Skip to main content

Advertisement

Log in

Rapidly expanding extrapleural hematoma

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

We present a rare case of extrapleural hematoma due to chest trauma in an anticoagulated male patient. Chest computed tomography revealed multiple left rib fractures and a D-shaped opacity in the upper left side of the thorax suggesting extrapleural hematoma, which was caused from continuous bleeding. His past history included alcoholic liver cirrhosis, which caused thrombocytopenia and coagulopathy. Therefore, the hematoma was expanding, causing circulatory and ventilatory disturbance and severe anemia despite the difficulty of expanding in the extrapleural space. As the bleeding did not stop, even after intercostal artery angiography with embolization was performed, surgical treatment was undertaken to control the bleeding and evacuate the huge hematoma. The problems associated with the diagnosis and treatment of an extrapleural hematoma are discussed in the light of this case.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kabiri el H, Arsalane A, Zidane A, Atoini F. Extrapleural hematoma as a complication of spontaneous pneumothorax. J Thorac Cardiovasc Surg 2006;132:423–424.

    Article  Google Scholar 

  2. Poyraz AS, Kilic D, Gultekin B, Ozulku M, Hatipoglu A. Extrapleural hematoma: when is surgery indicated? Monaldi Arch Chest Dis 2005;63:166–169.

    PubMed  CAS  Google Scholar 

  3. Goh BK, Koong HN. Massive traumatic extrapleural hematoma mimicking hemothorax: a potential pitfall of penetrating chest trauma. J Trauma 2006;61:995–997.

    PubMed  Google Scholar 

  4. Sumida H, Ono N, Terada Y. Huge extrapleural hematoma in an anticoagulant patient. Gen Thorac Cardiovasc Surg 2007;55:174–176.

    Article  PubMed  Google Scholar 

  5. Rashid MA. Value of video-assisted thoracic surgery in traumatic extrapleural hematoma. Thorac Cardiovasc Surg 1999;47:255–257.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hitoshi Igai.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Igai, H., Okumura, N., Ohata, K. et al. Rapidly expanding extrapleural hematoma. Gen Thorac Cardiovasc Surg 56, 515–517 (2008). https://doi.org/10.1007/s11748-008-0284-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-008-0284-1

Key words

Navigation