title: [Thoracoscopic surgery for traumatic mediastinal hematoma].
abstract: We report a rare case of traumatic mediastinal hematoma treated by thoracoscopic surgery. A 78-year-old man accidentally fell down from the roof, and he was urgently transferred to our hospital. Soon after the arrival, he showed breathlessness followed by cardiopulmonary arrest, necessitating tracheal intubation and resuscitation. Computed tomography (CT) showed a large cervical hematoma extending to the tracheal bifurcation level of mediastinum, causing tracheal obstruction. Five days later, the large mediastinal hematoma was removed by thoracoscopic surgery. The patient recovered without any complications after our treatments.
authors.affiliation: Second Department of Surgery, Yamagata University Faculty of Medicine,Yamagata, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Mizumoto
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Oizumi
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Kato
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Sadahiro
mesh_terms: D000058:Accidental Falls; D000368:Aged; D006406:Hematoma / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000601:surgery*; D008482:Mediastinum / Q000293:injuries*; D013906:Thoracoscopy