{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T05:01:03Z","timestamp":1744693263776},"reference-count":8,"publisher":"PAGEPress Publications","license":[{"start":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T00:00:00Z","timestamp":1675296000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Monaldi Arch Chest Dis"],"abstract":"<jats:p>A 67-year-old male with metastatic lung cancer presented with acute shortness of breath and increasing oxygen requirements. He had a decreasing hemoglobin for which he required red blood cell transfusions. His chest x-ray showed near complete white-out of the left lung. Bedside ultrasound (Handheld Sonostar C4PL) showed a large pleural effusion with swirling echogenic material suggestive of plankton sign. The pleural effusion was aspirated and showed frank blood, after which a small-bore chest tube (SBCT) was inserted. A total of 3200ml of blood was drained with the SBCT. There was complete clearance of the pleural space, and no further blood product transfusions were needed. This case highlights that conservative management can be considered in patients with spontaneous hemothorax due to metastatic disease.<\/jats:p>","DOI":"10.4081\/monaldi.2023.2496","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T14:53:17Z","timestamp":1675349597000},"source":"Crossref","is-referenced-by-count":1,"title":["Spontaneous large volume hemothorax managed with a small-bore chest tube"],"prefix":"10.4081","author":[{"given":"Moiz","family":"Salahuddin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samia","family":"Ayub","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2549","published-online":{"date-parts":[[2023,2,2]]},"reference":[{"key":"24553","doi-asserted-by":"crossref","unstructured":"Azfar Ali H, Lippmann M, Mundathaje U, Khaleeq G. Spontaneous hemothorax: a comprehensive review. Chest 2008;134:1056-65.","DOI":"10.1378\/chest.08-0725"},{"key":"24554","doi-asserted-by":"crossref","unstructured":"Morgan CK, Bashoura L, Balachandran D, Faiz SA. Spontaneous hemothorax. Ann Am Thorac Soc 2015;12:1578-82.","DOI":"10.1513\/AnnalsATS.201505-305CC"},{"key":"24555","doi-asserted-by":"crossref","unstructured":"Yen CW, Hsu LS, Chen CW, Lin WH. Hepatocellular carcinoma with thoracic metastases presenting as hemothorax: A case report and literature review. Medicine (Baltimore) 2018;97e10945.","DOI":"10.1097\/MD.0000000000010945"},{"key":"24556","doi-asserted-by":"crossref","unstructured":"Campione A, Forte G, Luzzi L, et al. Pulmonary angiosarcoma presenting as spontaneous recurrent hemothorax. Asian Cardiovasc Thorac Ann 2009;17:84-5.","DOI":"10.1177\/0218492309102544"},{"key":"24557","doi-asserted-by":"crossref","unstructured":"Chetcuti K, Barnard J, Loggos S, et al. Massive hemothorax secondary to metastatic renal carcinoma. Ann Thorac Surg 2010;89:2014-6.","DOI":"10.1016\/j.athoracsur.2009.10.009"},{"key":"24558","doi-asserted-by":"crossref","unstructured":"Svigals PZ, Chopra A, Ravenel JG, et al. The accuracy of pleural ultrasonography in diagnosing complicated parapneumonic pleural effusions. Thorax 2017;72:94-5.","DOI":"10.1136\/thoraxjnl-2016-208904"},{"key":"24559","doi-asserted-by":"crossref","unstructured":"Chung MH, Hsiao CY, Nian NS, et al. The Benefit of ultrasound in deciding between tube thoracostomy and observative management in hemothorax resulting from blunt chest trauma. World J Surg 2018;42:2054-60.","DOI":"10.1007\/s00268-017-4417-5"},{"key":"24560","doi-asserted-by":"crossref","unstructured":"Clive AO, Kahan BC, Hooper CE, et al. Predicting survival in malignant pleural effusion: development and validation of the LENT prognostic score. Thorax 2014;69:1098-104.","DOI":"10.1136\/thoraxjnl-2014-205285"}],"container-title":["Monaldi Archives for Chest Disease"],"original-title":[],"link":[{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/download\/2496\/1611","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/download\/2496\/1611","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T14:53:48Z","timestamp":1675349628000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/view\/2496"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,2]]},"references-count":8,"URL":"https:\/\/doi.org\/10.4081\/monaldi.2023.2496","relation":{},"ISSN":["2532-5264","1122-0643"],"issn-type":[{"value":"2532-5264","type":"electronic"},{"value":"1122-0643","type":"print"}],"subject":[],"published":{"date-parts":[[2023,2,2]]}}}