Haemopneumothorax
Last revised by Patrick J Rock
on 12 May 2021
Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Rock P, Bell D, et al. Haemopneumothorax. Reference article, Radiopaedia.org (Accessed on 28 Mar 2025) https://doi.org/10.53347/rID-24371
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rID:
24371
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Disclosures:
At the time the article was created Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosures
Last revised:
12 May 2021,
Patrick J Rock
Disclosures:
At the time the article was last revised Patrick J Rock had no recorded disclosures.
View Patrick J Rock's current disclosures
Revisions:
10 times, by
6 contributors -
see full revision history and disclosures
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Synonyms:
- Haemopneumothoraces
- Hemopneumothorax
- Hemopneumothoraces
- Hematopneumothorax
- Hematopneumothoraces
- Pneumohaemothorax
- Pneumohaemothoraces
- Haematopneumothoraces
- Haematopneumothorax
- Pneumohaematothorax
- Pneumohaematothoraces
A haemopneumothorax (plural: haemopneumothoraces) (or, less commonly, haematopneumothorax or pneumohaemothorax) is a term given when there is concurrent presence of a haemothorax and pneumothorax. It is a variant of a hydropneumothorax.
Epidemiology
Approximately 5% of patients with pneumothorax will have concomitant haemothorax 6.
Pathology
It is typically seen in the setting of trauma (traumatic haemopneumothorax) but can rarely occur in non-traumatic situations including:
- as a complication of cavitary pulmonary metastases 5
- as a complication of non-cavitary pulmonary metastases 2
- spontaneous: spontaneous haemopneumothorax 1
- as a rare pulmonary manifestation of rheumatoid arthritis 3
References
- 1. Hentel K, Brill PW, Winchester P. Spontaneous hemopneumothorax. Pediatr Radiol. 2002;32 (6): 457-9. doi:10.1007/s00247-002-0692-9 - Pubmed citation
- 2. Hihara T, Furumoto N, Kakishita M. Hemopneumothorax due to pulmonary metastasis with malignant hemangioendothelioma: CT and pathological findings. Radiat Med. 1989;6 (5): 213-5. Pubmed citation
- 3. Basoglu A, Celik B, Yetim TD. Massive spontaneous hemopneumothorax complicating rheumatoid lung disease. Ann. Thorac. Surg. 2007;83 (4): 1521-3. doi:10.1016/j.athoracsur.2006.09.052 - Pubmed citation
- 4. Issaivanan M, Baranwal P, Abrol S et-al. Spontaneous hemopneumothorax in children: case report and review of literature. Pediatrics. 2006;118 (4): e1268-70. doi:10.1542/peds.2006-0766 - Pubmed citation
- 5. Nomura M, Nakaya Y, Saito K et-al. Hemopneumothorax secondary to multiple cavitary metastasis in angiosarcoma of the scalp. Respiration. 1994;61 (2): 109-12. Pubmed citation
- 6. Patrini D, Panagiotopoulos N, Pararajasingham J, Gvinianidze L, Iqbal Y, Lawrence DR. Etiology and management of spontaneous haemothorax. Journal of thoracic disease. 7 (3): 520-6. doi:10.3978/j.issn.2072-1439.2014.12.50 - Pubmed
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Articles:
Cases:
- Hemopneumothorax
- Traumatic rib fractures with lung contusion and pneumothorax
- Haemopneumothorax - penetrating injury
- Spontaneous haemopneumothorax
- Three column T3 fracture with mediastinal haematoma
- Pneumothorax on shoulder series
- Penetrating thoracic trauma - stabbing
- Haemopneumothorax secondary to rib fractures
- Haemopneumothorax
- Haemopneumothorax
- Penetrating thoracic trauma (pulmonary lacerations)
- Thoracic multitrauma - extensive thoracic cage fractures
- Thoraco-abdominal multitrauma with diaphragmatic rupture
- Pulmonary haemorrhage from gun-shot wound
- Traumatic pneumothorax
- Gunshot injury: bullet in spinal canal
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