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{
    "pk": 1197,
    "title": "Spontaneous Tension Hemothorax in a Patient with Asbestosis",
    "subtitle": null,
    "abstract": "Case Presentation:\n A 75-year-old man with a history of asbestosis presented to the emergency department with sudden-onset dyspnea and hemoptysis, triggered by coughing. The patient was hemodynamically unstable and in respiratory distress. Computed tomography revealed a massive hemothorax on the left side and compression of the descending thoracic aorta. He underwent emergency surgical exploration after decompression by chest tube insertion. The hemothorax was caused by tears in the pleural adhesions due to asbestosis and induced by coughing.\nDiscussion:\n Spontaneous hemothorax is a rare subtype of hemothorax. There have been only a few case reports of spontaneous tension hemothorax. In addition to its typical findings, compression of the thoracic descending aorta was observed in our patient. We hypothesize that severely diminished pulmonary compliance contributed to the extremely high intrathoracic pressure, which led to this unusual finding.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "thoracic cavity"
        },
        {
            "word": "hemorrhage"
        },
        {
            "word": "shock."
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0kv4x057",
    "frozenauthors": [
        {
            "first_name": "Toshinao",
            "middle_name": "",
            "last_name": "Suzuki",
            "name_suffix": "",
            "institution": "Teikyo University Chiba Medical Center, Interventional Radiology Center, Chiba, Japan",
            "department": "None"
        },
        {
            "first_name": "Toshihiko",
            "middle_name": "",
            "last_name": "Takada",
            "name_suffix": "",
            "institution": "Fukushima Medical University, Department of General Medicine, Shirakawa Satellite for Teaching And Research (STAR), Fukushima, Japan",
            "department": "None"
        }
    ],
    "date_submitted": "2022-10-28T02:48:24+05:30",
    "date_accepted": "2022-10-28T02:48:24+05:30",
    "date_published": "2022-10-27T12:30:00+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1197/galley/936/download/"
        }
    ]
}