[Delayed Massive Hemothorax due to Non-absorbable Sutures Tips Used in Diaphragm Reconstruction for Thymoma Dissemination]

Kyobu Geka. 2024 Oct;77(11):917-921.
[Article in Japanese]

Abstract

A 57-year-old man underwent partial resection of the right diaphragm with invasive thymoma dissemination. Fifteen days after surgery, he suddenly developed right-sided chest pain with dyspnea and was raced to the hospital. Chest computed tomography (CT) showed a massive right hemothorax, and emergency surgery was performed due to hemodynamic shock. Thoracotomy revealed intercostal artery bleeding from a pinhole injury caused by a non-absorbable monofilament suture tip of the diaphragm. Hemothorax after thoracic surgery is a serious complication, and surgical materials with sharp edges may cause bleeding by contact with intrathoracic organs. Therefore, these materials should be used with caution and covered or cut as needed.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Diaphragm* / injuries
  • Diaphragm* / surgery
  • Hemothorax* / etiology
  • Hemothorax* / surgery
  • Humans
  • Male
  • Middle Aged
  • Plastic Surgery Procedures
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery
  • Sutures* / adverse effects
  • Thymoma* / surgery
  • Thymus Neoplasms* / complications
  • Thymus Neoplasms* / surgery