Annals of The Japanese Respiratory Society:A case of spontaneous massive hemothorax improved with surgery on a patient with von Recklinghausen disease

Abstract

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Article in Japanese

Case Report

A case of spontaneous massive hemothorax improved with surgery on a patient with von Recklinghausen disease

Tadahisa Numakura^a Yoshifumi Matsuura^a Hiroto Takiguchi^b Yasuka Hara^a Yuji Matsumura^c Muneo Minowa^c

^aDepartment of Internal Medicine, Ohta Nishinouchi Hospital, Ohta General Hospital Foundation
^bDepartment of Pulmonary Medicine, Tokai University Hospital
^cDepartment of Surgery, Ohta Nishinouchi General Hospital, Ohta General Hospital Foundation

ABSTRACT

A 41-year-old man with von Recklinghausen disease presented with right back pain. A chest X-ray and pleurocentesis revealed hemothorax. Chest CT scan showed an enhanced extravasation at the 9th thoracic vertebra. A chest drainage deteriorated the blood pressure, and we decided to perform an urgent thoracotomy. Using pressure hemostasis, we stopped the bleeding and he fully recovered.

KEYWORDS

Hemothorax von Recklinghausen disease Neurofibromatosis type 1 Surgery

Received 30 Oct 2012 ／ Accepted 25 Feb 2013

AJRS, 2(4): 410-413, 2013

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Abstract

Case Report

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