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KMID : 0383820080640010048
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Tuberculosis and Respiratory Diseases
2008 Volume.64 No. 1 p.48 ~ p.51
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A Case of Chronic Expanding Hematoma with Initial Presentation as Massive Hemotpysis through Bronchopleural Fistula in the Thorax
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Jeon Eun-Kyoung
Chung Mun-Kyung
Kim Gun-Min
Kang Ji-Young
Park Hyun-Jin
Kim Seung-Joon
Lee Sook-Young
Moon Hwa-Sik
Song Jeong-Sup
Park Sung-Hak
Kim Young-Kyoon
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Abstract
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Chronic expanding hematoma of the thorax is a specific subtype of the chronic empyema. It presents as a slowly expanding intrathoracic mass which result in dyspnea or recurrent hemoptysis. The symptoms develop months or years after tuberculous pleurisy, trauma or surgery. Usually, it shows three common findings: a giant mass lesion in the thorax, some surrounding calcifications, the absence of signs or symptoms of infection. We report a case of chronic expanding hematoma of the thorax, initially presenting as massive hemoptysis through bronchopleural fistula which resulted in radiologic findings of new air-fluid level within the previous pleural lesion filled with unknown materials. (Tuberc Respir Dis 2008;64:48-51)
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KEYWORD
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Chronic expanding hematoma, Bronchopleural fistula, Air-fluid Level, Thorax
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