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Tuberc Respir Dis.  2008 Sep;65(3):216-221.

A Case of Spontaneous Chronic Expanding Hematoma in the Thorax

Affiliations
  • 1Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. hjyoon@hanyang.ac.kr
  • 2Department of Diagnostic Radiology, Hanyang University College of Medicine, Seoul, Korea.
  • 3Department of Thoracic and Cardiovascular Surgery, Hanyang University College of Medicine, Seoul, Korea.

Abstract

A chronic expanding hematoma (CEH) in the thorax is a rare and specific condition of chronic empyema. CEHs in the thorax are often associated with tuberculosis and/or previous surgical procedures. While the incidental detection of a pleural mass and dyspnea are common clinical manifestations, a few cases present with hemoptysis. We encountered a case of CEH in the thorax. This case is unique in that it developed without a prior history of tuberculosis or surgery and presented with massive hemoptysis accompanied by bronchopleural fistula. We report the third case of CEH in the thorax in Korea with a summary of the clinical characteristics of previous cases.

Keyword

Chronic expanding hematoma; Hemoptysis; Bronchopleural fistula

MeSH Terms

Dyspnea
Empyema
Fistula
Hematoma
Hemoptysis
Korea
Thorax
Tuberculosis
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