A case of chronic expanding hematoma resulting in fatal hemoptysis.
An 80-year-old woman presented with a huge intrathoracic mass which had increased in size over 4 years. Computed tomography showed a thick calcified capsule and early-enhanced streaks inside the mass. Needle biopsy aspirated pure blood and fibrous connective tissue. F-18 fluorodeoxyglucose positron-emission tomography showed moderate FDG uptake at the periphery with central photon defects. Gallium-67 scintigraphy showed no abnormal uptake. On suspicion of chronic expanding hematoma, we recommended surgical resection, but the patient requested only follow-up. One year later, she was hospitalized with cardiac tamponade and subsequent massive hemoptysis. Repeated embolization was ineffective, and the patient soon succumbed.
Department of Chest Surgery, Toho University Omori Medical Center, Tokyo, Japan;
Yoshinobu
Y
Hata
Susumu
S
Sakamoto
Nobuyuki
N
Shiraga
Keita
K
Sato
Fumitomo
F
Sato
Hajime
H
Otsuka
Hidenori
H
Goto
Keigo
K
Takagi
Yoshinori
Y
Watanabe