What are the indications for surgical intervention of haemothorax?
Short term excessive blood loss (1500 ml in 24 hours or 200 ml/hour in 2 successive hours); Longer term - excessive clot loculation despite drainage (500 ml or >1/3 of hemithoracic volume)
- There is a large retroperitoneal soft tissue density mass, (74 x 86 x 112 mm) extending from the level of the infrahepatic IVC to the bifurcation with associated para-aortic subcentimetre adenopathy, compatible with lymphoma. Associated prominent mediastinal adenopathy in the superior mediastinum, prevascular and subcarinal region.
- Large right haemothorax with associated basal atelectasis.
- Undisplaced fractures of the left anterolateral ribs seven and eight.