A Case of Spontaneous Mediastinal Hemorrhage in Patients on Chronic Hemodialysis.
- Author:
Jung Young PARK
1
;
Bai Jin LEE
;
Hee Young LEE
;
Heoy Seung KANG
;
Woo Seog KIM
;
Jong Young LEE
;
Myeung Rae LEE
;
Dong Il BYUN
;
Hyung Gil KIM
Author Information
1. Department of Internal Medicine, Inchon Christian Hospital, Inchon, Korea.
- Publication Type:Case Report
- Keywords:
Spontaneous mediastinal hemorrhage;
Chronic hemodialysis
- MeSH:
Biopsy, Fine-Needle;
Blood Volume;
Chest Pain;
Diagnosis;
Dyspnea;
Hemorrhage*;
Heparin;
Humans;
Renal Dialysis*;
Thorax;
Ultrasonography
- From:Korean Journal of Nephrology
1997;16(1):173-177
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous hemorrhage in the patients undergoing hemodialysis is the ralatively common problem, but spontaneous mediastinal hemorrhage in such patients reported only few cases. We experienced a case of spontaneous mediastinal hemorrhage in chronic hemodialysis patient who complained of continuous pleuritic chest pain and mild dyspnea. The diagnosis was made dy chest computed tomography,magnetic resonance imaging and percutaneous fine needle aspiration of liquified dark reddish old blood material guided by ultrasonography. Treatment is usually conservative, with blood volume replacement and intensive hemodialysis using regional heparinization. We report on a patient undergoing hemodialysis due to endstage renal disease who developed spontaneous mediastinal hemorrhage.
