A Case of Chronic Expanding Hematoma with Initial Presentation as Massive Hemotpysis through Bronchopleural Fistula in the Thorax.

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

doi:2008.64.1.48

Tuberc Respir Dis > Volume 64(1); 2008 > Article

Case Report

Tuberculosis and Respiratory Diseases 2008;64(1):48-51.
DOI: https://doi.org/10.4046/trd.2008.64.1.48 Published online January 1, 2008.

A Case of Chronic Expanding Hematoma with Initial Presentation as Massive Hemotpysis through Bronchopleural Fistula in the Thorax.

Eun Kyoung Jeon, Mun Kyung Chung, Gun Min Kim, Ji Young Kang, Hyun Jin Park, Seung Joon Kim, Sook Young Lee, Hwa Sik Moon, Jeong Sup Song, Sung Hak Park, Young Kyoon Kim

¹Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. youngkim@catholic.ac.kr
²Department of Radiology, The Catholic University of Korea College of Medicine, Seoul, Korea.

Abstract

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.

Key Words: Chronic expanding hematoma, Bronchopleural fistula, Air-fluid level, Thorax