Spontaneous Mediastinal Hemorrhage in a Patient with End Stage Renal Disease: An Unusual Case of Uremic Bleeding.
- Author:
Sangheun LEE
1
;
In Tae KIM
;
Hyung Bok PARK
;
Yu Kyung HYUN
;
Yoon Ji KIM
;
Soo Young YOON
;
Sang Choel LEE
Author Information
1. Department of Internal Medicine, College of Medicine, Kwandong University, Goyang, Korea. drjoy@kd.ac.kr
- Publication Type:Case Report
- Keywords:
Uremia;
Hemorrhage;
Mediastinum
- MeSH:
Anemia;
Bleeding Time;
Blood Platelets;
Gastrointestinal Tract;
Hematoma;
Hemorrhage;
Humans;
Kidney Failure, Chronic;
Mediastinum;
Renal Dialysis;
Stomach Ulcer;
Thorax;
Uremia
- From:Korean Journal of Nephrology
2011;30(2):196-200
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hemorrhagic complications in patients with end stage renal disease (ESRD) are common. These abnormal bleeding tendencies are caused by several factors including anticoagulation during hemodialysis, anemia, and uremic platelet dysfunction. The most common clinical manifestation of uremic bleeding is hemorrhage of the gastrointestinal tract from gastric ulcer disease. Mediastinal bleeding, however, is rare in ESRD patients. Here, we report a case of spontaneous mediastinal bleeding in a patient with hemodialysis. A huge periesophageal hematoma was observed on the chest CT scan and the bleeding time representing platelet function was prolonged. This case underlies the diversity of uremic bleeding.
