A case of spontaneous hemothorax associated with von Recklinghausen's disease.

Kang, Mi Jeong; Chung, Lee Young; Kim, Su Jin; Kang, Jung Hun; Jeong, Gyeong Won; Park, Dong Jun; Lee, Jong Deog; Hwang, Young Sil

doi:1999.47.4.538

Tuberc Respir Dis > Volume 47(4); 1999 > Article

Case Report

Tuberculosis and Respiratory Diseases 1999;47(4):538-542.
DOI: https://doi.org/10.4046/trd.1999.47.4.538 Published online October 1, 1999.

A case of spontaneous hemothorax associated with von Recklinghausen's disease.

Mi Jeong Kang, Lee Young Chung, Su Jin Kim, Jung Hun Kang, Gyeong Won Jeong, Dong Jun Park, Jong Deog Lee, Young Sil Hwang

Department of Internal Medicine, College of Medicine, Gyeongsang National University, Chinju, Korea.

Abstract

Spontaneous hemothorax may be developed as a complication of von Reckilnghausen's disease. It is rare but fatal. A 60 year old man with von Reckilnghausen's disease was admitted to our hospital because of left chest and shoulder pain. Radiograph of chest showed a massive left pleural effusion. Thoracentesis revealed gross blood. The peripheral angiography was done to determine the source of bleeding and its finding showed intercostal artery aneurysm in left 7th rib. No active bleeding from the aneurysm was seen. The source of the hemothorax was believed to be hemorrhage from rupture of intercostal artery aneurysm. He was inserted chest tube and treated embolization of intercostal artery aneurysm.

Key Words: Neurofibromatosis, Hemothorax, Intercostal artery aneurysm