Video-assisted thoracoscopic surgery for spontaneous hemothorax caused by rib metastases from multiple myeloma

Article Sidebar

PDF
Published: Oct 20, 2022
Keywords:
Emergency thoracoscopy, Hemothorax, Multiple myeloma, Rib metastasis

Main Article Content

Gennaro Maurizio Buonanno
U.O.C. General and Emergency Surgery, A.O.R.N. -DEA II - “San Pio”, Benevento, Italy
Vincenzo Della Vittoria Scarpati
U.O.C. General and Emergency Surgery, A.O.R.N. -DEA II - “San Pio”, Benevento, Italy
Mario Cella
U.O.C. Anesthesia and Intesive Care, A.O.R.N. -DEA II - “San Pio”, Benevento, Italy
Vittorio Labruna
U.O.C. General and Emergency Surgery, A.O.R.N. -DEA II - “San Pio”, Benevento, Italy
Angela Ferraro
U.O.C. General and Emergency Surgery, A.O.R.N. -DEA II - “San Pio”, Benevento, Italy
Veronica Maria Lanni
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.



 

Article Details

How to Cite
Buonanno, Gennaro Maurizio, et al. “Video-Assisted Thoracoscopic Surgery for Spontaneous Hemothorax Caused by Rib Metastases from Multiple Myeloma”. Annali Italiani Di Chirurgia, vol. 11, no. October, Oct. 2022, pp. 1-3, https://annaliitalianidichirurgia.it/index.php/aic/article/view/2356.
Issue
Vol. 11 No. October (2022)
Section
Case Report
Author Biographies

Gennaro Maurizio Buonanno, U.O.C. General and Emergency Surgery, A.O.R.N. -DEA II - “San Pio”, Benevento, Italy

 

 

     

Vincenzo Della Vittoria Scarpati, U.O.C. General and Emergency Surgery, A.O.R.N. -DEA II - “San Pio”, Benevento, Italy

 

 

     

Mario Cella, U.O.C. Anesthesia and Intesive Care, A.O.R.N. -DEA II - “San Pio”, Benevento, Italy

 

 

 

Vittorio Labruna, U.O.C. General and Emergency Surgery, A.O.R.N. -DEA II - “San Pio”, Benevento, Italy

 

 

 

Angela Ferraro, U.O.C. General and Emergency Surgery, A.O.R.N. -DEA II - “San Pio”, Benevento, Italy

 

 

 

Veronica Maria Lanni, Resident Doctor in General Surgery (2nd year), Università degli Studi della Campania “L. Vanvitelli”, Caserta, Italy