{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T22:14:35Z","timestamp":1764713675855,"version":"3.40.5"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,1,25]],"date-time":"2020-01-25T00:00:00Z","timestamp":1579910400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Pulmonology"],"published-print":{"date-parts":[[2020,1,25]]},"abstract":"<jats:p>Spontaneous hemopneumothorax is a rare and potentially life-threatening disorder which complicates about 1-12% of patients presenting with spontaneous pneumothorax and has a remarkable predilection for male patients. It may present with signs of hypovolemic shock without apparent cause. While there are no specific guidelines for the management of patients diagnosed with such condition, wide debate in the literature relating to patient selection for surgery remains unresolved, and recently there seems to be a trend increasingly favorable towards early surgical intervention. Video-assisted thoracic surgery emerges as an excellent option for stable patients and has now been considered the gold standard treatment for spontaneous hemopneumothorax. We report the case of a 17-year-old male patient who presented to the emergency department with a history of sudden chest pain and dyspnea, with no previous evidence of trauma. On admission, the patient presented with hypotension, tachycardia, and cutaneous pallor. Chest X-ray showed hydropneumothorax on the left hemithorax; then, chest tube was placed with an initial drainage of 2000\u2009ml of blood.<\/jats:p>","DOI":"10.1155\/2020\/5026759","type":"journal-article","created":{"date-parts":[[2020,1,25]],"date-time":"2020-01-25T18:31:46Z","timestamp":1579977106000},"page":"1-5","source":"Crossref","is-referenced-by-count":6,"title":["Spontaneous Hemopneumothorax: A Rare Cause of Unexplained Hemodynamic Instability in a Young Patient"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7502-7457","authenticated-orcid":true,"given":"Antonio Higor Marques","family":"Arag\u00e3o","sequence":"first","affiliation":[{"name":"College of Medicine, Universidade Estadual do Cear\u00e1, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Let\u00edcia Aguiar","family":"Fonseca","sequence":"additional","affiliation":[{"name":"College of Medicine, Universidade Estadual do Cear\u00e1, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fl\u00e1vio Clemente","family":"Deulefeu","sequence":"additional","affiliation":[{"name":"Department of Pulmonology, Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3143-160X","authenticated-orcid":true,"given":"Israel Lopes","family":"Medeiros","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael Fernandes Viana","family":"de Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Alberto","family":"da Cruz Neto","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antero Gomes","family":"Neto","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2010.114827"},{"key":"2","first-page":"6","volume":"2","year":"2016","journal-title":"Edorium Journal of Cardiothoracic and Vascular Surgery"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2004.02.002"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.04.052"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-837647"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-018-1732-x"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1177\/0218492314561502"},{"issue":"3","key":"8","first-page":"149","volume":"14","year":"2008","journal-title":"Annals of Thoracic and Cardiovascular Surgery"},{"key":"9","first-page":"1","volume":"3","year":"2016","journal-title":"Edorium Journal of Cardiothoracic and Vascular Surgery"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2019.01.007"},{"issue":"3","key":"11","first-page":"200","volume":"15","year":"2006","journal-title":"Pulm\u00e3o RJ"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjy217"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-006-0354-4"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2004.05.014"}],"container-title":["Case Reports in Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cripu\/2020\/5026759.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cripu\/2020\/5026759.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cripu\/2020\/5026759.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,25]],"date-time":"2020-01-25T18:31:51Z","timestamp":1579977111000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cripu\/2020\/5026759\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,25]]},"references-count":14,"alternative-id":["5026759","5026759"],"URL":"https:\/\/doi.org\/10.1155\/2020\/5026759","relation":{},"ISSN":["2090-6846","2090-6854"],"issn-type":[{"type":"print","value":"2090-6846"},{"type":"electronic","value":"2090-6854"}],"subject":[],"published":{"date-parts":[[2020,1,25]]}}}