Spontaneous Hemothorax in a Patient with Posterior Mediastinal Neurilemmoma: A case report.
- Author:
Hyuck KIM
1
;
Joo Min YANG
;
Ki Chun CHUNG
;
Young Hak KIM
;
Jung Ho KANG
;
Won Sang CHUNG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University, Korea. wschung@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Hemothorax;
Mediastinal neoplasms;
Neurilemmoma
- MeSH:
Chest Pain;
Dyspnea;
Emergency Service, Hospital;
Hemothorax*;
Humans;
Magnetic Resonance Imaging;
Mediastinal Neoplasms;
Middle Aged;
Neurilemmoma*;
Pleural Effusion;
Spine;
Thoracostomy;
Thorax;
Tomography, X-Ray Computed
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2004;37(12):1019-1021
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Neurogenic tumors are common in posterior mediastinal tumors. In most cases, tumors were accidentally showed on simple chest X-ray. In some cases, they were presented by symptoms which were induced by nerve compression or airway compression. But as in our case, neurogenic tumor with spontaneous hemothorax is very rare. A 45-year-old man admitted to emergency room of other hospital because of acute right chest pain and dyspnea. A chest X-ray showed a right pleural effusion. Hemothorax was diagnosed after closed thoracostomy. Following chest CT showed posterior mediastinal mass. The patient was transferred to our hospital. T spine MRI showed dumbbell shaped mass. Diagostic impression was neurogenic tumor. The pathologic result was neurilemmoma after surgical resection.
