A case of chronic expanding hematoma of the thorax compressing the mediastinum

DOI 5 Citations 16 References
  • Morikawa Hiromasa
    Department of Thoracic Surgery, National Hospital Organization Nagara Medical Center
  • Okubo Kenichi
    Department of Thoracic Surgery, Kyoto University Hospital
  • Kobayashi Masashi
    Department of Respiratory Diseases, Hyogo Prefectural Tsukaguchi Hospital
  • Hayatsu Eiichi
    Department of Thoracic Surgery, National Hospital Organization Nagara Medical Center
  • Ueno Yoichiro
    Department of Thoracic Surgery, National Hospital Organization Nagara Medical Center

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Other Title
  • 縦隔圧迫をきたした胸腔内Ｃｈｒｏｎｉｃ　Ｅｘｐａｎｄｉｎｇ　Ｈｅｍａｔｏｍａの１手術例

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A 72-year-old man with a history of tuberculous pleuritis at the age of 19 presented with exertional dyspnea for 6 months. A right lower opacity in the chest roentgenogram had been pointed out since he was 61 years old. The mass was 19 cm at the maximum diameter and compressed the mediastinum. With a diagnosis of chronic expanding hematoma of the thorax, the patient underwent extirpation of the hematoma with the whole capsule. Since the hematoma adhered strongly to the lung and diaphragm, it was removed with the combined resection of the middle and lower lobe of the lung and the hemidiaphragm, which was reconstructed with a polypropylene mesh. The postoperative course was uneventful. Exertional dyspnea was resolved with improved pulmonary function.

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