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- W2113012759 abstract "A lady in her eighth decade with a history of left ventricular dysfunction and previous mitral valve replacement was admitted with a 2-month history of dyspnoea, ankle swelling and weight loss. She had signs of a moderate right-sided pleural effusion in addition to her expected cardiac signs. A thoracic ultrasound (TUS) was performed and a suitable site marked with the patient sitting erect (fig 1). ... A diagnostic tap was attempted on the next day with the patient sitting in the same upright position and at the site of the marked location (her warfarin having been stopped well before and switched to heparin cover appropriately). Heavily blood-stained fluid was aspirated and the procedure was stopped. She developed a much larger right pleural effusion within 24 h and her haemoglobin concentration fell to 8.8 g/l (13.2 g/l on admission). Pleural cytology was consistent with a haemothorax. A thoracic CT scan showed active bleeding from the posterior aspect of the right lower lobe surface with an associated haematoma (fig 2). She recovered fully over several days, requiring an intercostal drain and blood transfusion but without the need for thoracic surgery." @default.
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- W2113012759 date "2009-11-01" @default.
- W2113012759 modified "2023-09-26" @default.
- W2113012759 title "“X marks the spot” is not a pleural guarantee" @default.
- W2113012759 doi "https://doi.org/10.1136/pgmj.2009.088286" @default.
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