Tuberc Respir Dis.
2008 Jan;64(1):48-51. 10.4046/trd.2008.64.1.48.
A Case of Chronic Expanding Hematoma with Initial Presentation as Massive Hemotpysis through Bronchopleural Fistula in the Thorax
- Affiliations
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- 1Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. youngkim@catholic.ac.kr
- 2Department of Radiology, The Catholic University of Korea College of Medicine, Seoul, Korea.
- KMID: 1478142
- DOI: http://doi.org/10.4046/trd.2008.64.1.48
Abstract
- Chronic expanding hematoma of the thorax is a specific subtype of the chronic empyema. It presents as a slowly expanding intrathoracic mass which result in dyspnea or recurrent hemoptysis. The symptoms develop months or years after tuberculous pleurisy, trauma or surgery. Usually, it shows three common findings: a giant mass lesion in the thorax, some surrounding calcifications, the absence of signs or symptoms of infection. We report a case of chronic expanding hematoma of the thorax, initially presenting as massive hemoptysis through bronchopleural fistula which resulted in radiologic findings of new air-fluid level within the previous pleural lesion filled with unknown materials.
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