Spontaneous hemothorax after caesarian section: an unusual manifestation of diaphragmatic fenestrations

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A 35-year-old woman developed spontaneous hemothorax from uterine hemorrhage due to diaphragmatic fenestrations allowing blood to move from the abdomen to the chest.

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Abstract

Spontaneous hemothorax is an uncommon condition usually associated with trauma, iatrogenic interventions, or rupture of pleural adhesions, and pneumothorax. We report the unique case of spontaneous hemothorax in a 35-year-old woman resulting from uterine hemorrhage in whom fenestrations in the diaphragm allowed blood to pass from the abdomen to the chest.

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Condition tags

endometriosis

MeSH descriptors

Cesarean Section Hemothorax Uterine Hemorrhage Adult Cesarean Section Diagnosis, Differential Endometriosis Endometriosis Female Hemothorax Hemothorax Hemothorax Hernia, Diaphragmatic Hernia, Diaphragmatic Humans Hysterectomy Pregnancy Rupture, Spontaneous Rupture, Spontaneous Treatment Outcome

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Source provenance

europepmc
last seen: 2026-09-13T09:25:22.628771+00:00
pubmed
last seen: 2026-05-13T22:15:29.922408+00:00
unpaywall
last seen: 2026-05-14T19:30:52.867331+00:00
License: public-domain-us · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine