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Massive right hemothorax as the source of hemorrhagic shock after laparoscopic cholecystectomy - case report of a rare intraoperative complication

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Author(s): Cristian Rapicetta | Massimiliano Paci | Tommaso Ricchetti | Sara Tenconi | Federico Biolchini | Emilio Belluzzi | Giorgio Sgarbi

Journal: Patient Safety in Surgery
ISSN 1754-9493

Volume: 5;
Issue: 1;
Start page: 12;
Date: 2011;
Original page

ABSTRACT
Abstract A 62-year old man was referred to our institution in hemorrhagic shock after a laparoscopic cholecystectomy for acute cholecystitis, performed at an outside hospital. A chest X-ray revealed a right-sided massive pleural effusion. Urgent surgical exploration was performed through a video-assisted mini-thoracotomy which revealed active bleeding from a pleural adherence. Successful hemostasis was achieved intraoperatively and the patient had an uneventful recovery. In absence of intra-abdominal hemorrhage, a hemothorax should be considered as a potential source of major bleeding in patients who develop symptoms of hypovolemia after laparoscopic surgery.

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