Tuberc Respir Dis.  2015 Oct;78(4):363-365. 10.4046/trd.2015.78.4.363.

Spontaneous Pulmonary Hematoma with No Underlying Causes: A Case Report

• Lee EJ
• Park SH
• Park HH
• Park SH
• Lee JY
• Lee WS
• Yoon SY

• KMID: 2320707
• DOI: http://doi.org/10.4046/trd.2015.78.4.363

Abstract

A 57-year-old male patient was admitted to our center because of a cystic mass on the lower portion of the right major fissure that was found incidentally by chest X-ray. He did not have a history of trauma or anticoagulant use. The lesion was removed by video-assisted thoracoscopic surgery. Pathological examination revealed an organizing pulmonary hematoma without any complications, and a follow-up chest X-ray after 1 year showed no recurrence.

Keyword

Hematoma

MeSH Terms

Follow-Up Studies
Hematoma*
Humans
Male
Middle Aged
Recurrence
Thoracic Surgery, Video-Assisted
Thorax

Figure

• 

  Figure 1 Chest X-rays shows a well-defined round homogenous opacity in the right lower lung field. RPA: posterior anterior view.

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  Figure 2 Chest computed tomography scanning reveals a 9.0×7.9-cm-sized well-defined cystic mass in the upper and lower lobes of the right lung.

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  Figure 3 (A, B) Surgical findings demonstrates a large cystic mass with a thick yellowish capsule in the right upper and lower lobes, containing a large amount of dark brown muddy material.

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  Figure 4 Histopathological findings shows dense fibrous tissue containing fragments of blood clots separating the lung parenchyma (H&E stain, ×40).

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