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Habib R, Ahmed F, Khattak SK, Masoodi PW, Zaib Z, Riaz W. Massive pleural effusion: A rare cause of an obstructive shock. Isra Med. J. 2020; 12 (3): 166-167

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Article

A Case of Massive Hemothorax Leading to Obstructive Shock

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

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


American Journal of Medical Case Reports. 2021, Vol. 9 No. 5, 305-307
DOI: 10.12691/ajmcr-9-5-12
Copyright © 2021 Science and Education Publishing

Cite this paper:
Hana Manzoor, Eman El-Sawalhy, Wehbi Hnayni, Gustavo Tataje Renfigo, 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.

Correspondence to: Hana  Manzoor, Department of Internal Medicine, Beaumont Hospital, Dearborn, MI. Email: hana.manzoor@beaumont.org

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.

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