title: Use of contrast-enhanced computed tomography for management of a late-onset spontaneous massive chest wall hematoma.
abstract: This is a rare case of a 68-year-old woman who was rehospitalized after uneventful redo double-valve surgery. An 8.3 × 12.9 × 16.4 cm tense right chest wall hematoma was diagnosed. This was precipitated by a single cough. Contrast-enhanced computed tomography revealed a bleeding source. Hematoma evacuation and hemostasis following emergency warfarin reversal produced an excellent outcome.
authors.affiliation: Lancashire Cardiac Center, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool FY3 8NR, UK. khoshbinuk@yahoo.co.uk
authors.forename: Espeed
authors.initials: E
authors.lastname: Khoshbin
authors.forename: Augustine
authors.initials: A
authors.lastname: Tang
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000037:antagonists & inhibitors; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003287:Contrast Media; D003371:Cough / Q000150:complications*; D004322:Drainage; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006489:Hemostatic Techniques; D006801:Humans; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014859:Warfarin / Q000037:antagonists & inhibitors
chemical_list: D000925:Anticoagulants; D003287:Contrast Media; D014859:Warfarin