title: [Spontaneous mediastinal hematoma during therapy with oral anticoagulants].
abstract: Mediastinal haematoma as a complication of anticoagulant therapy has rarely been described in the literature. A case is reported of an anterior mediastinal haematoma which developed in a patient with mitral valve disease while on oral anticoagulant therapy. This occurred in spite of well-controlled anticoagulation therapy and the clinico-radiological features did not directly recall the hemorrhagic complication. Computerized tomographic scan of the chest, even if not conclusive, was essential for the clinical strategy. A definite diagnosis was obtained by percutaneous needle aspiration followed by iodinate contrast medium injection. This procedure also led to the resolution of the haematoma, thus avoiding hazardous surgical therapy.
authors.affiliation: Servizio di Cardiologia, Ospedale Bellaria, Bologna.
authors.forename: G
authors.initials: G
authors.lastname: Di Pasquale
authors.forename: V
authors.initials: V
authors.lastname: Salpietro
authors.forename: M
authors.initials: M
authors.lastname: Boaron
mesh_terms: D000284:Administration, Oral; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000139:chemically induced* / Q000000981:diagnostic imaging; D006801:Humans; D008477:Mediastinal Diseases / Q000139:chemically induced* / Q000000981:diagnostic imaging; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
chemical_list: D000925:Anticoagulants
vernacular_title: Ematoma mediastinico spontaneo in corso di terapia anticoagulante orale.