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Two extremely rare cases of extrapleural hematoma
Soichi Oka1, Kenji Ono2, Kenta Kajiyama2
1Thoracic Surgery, Kokura Memorial Hospital, Asano, Kokurakita-ku, Kitakyushu-shi, Fukuoka, 802-8555, Japan. okasou@med.uoeh-u.ac.jp.
Surgical Case Reports
|December 18, 2019
Summary
Extrapleural hematoma is rare, especially in anticoagulated patients without trauma. Video-assisted thoracic surgery (VATS) proved effective for these large hematomas, leading to successful patient recovery.
Area of Science:
- Thoracic Surgery
- Diagnostic Imaging
Background:
- Extrapleural hematoma is an uncommon condition.
- Large hematomas can cause significant cardiorespiratory compromise.
- Anticoagulation therapy is a potential risk factor.
Purpose of the Study:
- To report two unusual cases of massive extrapleural hematoma.
- To highlight the diagnostic and therapeutic challenges.
- To evaluate the efficacy of video-assisted thoracic surgery (VATS).
Main Methods:
- Presentation of two cases of elderly male patients with spontaneous, large extrapleural hematomas.
- Diagnostic workup included chest computed tomography (CT).
- Surgical intervention using VATS was performed for both patients.
Main Results:
- Diagnosis of large extrapleural hematoma with hemothorax confirmed by CT.
- Both patients underwent successful, minimally invasive VATS.
- Patients experienced complete recovery and uneventful discharge.
Conclusions:
- Extrapleural hematoma requires vigilance in anticoagulated patients.
- VATS is a highly effective and minimally invasive treatment option.
- Prompt surgical intervention can lead to favorable outcomes.
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