title: Mediastinal hematoma caused by central venous catheterization: a rare cause of obscure blood loss.
abstract: Gastrointestinal hemorrhage, internal bleeding beyond the gastrointestinal tract and hemolysis are common causes of blood loss in intensive care unit patients. However, mediastinal hematoma is a rare cause of blood loss and is not usually detected. Here, we report a patient who developed a mediastinal hematoma resulting from central venous catheterization who presented with obscure blood loss refractory to blood transfusion. A mediastinal hematoma should be considered in the presence of obscure blood loss in patients with catheter placement.
authors: Department of Internal Medicine, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors: Szu-Chia
authors: SC
authors: Chen
authors: Chuan-Sheng
authors: CS
authors: Wang
authors: Shu-Hui
authors: SH
authors: Chuang
authors: Jui-Hsin
authors: JH
authors: Chen
authors: Ming-Chin
authors: MC
authors: Chou
authors: Huang-Chi
authors: HC
authors: Chen
authors: Jer-Ming
authors: JM
authors: Chang
mesh_terms: D000369:Aged, 80 and over; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D006406:Hematoma / Q000209:etiology* / Q000473:pathology*; D006470:Hemorrhage / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000473:pathology*