{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:11:20Z","timestamp":1790241080174,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Spontaneous hemopneumothorax (SHP) is a rare condition characterized by the accumulation of air and blood in the pleural cavity without prior trauma. We present a case of a patient who underwent carotid endarterectomy for carotid artery stenosis. Two days postoperatively, she developed sudden respiratory distress, hypotension, tachycardia, and a decrease in hemoglobin levels. A chest X\u2010ray revealed a massive left\u2010sided hemopneumothorax. A chest tube was inserted, but no active bleeding source was identified on subsequent imaging. Despite initial stabilization, the patient required intubation and underwent video\u2010assisted thoracoscopic surgery for residual hemothorax and empyema. She fully recovered. In this case report, we provide an overview of the diagnostic and treatment options for SHP. As SHP is a potentially life\u2010threatening condition, we emphasize the importance of including it in the differential diagnosis of sudden patient deterioration. In our case, the patient had undergone vascular surgery; however, the cause of hemorrhagic shock was unexpectedly SHP.<\/jats:p>","DOI":"10.1002\/ccr3.70959","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T07:03:56Z","timestamp":1759907036000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hemopneumothorax After Carotid Endarterectomy"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6100-098X","authenticated-orcid":false,"given":"Simona","family":"Form\u00e1nkov\u00e1","sequence":"first","affiliation":[{"name":"Department of Surgery Second Faculty of Medicine of Charles University and Military University Hospital Prague  Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7245-7996","authenticated-orcid":false,"given":"Michael","family":"Rousek","sequence":"additional","affiliation":[{"name":"Department of Surgery Second Faculty of Medicine of Charles University and Military University Hospital Prague  Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6938-8408","authenticated-orcid":false,"given":"Ji\u0159\u00ed","family":"Pudil","sequence":"additional","affiliation":[{"name":"Department of Surgery Second Faculty of Medicine of Charles University and Military University Hospital Prague  Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1003-4883","authenticated-orcid":false,"given":"Radek","family":"Pohn\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Surgery Second Faculty of Medicine of Charles University and Military University Hospital Prague  Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.04.052"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2003.013441"},{"issue":"7","key":"e_1_2_12_4_1","first-page":"1059","article-title":"28 Cases of Spontaneous Hemopneumothorax","volume":"36","author":"Ohmori K.","year":"1988","journal-title":"Nihon Kyobu Geka Gakkai Zasshi"},{"issue":"3","key":"e_1_2_12_5_1","first-page":"149","article-title":"12\u2010Year Experience of Spontaneous Hemopneumothorax","volume":"14","author":"Kim E. S.","year":"2008","journal-title":"Annals of Thoracic and Cardiovascular Surgery"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-013-0746-7"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2003.010462"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060520925322"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1024\/1023-9332.6.2.62"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2010.08.006"},{"key":"e_1_2_12_11_1","first-page":"91","article-title":"Surgical Management of Spontaneous Haemopneumothorax","volume":"38","author":"Ayabe H.","year":"1993","journal-title":"Acta Medica Nagasakiensia"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-006-0354-4"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajplung.90593.2008"},{"key":"e_1_2_12_14_1","volume-title":"Barotrauma and Mechanical Ventilation","author":"Diaz R.","year":"2023"},{"key":"e_1_2_12_15_1","first-page":"6","article-title":"Primary Spontaneous Hemopneumothorax: A Meta\u2010Analysis Study","volume":"2","author":"Kakamad F.","year":"2016","journal-title":"Edorium Journal of Cardiothoracic and Vascular Surgery"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0218492314568105"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.70959","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.70959","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.70959","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T08:54:21Z","timestamp":1790240061000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.70959"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":15,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/ccr3.70959"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.70959","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-02-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70959"}}