Spontaneous Hemothorax During Pregnancy: A Case Report

Introduction And Importance: Spontaneous hemothorax is a rare but life-threatening condition, which is the main cause of respiratory distress during pregnancy and after delivery without any evidence of post-traumatic injury.

Case Presentation: A 34-year-old woman, pregnant at 20 weeks, presented in the emergency department complaining of dyspnea accompanied by epigastric pain, with dominance on the left side. Chest X-ray and CT-scan revealed an opacity by displacing heart to the right side. Considering, there was a probability of bleeding from venous arterial malformation. Inappropriate cervical condition two days after the patient appeared thermodynamically stable a cesarean section was performed.

Clinical Discussion: Pregnancy leads to increasing the size of AVM by rising cardiac output and hypoxia. Patients who are predisposed to PAVM and intend to be pregnant should be evaluated a priori.

Conclusion: Although the hemothorax is a rare phenomenon during pregnancy, management of fetus following this critical condition requires multidisciplinary assessment.