Video-assisted thoracoscopic surgery for spontaneous hemothorax caused by rib metastases from multiple myeloma
Gennaro Buonanno 1, Vincenzo Scarpati 1, Mario Cella 2, Vittorio Labruna 1, Angela Ferraro 1, Veronica Lanni 3
Affiliations
Article Info
1 U.O.C. General and Emergency Surgery, A.O.R.N. -DEA II - “San Pio”, Benevento, Italy
2 U.O.C. Anesthesia and Intesive Care, A.O.R.N. -DEA II - “San Pio”, Benevento, Italy
3 Resident Doctor in General Surgery (2nd year), Università degli Studi della Campania “L. Vanvitelli”, Caserta, Italy
Abstract
AIM: The aim of this study was to analyze the clinical characteristics and the treatment of a rare case of rib metastases from multiple myeloma (mm) complicated by hemothorax. METHODS: We present a case of coagulated hemothorax in a 60-year-old woman with rib metastases from MM. Clot removal was performed via videothoracoscopy. The secondary lesion was treated with radiofrequency energy ablation. Hemostasis was achieved with bipolar current and local hemostatic agents. RESULTS: An effective re-expansion of the lung was achieved. There were no complications. The patient immediately began respiratory rehabilitation and she was discharged after 2 weeks. CONCLUSION: Video-assisted thoracoscopic surgery is advantageous for the management of coagulated hemothorax . In this way it is possible to restore lung function and avoid complications such as empyema.
Keywords
- Emergency thoracoscopy
- Hemothorax
- Multiple myeloma
- Rib metastasis