Successful excision of a massive bleeding schwannoma by thoracoscopic surgery.
Massive intrathoracic bleeding caused by rupture of a benign schwannoma is extremely rare. A 73-year-old man was admitted to our emergency department because of chest pain and dyspnea. Computed tomography revealed massive pleural effusion and a posterior mediastinal tumor. Chest tube thoracostomy was performed, and the initial blood drainage was 1700 mL. Magnetic resonance imaging revealed that the tumor at the 8th costal level measured 46 × 60 mm. The tumor, located beside the 8th vertebra, had ruptured and caused the bleeding. It was successfully excised by thoracoscopic surgery and diagnosed as a benign schwannoma.
Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan hishiba.thsr@tmd.ac.jp.
Hironori
H
Ishibashi
Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Chihiro
C
Takasaki
Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Kenichi
K
Okubo
D000368:Aged; D001706:Biopsy; D015505:Chest Tubes; D004322:Drainage / Q000295:instrumentation; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D009442:Neurilemmoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D012422:Rupture, Spontaneous; D013906:Thoracoscopy; D013907:Thoracostomy / Q000295:instrumentation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D047368:Tumor Burden
Hemothorax; Peripheral nervous system neoplasms; Pleural effusion; Schwannoma