Varón de 63 años, esplenectomizado y sin vacuna antineumocócica. Ingresa con neumonía izquierda y derrame paraneumónico (empiema). Durante colocación de tubo de drenaje pleural (TDP) se aprecia sangrado profuso, pinzándose el mismo. En TAC de tórax (figs. 1 y 2) se objetiva TDP en pared posterior de arteria pulmonar izquierda sin sangrado activo. Mediante toracotomía se observa TDP que perfora parénquima pulmonar hasta introducirse en pared posterior de arteria pulmonar, identificándose sangrado arterial tras la movilización cuidadosa del TDP. Se consigue hemostasia tras realización de bolsa de tabaco que engloba la entrada arterial del TDP. El postoperatorio transcurrió sin complicaciones.
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