title: Spontaneous Hematoma of Posterior Mediastinum with an Uncommon Cause: A Case Report and Review of the Literature.
abstract: Spontaneous mediastinal hematoma is exceedingly rare. We described such a case of a 61-year-old male with a posterior mediastinal hematoma from ruptured small aneurysm, which was ascertained via contrast-enhanced computed tomography examination. Subsequent super-selective angiography of left gastric artery revealed a ruptured aneurysm with contrast medium leakage, feeding vessels respectively from caudal and cranial artery. The left gastric artery branch caudally feeding aneurysm was successfully occluded, while cranially feeding artery from the branch of left bronchial artery failed to embolize due to complex anatomic factor. Our management still yields to a satisfactory outcome.
authors.affiliation: Cardiovacular Department, China-Japan Union Hospital, Jilin University , Changchun, China.
authors.forename: Xiaowei
authors.initials: X
authors.lastname: Li
authors.affiliation: Radiology Department, The First Hospital of Jilin University , Changchun, China.
authors.forename: Leilei
authors.initials: L
authors.lastname: Liu
authors.affiliation: Radiology Department, The First Hospital of Jilin University , Changchun, China.
authors.forename: Dianbo
authors.initials: D
authors.lastname: Cao
authors.affiliation: Pharmaceutical Department, China-Japan Union Hospital, Jilin University , Changchun, China.
authors.forename: Yutian
authors.initials: Y
authors.lastname: Sun
keywords: Mediastinal hematoma; computed tomography; left gastric artery aneurysm; treatment