Medical vs Surgical Management of Acute Hemothorax due to Metastatic Pulmonary Disease

Document Type

Conference Proceeding - Restricted Access

Publication Date



A 73 year-old male with a history of renal cell carcinoma with pulmonary metastasis and subsequent right-sided hemothorax status post percutaneous transthoracic lung biopsy presented with worsening dyspnea. Previous thoracentesis and chest tubes were ineffective as loculations hindered drainage, curbing clinical resolution. Delays in medical management resulted in pleural thickening with granulation tissue accumulating on the pulmonary circumference thereby impeding lung expansion. This presentation will examine the paramount importance of punctual hemothorax management and explore the rationale of medical vs surgical interventions to optimize patient outcomes.


American Society of Anesthesiology, Anesthesiology 2019. Orlando, FL. October 19-23, 2019.