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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 Numakuraa  Yoshifumi Matsuuraa  Hiroto Takiguchib  Yasuka Haraa  Yuji Matsumurac  Muneo Minowac 

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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