Intrathoracic extramedullary hematopoiesis related spontaneous hemothorax

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Intrathoracic extramedullary hematopoiesis related spontaneous hemothorax.

A 39-year-old man had the history of b-thalassemia intermedia and had undergone splenectomy in his childhood. Intrathoracic extramedullary hematopoiesis (EMH) mass was noted on routine follow-up image (Figure 1a). One day, he suffered from acute onset of right upper back pain with dyspnea. He was then sent to our emergency department, and the chest plain film revealed massive right pleural effu...

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Massive hemothorax due to intrathoracic extramedullary hematopoiesis in a patient with thalassemia intermedia.

We report the case of a 49-year-old woman with thalassemia intermedia who developed a massive hemothorax due to hemorrhage from a large intrathoracic, paraspinal hematopoietic mass. Thoracotomy was required for initial control of bleeding. Postoperatively she received a total of 1,500 rads to the mass and has not had recurrence of the hemothorax. This complication of extramedullary hematopoiesi...

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Extramedullary hematopoiesis is a rare cause of an intrathoracic mass in individuals with hemolytic disorders. It can be clinically confused with other tumors of the mediastinum. While radiologic studies often demonstrate findings suggesting intrathoracic extramedullary hematopoiesis, histology is usually required for diagnostic purposes. Thoracotomy was the mainstay procedure for obtaining tis...

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ژورنال

عنوان ژورنال: QJM

سال: 2015

ISSN: 1460-2725,1460-2393

DOI: 10.1093/qjmed/hcv143