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Ann Thorac Surg 2007;83:1521-1523
© 2007 The Society of Thoracic Surgeons

Case Reports

Massive Spontaneous Hemopneumothorax Complicating Rheumatoid Lung Disease

Ahmet Basoglu, MD, Burcin Celik, MD*, Tulin Durgun Yetim, MD

Department of Thoracic Surgery, Ondokuz Mayis University, Medical School, Samsun, Turkey

Accepted for publication September 14, 2006.

* Address correspondence to Dr Celik, Ondokuz Mayis University, Medical School, Department of Thoracic Surgery, Samsun 55139, Turkey (Email: cburcin{at}hotmail.com).

Spontaneous hemopneumothorax is characterized by an accumulation of air and blood in the pleural space without any apparent cause. Massive spontaneous hemopneumothorax is a rare, life-threatening situation and requires an operation in the early stage. The most common manifestation of rheumatoid disease in the lung is pleural disease. This can occur with or without pleural effusion. Hemopneumothorax is very rarely seen as the pulmonary manifestations of rheumatoid disease. We present a case of massive spontaneous hemopneumothorax in a young patient with rheumatoid lung disease as an unusual complication.




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