A 79-year-old man underwent coronary artery bypass grafting and ascending aorta prosthetic replacement for aneurysm at our Institution. His postoperative course was characterized by rapid onset of hypotension and anemia. Re-exploration found no surgical source of bleeding. A chest computed tomography showed a huge extrapleural hematoma caused by rib fractures. Percutaneous chest drainage was effective, and the patient recovered quickly. Follow-up computed tomography confirmed a good result.
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http://dx.doi.org/10.1177/0218492312454858 | DOI Listing |
Cureus
September 2024
Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, IND.
Extrapleural hematoma is a rare consequence of thoracic trauma, which is the result of bleeding between the parietal pleura and the endothoracic fascia and is usually diagnosed within the initial 24-48 hours of the injury. Delayed presentations are rarely seen. An elderly male, who was not on any antiplatelet or anticoagulant medications, presented to the emergency department six days after sustaining a trivial blunt chest trauma with a large right extrapleural hematoma.
View Article and Find Full Text PDFMedicine (Baltimore)
July 2024
Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama City, Osaka, Japan.
Background: Solitary fibrous tumors can manifest at various anatomical sites, predominantly occurring at extrapleural sites with a peak incidence between 40 and 70 years. SFT necessitates long-term follow-up owing to its tumor characteristics. However, comprehensive reports covering the period from initial diagnosis to the patient's demise are lacking.
View Article and Find Full Text PDFWorld J Surg Oncol
July 2024
Department of Pathology, Shanghai Jiaotong University Medical School Affiliated Ruijin Hospital, Number 197, Ruijin Er Road, Huangpu District, Shanghai, China.
Background: Solitary fibrous tumor (SFT) is a rare fibroblastic mesenchymal tumor that mostly involves the pleura and infrequently involves extra-pleural sites. De novo SFT of the kidney is uncommon, and malignant SFT is extremely rare.
Case Presentation: We report a case of a 51-year-old man with a large malignant SFT in the left kidney.
J Med Case Rep
June 2024
Department of Thoracic Surgery, Hokkaido University Hospital, West 5 North 14, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Background: Intercostal artery bleeding often occurs in a single vessel; in rare cases, it can occur in numerous vessels, making it more difficult to manage.
Case Presentation: A 63-year-old Japanese man was admitted to the emergency department owing to sudden chest and back pain, dizziness, and nausea. Emergency coronary angiography revealed myocardial infarction secondary to right coronary artery occlusion.
J Thorac Oncol
September 2024
Thoracic Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
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