ID 110391
Title Transcription
von Recklinghausenビョウ ニ ガッペイ シタ シンケイ ショウシュナイ ニ ケイセイ サレタ カセイ ドウミャクリュウ カラ ノ シュッケツ ガ ゲンイン ト カンガエラレタ ケッキョウ ノ 1レイ
Title Alternative
Hemothorax due to pseudoaneurysm in schwannoma with von Recklinghausen disease
Author
Taniguchi, Haruki Department of thoracic surgery, Thoracic center, Urasoe General Hospital
Kanai, Risa Department of thoracic surgery, Thoracic center, Urasoe General Hospital
Ishigaki, Masanobu Department of pulmonary medicine, Thoracic center, Urasoe General Hospital
Fukumoto, Taizou Department of thoracic surgery, Thoracic center, Urasoe General Hospital
Keywords
thymic neuroendocrine tumor
carcinoid
Content Type
Journal Article
Description
A 62‐year‐old female with von Recklinghausen disease was referred to our hospital for left chest pain due to hemothorax and a heterogeneous mass in the posterior chest wall. The complete blood count and coagulation parameters were normal. A left chest tube was inserted, and approximately500ml of hemorrhagic pleural effusion was drained. Computed tomography and magnetic resonance imaging revealed a tumor with hematoma and fatty degeneration and a pseudoaneurysm in the posterior portion of the fourth to seventh ribs. The tumor had not invaded the vertebral body and canal and other distant organs. Percutaneous needle biopsy of the tumor showed a schwannoma with no evidence of malignancy. Surgery was performed, and the tumor was resected in combination with the chest wall. Because of its course, the tumor was considered to be a schwannoma that originated from the intercostal nerves, and rapid pathological examination revealed no malignancy. The defect of the chest wall was reconstructed using DualMesh. The clinical course was satisfactory, and the patient was discharged 10 days after surgery. The pathological diagnosis was a benign schwannoma with hematoma and pseudoaneurysm, which was suspected to have caused the hemothorax.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
72
Issue
3-4
Start Page
131
End Page
136
Sort Key
131
Published Date
2016-08-25
FullText File
language
jpn
TextVersion
Publisher