Huang Lawrence, Pradhan Tana, Epelbaum Oleg
Division of Pulmonary, Critical Care, and Sleep Medicine, Westchester Medical Center and New York Medical College, Valhalla, NY, USA.
Division of Gynecological Oncology, Westchester Medical Center, Valhalla, NY, USA.
Respir Med Case Rep. 2025 Apr 12;55:102207. doi: 10.1016/j.rmcr.2025.102207. eCollection 2025.
Though rare, hemothorax can occur without trauma, coagulopathy, or apparent vascular injury. Similar to the proposed mechanism of Meigs' syndrome or hepatic hydrothorax, small diaphragmatic defects may allow peritoneal fluid to traverse the diaphragm into the pleural space. While typically this is associated with transudative pleural effusions, there have been case reports of hemoperitoneum crossing the diaphragm into the pleural space. Here, we present a case in which multiple giant leiomyomata with hemorrhagic necrosis led to hemoperitoneum that translocated across the diaphragm into the pleural space, causing a hemothorax.
虽然罕见，但血胸可在无创伤、凝血功能障碍或明显血管损伤的情况下发生。与梅格斯综合征或肝性胸水的推测机制类似，小的膈肌缺损可能使腹腔液体穿过膈肌进入胸腔。虽然通常这与漏出性胸腔积液有关，但也有血腹穿过膈肌进入胸腔的病例报告。在此，我们报告一例，多个伴有出血坏死的巨大平滑肌瘤导致血腹，血腹穿过膈肌进入胸腔，引起血胸。
