Abstract

A case report of haemothorax associated with asymptomatic pancreatic pseudo cyst - IJIRM- Print ISSN No: - 2581-4214 Online ISSN No:- 2581-4222 Article DOI No:- 10.18231/2581-4222.2019.0016, IP Indian Journal of Immunology and Respiratory Medicine-IP Indian J Immunol Respir Med

Highlights

  • Haemothorax is the presence of significant amount of blood in the pleural space [1]

  • Comprehensive history taking, physical examination, thoracocentesis and imaging studies are useful in diagnosing these conditions

  • There are about 15% of pleural effusion cases where diagnosis are not readily found it is always advisable to rule out abdominal abnormality using a CT scan

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Summary

Introduction

Haemothorax is the presence of significant amount of blood in the pleural space [1]. A haemothorax is considered when the haematocrit of the pleura fluid is equal to or more than 50% of the peripheral blood haematocrit [2]. An unusually overlooked cause of pleural pathology is an intra-abdominal process while haemothorax caused by pancreatic disease is highly rare [1,3]. He remained asymptomatic after 2 months of follow up with chest X-ray showing no abnormality and USG abdomen showing resolution of the pancreatic pseudocyst. There was no history of trauma, bleeding diathesis or intake of oral anticoagulant On physical examination his RR was 28/min Spo2 95pc on room air, dull note on percussion and decreased breath sounds were noted on left thorax. As the case had a history of chronic intake of alcohol, pleural fluid analysis for pancreatic amylase was done which came out to be 2812 IU/L. IP Indian Journal of Immunology and Respiratory Medicine, January-March, 2019;4(1):73.-74

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