E-ISSN 1658-7820
 

Case Report

Online Publishing Date:
31 / 07 / 2023

 


A case of spontaneous hemothorax causing massive pleural effusion following laparoscopic sleeve gastrectomy

Nawaf Essam Bakri, Abdullah Abrabu Ali, Hatim Adnan Almaghrabi, Ali Yahya Alhalbub, Mohammed Ageel Ahmed.


Abstract
Background: Pleural effusion is a rare complication of sleeve gastrectomy. It has many possible etiologies, including gastric leakage, gastropleural fistula formation, splenic abscess, and complications related to administered medications, such as spontaneous hemothorax secondary to anticoagulants.
Case Presentation: An unusual case of a 46-year-old woman was reported, who was presented to the emergency room (ER) 10 days after laparoscopic sleeve gastrectomy complaining of dyspnea, chest pain, and dry cough for 4 days. Imaging confirmed massive pleural effusion on the left side. The patient showed improvement after intensive care unit (ICU) admission and drainage via the chest tube.
Conclusion: Sleeve gastrectomies are associated with several complications. Low-molecular-weight heparin (LMWH) as prophylaxis for portal vein thrombosis leads to a spontaneous hemothorax. Unfortunately, computed tomography with contrast could not be performed because of vital instability. However, it was concluded that a massive spontaneous hemothorax occurred due to LMWH. The patient was admitted to ICU and underwent slow drainage of pleural effusion until complete recovery

Key words: Spontaneous hemothorax, massive pleural effusion, post upper abdominal surgery, post laparoscopic sleeve gastrectomy, critical care


 
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How to Cite this Article
Pubmed Style

Bakri NE, Ali AA, Almaghrabi HA, Alhalbub AY, Ahmed MA. A case of spontaneous hemothorax causing massive pleural effusion following laparoscopic sleeve gastrectomy. IJMDC. 2023; 7(11): 1562-1565. doi:10.24911/IJMDC.51-1685713360


Web Style

Bakri NE, Ali AA, Almaghrabi HA, Alhalbub AY, Ahmed MA. A case of spontaneous hemothorax causing massive pleural effusion following laparoscopic sleeve gastrectomy. https://www.ijmdc.com/?mno=155500 [Access: July 14, 2024]. doi:10.24911/IJMDC.51-1685713360


AMA (American Medical Association) Style

Bakri NE, Ali AA, Almaghrabi HA, Alhalbub AY, Ahmed MA. A case of spontaneous hemothorax causing massive pleural effusion following laparoscopic sleeve gastrectomy. IJMDC. 2023; 7(11): 1562-1565. doi:10.24911/IJMDC.51-1685713360



Vancouver/ICMJE Style

Bakri NE, Ali AA, Almaghrabi HA, Alhalbub AY, Ahmed MA. A case of spontaneous hemothorax causing massive pleural effusion following laparoscopic sleeve gastrectomy. IJMDC. (2023), [cited July 14, 2024]; 7(11): 1562-1565. doi:10.24911/IJMDC.51-1685713360



Harvard Style

Bakri, N. E., Ali, . A. A., Almaghrabi, . H. A., Alhalbub, . A. Y. & Ahmed, . M. A. (2023) A case of spontaneous hemothorax causing massive pleural effusion following laparoscopic sleeve gastrectomy. IJMDC, 7 (11), 1562-1565. doi:10.24911/IJMDC.51-1685713360



Turabian Style

Bakri, Nawaf Essam, Abdullah Abrabu Ali, Hatim Adnan Almaghrabi, Ali Yahya Alhalbub, and Mohammed Ageel Ahmed. 2023. A case of spontaneous hemothorax causing massive pleural effusion following laparoscopic sleeve gastrectomy. International Journal of Medicine in Developing Countries, 7 (11), 1562-1565. doi:10.24911/IJMDC.51-1685713360



Chicago Style

Bakri, Nawaf Essam, Abdullah Abrabu Ali, Hatim Adnan Almaghrabi, Ali Yahya Alhalbub, and Mohammed Ageel Ahmed. "A case of spontaneous hemothorax causing massive pleural effusion following laparoscopic sleeve gastrectomy." International Journal of Medicine in Developing Countries 7 (2023), 1562-1565. doi:10.24911/IJMDC.51-1685713360



MLA (The Modern Language Association) Style

Bakri, Nawaf Essam, Abdullah Abrabu Ali, Hatim Adnan Almaghrabi, Ali Yahya Alhalbub, and Mohammed Ageel Ahmed. "A case of spontaneous hemothorax causing massive pleural effusion following laparoscopic sleeve gastrectomy." International Journal of Medicine in Developing Countries 7.11 (2023), 1562-1565. Print. doi:10.24911/IJMDC.51-1685713360



APA (American Psychological Association) Style

Bakri, N. E., Ali, . A. A., Almaghrabi, . H. A., Alhalbub, . A. Y. & Ahmed, . M. A. (2023) A case of spontaneous hemothorax causing massive pleural effusion following laparoscopic sleeve gastrectomy. International Journal of Medicine in Developing Countries, 7 (11), 1562-1565. doi:10.24911/IJMDC.51-1685713360





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