Mediastinal histoplasmosis causing massive hematemesis

Mediastinal histoplasmosis causing massive hematemesis.

spontaneous breathing as soon as possible 2 and lowpressure suction of the chest tubes after operation are critical.2, 3 Some ventilatory support is necessary, however, when a patient continues to have hypoventilation after operation. Pressure-controlled ventilation rather than volume-controlled ventilation has been recommended for such patients because it can deliver high inspired gas flows in...

Massive anterior mediastinal mass causing cardiac compression.

Ruptured Thoracic Aneurysm Causing Hematemesis

We present a 72-year-old man who was admitted to the gastroenterology ward after a frank hematemesis. He had been seen 5 days prior in clinic with dysphagia, anorexia, weight loss, and pain in the epigastrium and thoracic spine. At admission he was stable with normotensive blood pressure, not tachycardic, and had hemoglobin 12.5 g/dL. On examination there was epigastric tenderness, but the abdo...

Parathyroid adenoma causing a spontaneous cervical and mediastinal massive hematoma.

Cervical and mediastinal hemorrhaging caused by a spontaneous rupture of a parathyroid adenoma has been rarely reported. Herein, we report a case of a 52-year-old woman who experienced a sudden onset of cervical and mediastinal bleeding related to a parathyroid adenoma. The patient had a history of trauma to the left thorax with a fracture of two ribs. Ultrasonography and computer tomography re...

Bronchial Artery Aneurysm Presenting as Hematemesis and Mediastinal Hemorrhage

Hematemesis is a rare manifestation of a ruptured bronchial artery aneurysm (BAA) in the mediastinum. It is difficult to diagnose a ruptured BAA presenting as hematemesis, because it can be confused with other diseases, such as Boerhaave's syndrome, variceal disease, or a perforated ulcer. In this report, we describe a case of BAA resulting in hematemesis and mediastinal hemorrhage.