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Published on: November 4, 2015
Chronic expanding hematoma in the chest
Koji Kuronuma1, Setsuyuki Ootake, Kimiyuki Ikeda
1The Third Department of Internal Medicine, Social Welfare Corporation Hokkaido Social Work Association Obihiro Hospital. kuronumak@yahoo.co.jp
Internal Medicine (Tokyo, Japan)
|August 2, 2008
Summary
A rare chest chronic expanding hematoma, a type of empyema, presented as a large mass compressing vital organs. Surgical resection proved an effective treatment for this condition, which can cause aspiration pneumonia.
Area of Science:
- Thoracic Surgery
- Diagnostic Imaging
- Pathology
Background:
- Chronic expanding hematoma (CEH) is a rare thoracic condition, often misdiagnosed.
- CEH can present as a large mass, leading to significant cardiopulmonary compression.
Observation:
- A case of CEH presented as a huge chest mass compressing the heart, trachea, and esophagus.
- The patient developed aspiration pneumonia secondary to the mass effect.
- Computed tomography (CT) showed peripheral calcifications, while MRI T2-weighted imaging revealed characteristic mosaic patterns.
Findings:
- Surgical resection was successfully performed.
- Imaging findings, including CT and MRI, correlated well with pathological diagnosis.
- CEH was identified as a cause of aspiration pneumonia.
Implications:
- This case highlights the importance of considering CEH in the differential diagnosis of large chest masses.
- Advanced imaging techniques are crucial for accurate diagnosis of CEH.
- Prompt surgical intervention can effectively treat CEH and its complications.
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