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J Thorac Cardiovasc Surg 2006;132:423-424
© 2006 The American Association for Thoracic Surgery

Brief Communication

Extrapleural hematoma as a complication of spontaneous pneumothorax

El Hassane Kabiri, MD * , Adil Arsalane, MD, Abdelfettah Zidane, MD, Fouad Atoini, MD

Department of Thoracic Surgery, Mohamed V Military Teaching Hospital (Hôpital Militaire d'Instruction Mohammed V), Rabat, Morocco

Received for publication January 23, 2006; accepted for publication March 23, 2006.

* Address for reprints: El Hassane KABIRI, MD, Immeuble 29 Appt 7, Résidence Mes Ellil, Secteur 23, Riad 10100, Rabat, Morocco (Email: hassankabiri@yahoo.com).

The first 20% of the full text of this article appears below.


Figure 1
Dr Kabiri


Extrapleural hematoma (EH) is rare. Only a few cases have been reported under different names: extrapleural, subpleural, or epipleural hematoma. It is potentially lethal because of bleeding risks and ventilatory consequences. 1 Go We present a patient with an EH after spontaneous pneumothorax who successfully underwent operation.

Clinical Summary

A 23-year-old man was referred to our department for acute right-sided chest pain and dyspnea. The patient was in a stable hemodynamic state; his arterial pressure was 110/75 mm Hg, heart rate was 110 beats/min, oxygen saturation was 96%, hematocrit value was 28%, and hemoglobin value was 9.3 g/dL. Chest radiography showed an important basal pleural effusion, an apical pneumothorax, and a rounded opacity in the upper right side of the thorax with delineated convex borders suggesting an extrapleural lesion mimicking a benign tumor (Figure 1. . . [Full Text of this Article]




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