Chronic expanding hematoma in sternum resected 5 years after median sternotomy.
Chronic expanding hematomas occur at various locations in the body; however, their occurrence in the sternum has not been reported yet. We report a patient with chronic expanding hematoma in the sternum 5 years after undergoing a median sternotomy for cardiac surgery. Although preoperative biopsy specimens did not lead to a definitive diagnosis, we could not rule out the possibility of a malignant tumor because of the expanding and infiltrative behavior of the hematoma. We performed a sternectomy and reconstructed the chest wall using artificial materials.
Kunisawa
Susumu
S
Division of Thoracic Surgery, Kochi Health Sciences Center, Kochi City, Kochi, Japan. susumu_kunisawa@khsc.or.jp
Kosaka
Shinji
S
Matsukura
Tadashi
T
Nakashima
Takashi
T
Okabayashi
Takahiro
T
Miyagawa
Hiroyuki
H
Miyake
Yoichiro
Y
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods; D002908:Chronic Disease; D018450:Disease Progression; D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D018570:Risk Assessment; D012720:Severity of Illness Index; D013249:Sternum / Q000473:pathology / Q000601:surgery*; D013526:Surgical Mesh; D013908:Thoracotomy / Q000009:adverse effects* / Q000379:methods; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome