Sahagian Michelle, Ahmad M Sulaiman, Colon Samantha S, Lafaro Rocco
General Surgery, St. Barnabas Hospital (SBH) Health System, New York City, USA.
General Surgery, City University of New York (CUNY) School of Medicine, New York City, USA.
Cureus. 2025 May 22;17(5):e84641. doi: 10.7759/cureus.84641. eCollection 2025 May.
Spontaneous hemopneumothorax is rarely seen, but it is a surgical emergency. This case describes a young male who presented with chest pain and was found to have spontaneous hemopneumothorax. The patient was treated with chest tube insertion and emergent thoracotomy, as well as ligation of the suspected source of bleeding and resection of the affected lobe. The patient was discharged on postoperative day four and did not present with any issues or complications postoperatively. It is important to recognize and treat spontaneous hemopneumothorax promptly and appropriately with initial stabilization and then definitive surgical management in order to avoid morbidity and mortality. This case demonstrates a situation in which the patient was treated appropriately and avoided significant complications, and highlights the importance of future research into the contributing factors and pathophysiology of spontaneous hemopneumothorax.