The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
A case of chronic expanding hematoma treated by pleuro-pneumonectomy
Emiko TomitaHyung-Eun YoonTomoki UtsumiAkihide Matsumura
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2020 Volume 34 Issue 1 Pages 30-34

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Abstract

An 81-year-old woman had hemoptysis in 2009. Chest computed tomography (CT) showed a huge mass with partial calcification in the left chest. Mycobacterium tuberculosis was identified in her sputum culture. She was treated with chemotherapy for 6 months. Sputum culture changed to negative, and the symptoms improved. In 2012, chronic expanding hematoma (CEH) was diagnosed by CT with enlargement of the mass; however, she had no symptoms and desired observation. In 2014, she was admitted with complaints of hemosputum and dyspnea. She underwent left pleuropneumonectomy (EPP) for CEH due to its growth and worsening of the clinical symptoms. The postoperative course was satisfactory and she is now in good health without recurrence of CEH. It is very important to minimize the direct approach to the capsule of hematoma to reduce the risk of hemorrhage and recurrence. EPP may be an appropriate surgical procedure for CEH like in this case when improvement of the compressed lung cannot be expected.

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© 2020 The Japanese Association for Chest Surgery
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