{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T10:07:17Z","timestamp":1771668437234,"version":"3.50.1"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p> Massive hemothorax resulting from cough-induced rib fracture is a condition in which blood accumulates in the chest, compromising the lungs and mediastinal structures. The most common cause of massive hemothorax is acute pro-traumatic injury. We present a case of a 47-year-old gentleman with morbid obesity and psoriasis, who was admitted to the emergency department due to shortness of breath that has been increased progressively after coughing for a period of 2\u2009weeks. Chest radiograph demonstrated a large density in the left hemithorax, collapsing the left lung. Chest computerized tomography showed a left seventh rib fracture and massive pleural effusion. A closed chest tube thoracostomy was performed draining 3\u2009L of hemorrhagic effusion, likely due to bleeding from the intercostal artery tear due to severe and prolonged cough. Cough-induced hemothorax due to spontaneous rib fractures are rare and clinicians should be well aware of this entity to prevent hemorrhagic shock and organ damage. <\/jats:p>","DOI":"10.1177\/2050313x19846043","type":"journal-article","created":{"date-parts":[[2019,4,27]],"date-time":"2019-04-27T06:24:19Z","timestamp":1556346259000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Hemothorax induced by severe cough: An unusual presentation"],"prefix":"10.1177","volume":"7","author":[{"given":"Luis Arturo","family":"Camarillo-Reyes","sequence":"first","affiliation":[{"name":"Universidad Veracruzana, Xalapa, Mexico"},{"name":"Dorrington Medical Associates, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto Ivan","family":"Marquez-C\u00f3rdova","sequence":"additional","affiliation":[{"name":"Dorrington Medical Associates, Houston, TX, USA"},{"name":"Universidad Autonoma de Baja California, Mexicali, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7105-4266","authenticated-orcid":false,"given":"Salim","family":"Surani","sequence":"additional","affiliation":[{"name":"Texas A&M University-Corpus Christi, Corpus Christi, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Varon","sequence":"additional","affiliation":[{"name":"Acute and Continuing Care, Houston, TX, USA"},{"name":"The University of Texas Health Science Center, Houston, TX, USA"},{"name":"The University of Texas Medical Branch at Galveston, Houston, TX, USA"},{"name":"United Memorial Medical Center\/United General Hospital, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,26]]},"reference":[{"key":"bibr1-2050313X19846043","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-018-1813-x"},{"key":"bibr2-2050313X19846043","doi-asserted-by":"publisher","DOI":"10.4172\/2167-1222.1000326"},{"key":"bibr3-2050313X19846043","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(84)90077-9"},{"key":"bibr4-2050313X19846043","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-1-34"},{"key":"bibr5-2050313X19846043","doi-asserted-by":"publisher","DOI":"10.1590\/S0100-69912010000100016"},{"key":"bibr6-2050313X19846043","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2008.06.048"},{"key":"bibr7-2050313X19846043","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2482-13-S2-S34"},{"key":"bibr8-2050313X19846043","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2012.10.003"},{"key":"bibr9-2050313X19846043","doi-asserted-by":"publisher","DOI":"10.1177\/0218492314522636"},{"key":"bibr10-2050313X19846043","doi-asserted-by":"publisher","DOI":"10.3109\/02770903.2016.1155216"},{"key":"bibr11-2050313X19846043","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2014.06.033"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X19846043","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X19846043","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X19846043","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T13:34:39Z","timestamp":1740749679000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X19846043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":11,"alternative-id":["10.1177\/2050313X19846043"],"URL":"https:\/\/doi.org\/10.1177\/2050313x19846043","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]},"article-number":"2050313X19846043"}}