Korean J Thorac Cardiovasc Surg.
2010 Jun;43(3):328-331. 10.5090/kjtcs.2010.43.3.328.
Traumatic Extrapleural Hematoma Mimicking a Hemothorax
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Korea Veterans Hospital, Korea. ilovetbc@daum.net
- 2Department of Thoracic and Cardiovascular Surgery, Soonchunhyang Gumi University Hospital, College of Medicine, Soonchunyang University, Korea.
- 3Department of Anesthesiology and Pain Medicine, Soonchunhyang Gumi University Hospital, College of Medicine, Soonchunyang University, Korea.
- KMID: 1455509
- DOI: http://doi.org/10.5090/kjtcs.2010.43.3.328
Abstract
- Extrapleural hematoma results from blood accumulating between the parietal pleura and the endothoracic fascia, whereas hemothorax shows pooling in the pleural space. Extrapleural hematoma results from an intact parietal pleura that blocks blood from escaping the pleural cavity. Extrapleural fat, a fat layer outside the pleura in the chest wall between the parietal pleura and the endothoracic fascia, is pathognomonic on computed tomography. We diagnosed traumatic extrapleural hematoma and treated it with video-assisted thoracic surgery. We report here on this case along with a review of the literature.
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