[Extrapleural hematoma].
The authors report a case of a voluminous extra-pleural hematoma in relation to a fracture of the body of the eleventh thoracic vertebra on a 74 year-old man after craniothoracic injury. Thoracic CT Scan showed a homogeneous posterior parietal mass of tissue density (40 HU) outlined by a fatty lining associated with a fracture of the eleventh thoracic vertebra. This allowed a modification in the diagnosis of a hemothorax established previously on conventional radiography. The authors insist on the gravity of this affection when the volume of the hematoma is important. But this is very rare (6 cases out of which 5 were autopsic findings). If present it requise an urgent surgical treatment without forgetting the fiability of CT Scan which relies on putting into evidence the pleural lining sign.
Moulin
G
G
Service Central de Radiologie, CHU Timone Adultes, Marseille.
Bartoli
J M
JM
Fighiera
M
M
Gaubert
J Y
JY
Chagnaud
C
C
Delannoy
L
L
Kasbarian
M
M
D000368:Aged; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D011859:Radiography; D013896:Thoracic Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D013898:Thoracic Injuries / Q000150:complications
Hématome extra-pleural.