Chronic Expanding Hematoma of the Thorax
نویسندگان
چکیده
We report the first case in Korea of a chronic expanding hematoma, which presented as a huge mass in the pleural cavity. A 67-year-old woman exhibiting a slowly-expanding intrathoracic mass, as revealed by a chest radiograph, was admitted to our hospital. The patient had undergone a pneumonectomy 37 years earlier during treatment for pulmonary tuberculosis. Computed tomography revealed a huge mass in her right hemithorax. The differential diagnosis of this mass included chronic empyema combined with a malignancy, such as lymphoma or a soft tissue sarcoma. The tumor, which was classified as an encapsulated chronic hematoma, was removed surgically. Samples sent for histopathological and microbiological analysis revealed no evidence of neoplasia or infection. The patient was finally diagnosed with a chronic expanding hematoma of the thorax. This case is particularly rare due to the patient's development of a very large mass after undergoing treatment for tuberculosis more than 30 years earlier.
منابع مشابه
Chronic expanding hematoma with bronchopleural fistula and empyema space.
Chronic expanding hematoma of the thorax is not typically accompanied by a bronchopleural fistula or purulent lesion. We report an extremely rare case of chronic expanding hematoma with a bronchopleural fistula and empyema space in a 66-year-old man with a history of tuberculous pleurisy admitted because of fever and bloody sputa. Computed tomography and a magnetic resonance imaging revealed a ...
متن کاملCorrelation between level of consciousness and some cT findings in chronic subdural hematoma
There is little information concerning the correlation between clinical and CT findings in chronic subdural hematoma . This study was performed on 69 hematoma patients to find correlations between CT findings and GCS. Ninety one percent of patients were male and 9℅ were female. The average age was 63. In 87℅ of cases, the lesions was unilateral and in the remaining 13℅ , it was bilateral. The r...
متن کاملChronic expanding hematoma in the retroperitoneal space
Background Chronic expanding hematoma is a rare condition that occurs after surgery, trauma, or injury. It can occur anywhere in the body with the absence of trauma. Clinical findings, various modalities will help in the differential diagnosis. Hematomas are usually absorbed naturally and rarely cause serious problems. However, hematomas developing slowly without a history of trauma, surgery an...
متن کامل2-[18 F]fluoro-2-deoxy-d-glucose (FDG) positron-emission tomography (PET) findings of chronic expanding intrapericardial hematoma: a potential interpretive pitfall that mimics a malignant tumor
A 77-year-old man who had undergone mitral valve replacement 5 years previously presented with an intrapericardial mass. Computed tomography and magnetic resonance imaging showed that the mass lesion contained hematoma components. Positron-emission tomography (PET) with 2-[¹⁸F]fluoro-2-deoxy-D-glucose (FDG) revealed uptake in the peripheral rim of the mass. These findings suggested the presence...
متن کاملChronic Expanding Hematoma in the Dorsal Cervicothoracic Region as a Long-Term Complication of Retained Bullet Fragments: Case Report
Chronic expanding hematoma is a rare pathology, which has not been previously described as a complication of gunshot injury with retained bullet fragments. Because of the similar characteristics of chronic expanding hematoma to malignancy, it can present a diagnostic challenge for clinicians. Imaging and biopsy evaluation is needed to reach a conclusive diagnosis and implement appropriate treat...
متن کامل