Bleeding time, clotting time, serum fibrinogen, liver function tests and renal function tests were normal. An urgent electrocardiogram was normal and a routine hemogram showed hemoglobin of 11.2 gm%, with a total leukocyte count of 11500/cmm (80% neutrophils). Upon examination at our institution, dullness was noted in the right thorax. There was no cough, expectoration, hemoptysis, wheezing, hoarseness of voice or pedal swelling. The pain continued for two hours without any treatment and she felt gradually increasing heaviness in the chest, which was associated with mild dyspnoea. She presented with sudden onset of right-sided chest pain associated with shortness of breath at the emergency department of her local hospital. This is the case of a 34-year-old female who at 22 weeks' gestation was diagnosed with spontaneous hemothorax associated with pulmonary arteriovenous malformation and treated with local resection of the right lower lobe. Up to now, regular follow-up observation has shown her to be perfectly asymptomatic. Two months later, she successfully delivered a healthy female infant. There were no postoperative complications and she was discharged from the hospital after two weeks. Pathological result was the same as observed previously. As stated above, local resection of the left lower lobe was performed once more.

During the emergency operation, we found a bullous lesion in the left lower lobe and a small blood vessel overlying the lesion that was actively bleeding. A follow-up computed tomographic scan of the chest showed a large amount of fluid in the left thorax. One month after she was discharged home, the symptoms described above recurred. The pulmonary ateriovenous malformation was further identified by pathological examination. The patient underwent local resection of the right lower lobe. The following contrast-enhanced computed tomographic scan of the chest showed a large amount of fluid in the right thorax with mediastinal shift, but without major vessel injury and 2 small dense opacities in the apical segment of the right lower lobe and in the posterior aspect of the left lower lobe. A 34-year-old woman presented major symptoms with right-sided chest pain and shortness of breath. Treatment involves draining the blood and any air from the pleural cavity.Bilateral heterochronic spontaneous hemothorax as a result of pulmonary ateriovenous malformation is a very rarely happened disease. This most often occurs after trauma to the chest. Hemothorax is a buildup of blood in the pleural cavity. Treatment usually involves inserting a needle or tube to remove the excess air. The most common symptom is sudden pain in one side and shortness of breath. The collapse of one or both lungs can lead to a buildup of air or gas in the pleural cavity. PneumothoraxĪ collapsed lung is called pneumothorax, and it can follow trauma to the chest wall. If a person with pleurisy has a pleural effusion, the cause may be a clot in the lungs, which can impair blood flow. However, it may push against the lung and diaphragm, making breathing more difficult and causing shortness of breath.Ī doctor needs to determine the cause of a pleural effusion, which might require them to remove the fluid for diagnostic purposes, as well as to relieve the symptoms. The buildup may push the pleural membranes apart and partly relieve the pain caused by the pleura rubbing together. This is a buildup of fluid in the pleural cavity. Pleurisy is treatable, and with treatment the prognosis is good, but it can cause complications that can be dangerous, such as: Pleural effusion

Hemothorax lung sounds