American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2021, 9(5), 305-307
DOI: 10.12691/ajmcr-9-5-12
Open AccessCase Report

A Case of Massive Hemothorax Leading to Obstructive Shock

Hana Manzoor1, , Eman El-Sawalhy1, Wehbi Hnayni1, Gustavo Tataje Renfigo1 and Anthony G. Ashkar2

1Department of Internal Medicine, Beaumont Hospital, Dearborn, MI

2Division of Pulmonology and Intensive Care, Internal Medicine Department, Beaumont Hospital, Dearborn, MI

Pub. Date: March 14, 2021

Cite this paper:
Hana Manzoor, Eman El-Sawalhy, Wehbi Hnayni, Gustavo Tataje Renfigo and Anthony G. Ashkar. A Case of Massive Hemothorax Leading to Obstructive Shock. American Journal of Medical Case Reports. 2021; 9(5):305-307. doi: 10.12691/ajmcr-9-5-12

Abstract

Obstructive shock is one of the rarest types of shock. It is caused by the reduction of cardiac output despite normal intravascular volume or cardiac function. In this case report, we present a case of a seventy-four-year-old female, who was sent to our emergency department (ED) for evaluation of one week history of dyspnea and abnormal chest X-ray. Initial Contrast Tomography (CT) scan of the chest showed a large necrotic left upper lobe mass with multiple pulmonary nodules, small left-sided pleural effusion and mediastinal lymphadenopathy. Few days later, she developed worsening dyspnea and hypotension, requiring intubation and vasopressors for hemodynamic support. A repeat CT scan showed large left-sided pleural effusion with rightward mediastinal shift that required thoracostomy tube insertion to immediately improve the underlying obstructive shock.

Keywords:
obstructive shock massive hemothorax pleural effusion non-traumatic

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