Rupture of a chronic expanding hematoma of the thorax into lung parenchyma

Okubo, Kan; Okamoto, Toshihiro; Isobe, Jun; Ueno, Yoichiro

doi:10.1016/j.jtcvs.2003.12.042

Cited by 22 publications

(8 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…CEH should be managed by complete surgical excision, as incomplete removal may lead to recurrence [12]. In order to achieve complete excision in the current case, we had to perform internal hemipelvectomy and hip transposition as a limb salvage procedure because the lesion had expanded considerably to the acetabulum.…”

Section: Discussionmentioning

confidence: 99%

Huge chronic expanding hematoma of the iliac bone following multiple hip surgeries: a case report

et al. 2018

View full text Add to dashboard Cite

BackgroundChronic expanding hematoma is a rare entity resulting from trauma or surgery. This condition usually occurs in soft tissue, such as the trunk or extremities, while chronic expanding hematoma arising from bone has not been reported previously. We describe an unusual case of a huge intraosseous chronic expanding hematoma arising from the ilium, which had grown over a 40-year period following hip surgeries.Case presentationA 57-year-old Japanese woman presented with a 1.5-year history of right hip pain. She had a history of bilateral developmental dysplasia of the hip and had undergone bilateral arthroplasties in childhood. A physical examination revealed a large, firm, immobile mass at her right ilium. Based on radiographic findings, a type of slow-growing bone tumor was suspected, and an incisional biopsy was performed. A histopathologic examination revealed large amounts of old clotted blood within the lesion, and the capsule of the lesion was composed of dense, fibrous, connective tissue. There was no evidence of neoplasia, and chronic expanding hematoma was suspected. The lesion was resistant to conservative treatment, and so we performed an internal hemipelvectomy (including the capsule of the mass) and a reconstruction by hip transposition 2.5 years after the incisional biopsy. There was no recurrence of chronic expanding hematoma at the most recent follow-up of 1 year and 8 months postoperatively.ConclusionsA chronic expanding hematoma is characterized by its persistence and increasing size more than 1 month after the trauma or surgical event suspected of causing hemorrhage. To the best of our knowledge, this is the first report of chronic expanding hematoma arising from bone. We performed internal hemipelvectomy and hip transposition, and there has so far been no recurrence. This disease may be considered a differential diagnosis for bone tumor when the patient has a history of surgery or trauma, regardless of how many years have passed since the index event.

show abstract

Section: Discussionmentioning

confidence: 99%

Huge chronic expanding hematoma of the iliac bone following multiple hip surgeries: a case report

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Almost all instances of CEH previously reported in the English literature have a history ranging from 1 month to 20 years, 1,3 and no lesions have ruptured through the skin. There is a single report of a thorax CEH that ruptured into the lung parenchyma after 24 years, 4 so it is conceivable that other subcutaneous CEHs could break through the skin several decades after their inception. A ruptured CEH complicates the differential, as it is easily confused with a malignant tumor or a vascular lesion.…”

Section: Discussionmentioning

confidence: 99%

Chronic expanding hematoma, ruptured through the skin 53 years after buttock contusion

Morioka

Ohkubo

Umezawa

2014

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

INTRODUCTIONChronic expanding hematoma is a relatively rare complication of soft tissue trauma and often clinically mistaken for a malignant neoplasm.PRESENTATION OF CASEA 71-year-old female presented with a chronic expanding hematoma that ruptured through the buttock skin 53 years after the original contusion. The diagnosis of CEH was made based on the results of the biopsy, physical examination, and CT. The tumor was completely excised, and the defect was covered with a rhomboid flap.DISCUSSIONThere are no reports of lesions rupturing through the skin. Almost all instances of chronic expanding hematoma previously reported in the English literature have a history ranging from 1 month to 20 years. There is a report of a thorax CEH that ruptured into the lung parenchyma after 24 years, so it is conceivable that other subcutaneous CEHs could break through the skin several decades after their inception.CONCLUSIONOnce this lesion has ruptured, its differentiation from other entities becomes more complicated.

show abstract

“…흉곽 내 만성 팽창성 혈종의 대부분의 증례가 일본에서 보고되고 있으며 [2][3][4][5][6][7][8][9][10]13,14,[16][17][18][19][20]23,24 , 캐나다, 미국, 독일 등에 서도 보고된 바 있다 11,12,21 . 국내에서는 현재 2예가 보고되 었다 22,25 .…”

unclassified

“…이 질환은 주로 혈우병이나, 다른 혈액학적 이상 이 없는 환자에서 발생하였고, 특히 과거에 결핵성 늑막염 이나, 흉부수술 등의 과거력이 모두 있는 경우가 대부분이 었으며, 결핵성 늑막염이나 흉부수술 중 어느 하나의 과거 력이 있는 경우는 드물게 보고되었다 4,21 . 임상양상은 증상 없이 우연히 발견되거나 혹은 종괴가 커짐에 따라 호흡곤 란이 나타나는 경우가 일반적이며, 대량 객혈로 응급 시술 이 필요했던 증례는 매우 드물다 17,21,25 . 저자들은 기관지 흉막루를 동반한 대량 객혈로 발현하였고, 기관지동맥 조 영술 및 색전술, 수술적 절제술을 통해 성공적으로 치료한 흉곽 내 만성 팽창성 혈종 1예를 보고한다.…”

unclassified

See 1 more Smart Citation

A Case of Spontaneous Chronic Expanding Hematoma in the Thorax

et al. 2008

View full text Add to dashboard Cite

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

show abstract

Rupture of a chronic expanding hematoma of the thorax into lung parenchyma

Cited by 22 publications

References 6 publications

Huge chronic expanding hematoma of the iliac bone following multiple hip surgeries: a case report

Huge chronic expanding hematoma of the iliac bone following multiple hip surgeries: a case report

Chronic expanding hematoma, ruptured through the skin 53 years after buttock contusion

A Case of Spontaneous Chronic Expanding Hematoma in the Thorax

Contact Info

Product

Resources

About