Hemorrhagic shock due to intrathoracic rupture of an osteosarcoma of the rib.
A 13-year-old girl presented with dyspnea and chest pain. Chest radiography showed a massive left pleural effusion. Computed tomography revealed a tumor of the fourth rib. A large bloody effusion was drained. Her anemia worsened (hemoglobin: 4.8 g/dl), and hemorrhagic shock ensued. An emergency thoracotomy was performed. Bleeding from the ruptured tumor was identified. The fourth rib, the tumor, and the adjacent tissues were resected. Histopathologic examination revealed a ruptured primary osteosarcoma of the rib with pleural dissemination.
Osawa
H
H
Second Department of Surgery, Yamanashi Medical University, Tamaho-Cho, Nakakoma-Gun, Yamanashi 409-3898, Japan.
Yoshii
S
S
Takahashi
W
W
Hosaka
S
S
Ishikawa
N
N
Mizutani
E
E
Abraham
S J
SJ
Tada
Y
Y
D000293:Adolescent; D001859:Bone Neoplasms / Q000150:complications*; D005260:Female; D006801:Humans; D012516:Osteosarcoma / Q000150:complications*; D012253:Rib Fractures / Q000150:complications*; D012272:Ribs / Q000293:injuries*; D012421:Rupture / Q000150:complications; D012771:Shock, Hemorrhagic / Q000209:etiology*