A Case of Spontaneous Chronic Expanding Hematoma in the Thorax.

Joo, Yong Won; Son, Chang Nam; Jung, Kyong Hee; Park, Hae Jeong; Kim, Sang Heon; Kim, Tae Hyung; Sohn, Jang Won; Yoon, Ho Joo; Choi, Yo Won; Chung, Won Sang; Shin, Dong Ho; Park, Sung Soo

doi:2008.65.3.216

Tuberc Respir Dis > Volume 65(3); 2008 > Article

Case Report

Tuberculosis and Respiratory Diseases 2008;65(3):216-221.
DOI: https://doi.org/10.4046/trd.2008.65.3.216 Published online September 1, 2008.

A Case of Spontaneous Chronic Expanding Hematoma in the Thorax.

Yong Won Joo, Chang Nam Son, Kyong Hee Jung, Hae Jeong Park, Sang Heon Kim, Tae Hyung Kim, Jang Won Sohn, Ho Joo Yoon, Yo Won Choi, Won Sang Chung, Dong Ho Shin, Sung Soo Park

¹Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. hjyoon@hanyang.ac.kr
²Department of Diagnostic Radiology, Hanyang University College of Medicine, Seoul, Korea.
³Department of Thoracic and Cardiovascular Surgery, Hanyang University College of Medicine, Seoul, Korea.

Abstract

A chronic expanding hematoma (CEH) in the thorax is a rare and specific condition of chronic empyema. CEHs in the thorax are often associated with tuberculosis and/or previous surgical procedures. While the incidental detection of a pleural mass and dyspnea are common clinical manifestations, a few cases present with hemoptysis. We encountered a case of CEH in the thorax. This case is unique in that it developed without a prior history of tuberculosis or surgery and presented with massive hemoptysis accompanied by bronchopleural fistula. We report the third case of CEH in the thorax in Korea with a summary of the clinical characteristics of previous cases.

Key Words: Chronic expanding hematoma, Hemoptysis, Bronchopleural fistula