procedure that involves the insertion of a flexible plastic tube through the chest wall and into the pleural space to allow the drainage of air (pneumothorax) or fluid such as blood (hemothorax). (bmj.com)

Note: An inadequate upright CXR, or CXR performed in the supine position is often misleading secondary to posterior diaphragmatic layering of blood. (emdocs.net)

Additionally, diaphragmatic endometriosis can sometimes occur in association with catamenial hemothorax or pneumothorax, the risk of which is unpredictable. (nezhat.org)

This basic technique has remained the most common form of treatment for hemothorax and other pleural fluid collections to this day. (medscape.com)

It is critical that we maintain a high level of clinical suspicion for diaphragmatic endometriosis. (nezhat.org)
None of these theories has been shown to be singularly conclusive and diaphragmatic/thoracic endometriosis continues to be a complicated entity with unclear pathogenesis and diverse presentations. (nezhat.org)
It's also increasing clear that a multidisciplinary approach utilizing combined laparoscopy and thoracoscopy is a safe and effective method for addressing pelvic, diaphragmatic, and other thoracic endometriosis when other treatments have failed. (nezhat.org)

4 In the hemodynamically stable patient, a hemothorax is most commonly identified on CXR. (emdocs.net)

Broderick SR. Hemothorax: Etiology, diagnosis, and management. (medscape.com)

Hemothorax is the presence of blood in the pleural space. (medscape.com)

Diseases7

Analytical, Diagnostic and Therapeutic Techniques and Equipment6

Diaphragm6

Hernia9

Rupture8

Injuries8

Pleural effusion1

Pneumothorax or haemothorax2

Massive11

Traumatic1

Tracheobronchial1

Mediastinal1

Injury3

Laceration2

Empyema1

Trauma6

Evacuation1

Workup1

Pericardial2

Abdominal1

Costal2

Lung1

Iatrogenic1

Gastrointestinal1

Symptoms2

Lesions1

Patients2

Drainage2

Secondary1

Occur1

Fluid1

Endometriosis3

Commonly1

Diagnosis1

Blood1