Korean J Thorac Cardiovasc Surg.  2004 Dec;37(12):1019-1021.

Spontaneous Hemothorax in a Patient with Posterior Mediastinal Neurilemmoma: A case report

• Kim H
• Yang JM
• Chung KC
• Kim YH
• Kang JH
• Chung WS

Abstract

Neurogenic tumors are common in posterior mediastinal tumors. In most cases, tumors were accidentally showed on simple chest X-ray. In some cases, they were presented by symptoms which were induced by nerve compression or airway compression. But as in our case, neurogenic tumor with spontaneous hemothorax is very rare. A 45-year-old man admitted to emergency room of other hospital because of acute right chest pain and dyspnea. A chest X-ray showed a right pleural effusion. Hemothorax was diagnosed after closed thoracostomy. Following chest CT showed posterior mediastinal mass. The patient was transferred to our hospital. T spine MRI showed dumbbell shaped mass. Diagostic impression was neurogenic tumor. The pathologic result was neurilemmoma after surgical resection.

Keyword

Hemothorax; Mediastinal neoplasms; Neurilemmoma

MeSH Terms

Chest Pain
Dyspnea
Emergency Service, Hospital
Hemothorax*
Humans
Magnetic Resonance Imaging
Mediastinal Neoplasms
Middle Aged
Neurilemmoma*
Pleural Effusion
Spine
Thoracostomy
Thorax
Tomography, X-Ray Computed