Massive hemothorax due to intrathoracic extramedullary hematopoiesis in a patient with thalassemia intermedia.
We report the case of a 49-year-old woman with thalassemia intermedia who developed a massive hemothorax due to hemorrhage from a large intrathoracic, paraspinal hematopoietic mass. Thoracotomy was required for initial control of bleeding. Postoperatively she received a total of 1,500 rads to the mass and has not had recurrence of the hemothorax. This complication of extramedullary hematopoiesis has not been previously reported, to our knowledge.
Smith
P R
PR
Department of Medicine, State University of New York, Brooklyn, NY.
Manjoney
D L
DL
Teitcher
J B
JB
Choi
K N
KN
Braverman
A S
AS
D005260:Female; D006411:Hematopoiesis, Extramedullary; D006470:Hemorrhage / Q000209:etiology; D006491:Hemothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D013789:Thalassemia / Q000150:complications* / Q000503:physiopathology; D013909:Thorax; D014057:Tomography, X-Ray Computed