Lung ultrasound demonstrated an extensive echogenic mass with unclear borders, compressing the left (first case) and the right (second case) aerated lung, consistent with extensive thrombosis of the haemothorax
(Figure 1A and B).
Abdominal ultrasonography was not diagnostic (no correct test) in five patients with critical abdominal disorders (thrombosis of superior mesenteric artery with gut ischaemia/infarction in cardiogenic shock supported with intra-aortic balloon pump; haemothorax
was interpreted as chronic fluid using echo in a patient with liver cirrhosis; thrombosis of the superior mesenteric artery with gut ischemia/infarction in a patient with septic shock of unknown origin; intra-abdominal haemorrhage after endoscopic papillotomy in a septic patient with acute cholangitis; acute necrotising pancreatitis in distributive shock).
The Norwich City star has been struck down by a rare condition called a haemothorax
- - a build-upof blood in the cavity between the lungs and the ribs.
There were also isolated incidences of pneumothorax, haemothorax
and lost guidewires.
The clinical impression was that of a large right haemothorax
and a possibly left tension pneumothorax.
The catheter transduced normally and pneumothorax and haemothorax
were ruled out clinically.
A total of 1086 central venous catheters were inserted during this period--complicated by nine pneumothoraces and one haemothorax
Postoperatively, despite blood product transfusion he continued to bleed and was taken back to the operating theatre where a haemothorax
was evacuated and the chest was packed.
A sudden episode of severe hypoxaemia was caused by a right-sided haemothorax
requiring insertion of a second chest drain tube.