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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
Abstract:
Chronic expanding hematoma in the chest is identified as a specific type of chronic empyema. We encountered a case of chest chronic expanding hematoma presenting as a huge mass, which compressed the heart, trachea and esophagus. The disease was recognized as a cause of aspiration pneumonia and was successfully treated by surgical resection. Computed tomography revealed a large area of calcifications at the periphery of the mass. Magnetic resonance T2-weighted imaging indicated the mosaic patterns of various signal intensities as specific features of chronic expanding hematoma. Imaging diagnosis showed good correlation with pathology of the disease.
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