Spontaneous massive hemothorax as a complication of necrotizing pneumonia in a patient with severe acute respiratory syndrome coronavirus 2 induced acute respiratory distress syndrome: a case report.

ABSTRACT:

Background

We present an unusual bleeding complication in a patient with severe acute respiratory distress syndrome in coronavirus disease 2019.

Case presentation

The patient, a 63-year-old Caucasian man, received venovenous extracorporeal membrane oxygenation support after rapid deterioration of lung function on day 6 after admission to hospital. After initial stabilization on lung protective ventilation and prone positioning, he started to develop mild bleeding complications until he went into occult profound hemorrhagic shock. Causative was a massive hemothorax of the right hemithorax with mediastinal shifting due to spontaneous bleeding from a pulmonal artery in a heavily remodeled right inferior lobe. Histopathological examination of the resected tissue showed signs of

SUBMITTER: Jung C 

PROVIDER: S-EPMC8415192 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature