Presentation
Known ovarian carcinoma had debulking surgery. Postoperatively, gradual development of tachycardia and hypotension with severe reduction in red blood cell count.
Patient Data
There is air in the right pleural cavity (pneumothorax) with a massive pleural effusion with the density of blood, also with clotted blood in basal regions. Midline structures are pushed to the left. Pneumoperitoneum is also present.
Case Discussion
The patient underwent hysterectomy, bilateral adnexectomy, omentectomy, diaphragmatic resection and lymphadenectomy.
After suspected hemoperitoneum, no signs of abdominal bleeding were found. CT confirmed hemopneumothorax, which was successfully treated with blood substitutes, active drainage and VATS. Altogether 2,200 mL of blood was drained.
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