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Massive Hemorrhage Following Spontaneous Mediastinal Inflammatory Myofibroblastic Tumor Rupture: A Case Report

A 45-year-old male in a hypertensive emergency was admitted with complaints of frontal headache, progressive chest discomfort, shortness of breath, dysphagia, and right upper quadrant abdominal pain radiating across the epigastrium and to the back that increases in intensity with deep inspiration. H...

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Autores principales: Bellegarde, Sophia B, Gibson, Vanessa, Andaz, Shahriyour, Huang, Lillian, Robinson, Eric, Turi, George, Tofuah, Donald, Ekhator, Chukwuyem, Bardarov, Svetoslav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518044/
https://www.ncbi.nlm.nih.gov/pubmed/37750062
http://dx.doi.org/10.7759/cureus.45833
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author Bellegarde, Sophia B
Gibson, Vanessa
Andaz, Shahriyour
Huang, Lillian
Robinson, Eric
Turi, George
Tofuah, Donald
Ekhator, Chukwuyem
Bardarov, Svetoslav
author_facet Bellegarde, Sophia B
Gibson, Vanessa
Andaz, Shahriyour
Huang, Lillian
Robinson, Eric
Turi, George
Tofuah, Donald
Ekhator, Chukwuyem
Bardarov, Svetoslav
author_sort Bellegarde, Sophia B
collection PubMed
description A 45-year-old male in a hypertensive emergency was admitted with complaints of frontal headache, progressive chest discomfort, shortness of breath, dysphagia, and right upper quadrant abdominal pain radiating across the epigastrium and to the back that increases in intensity with deep inspiration. He denied any history of abdominal pain, vomiting, dyspnea, nausea, and weight loss. A computed tomography (CT) scan of the chest showed a posterior mediastinal mass between the esophagus and descending aorta. A magnetic resonance imaging (MRI) scan revealed a non-enhancing posterior mediastinal mass possibly compressing both the esophagus and the airway. A 30-degree thoracoscope was inserted in the chest cavity revealing a large hemothorax from a possibly ruptured inflammatory myofibroblastic tumor (IMT) encompassing nearly the entire pleural space with both fresh and clotted blood. Two liters of fresh blood was removed via a right thoracotomy procedure. Once removed, a large fibrinous clot-filled mass was resected entirely and sent to pathology. Postoperative recovery was uneventful; dysphagia and shortness of breath resolved. The patient gradually resumed his regular diet.
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spelling pubmed-105180442023-09-25 Massive Hemorrhage Following Spontaneous Mediastinal Inflammatory Myofibroblastic Tumor Rupture: A Case Report Bellegarde, Sophia B Gibson, Vanessa Andaz, Shahriyour Huang, Lillian Robinson, Eric Turi, George Tofuah, Donald Ekhator, Chukwuyem Bardarov, Svetoslav Cureus Cardiac/Thoracic/Vascular Surgery A 45-year-old male in a hypertensive emergency was admitted with complaints of frontal headache, progressive chest discomfort, shortness of breath, dysphagia, and right upper quadrant abdominal pain radiating across the epigastrium and to the back that increases in intensity with deep inspiration. He denied any history of abdominal pain, vomiting, dyspnea, nausea, and weight loss. A computed tomography (CT) scan of the chest showed a posterior mediastinal mass between the esophagus and descending aorta. A magnetic resonance imaging (MRI) scan revealed a non-enhancing posterior mediastinal mass possibly compressing both the esophagus and the airway. A 30-degree thoracoscope was inserted in the chest cavity revealing a large hemothorax from a possibly ruptured inflammatory myofibroblastic tumor (IMT) encompassing nearly the entire pleural space with both fresh and clotted blood. Two liters of fresh blood was removed via a right thoracotomy procedure. Once removed, a large fibrinous clot-filled mass was resected entirely and sent to pathology. Postoperative recovery was uneventful; dysphagia and shortness of breath resolved. The patient gradually resumed his regular diet. Cureus 2023-09-23 /pmc/articles/PMC10518044/ /pubmed/37750062 http://dx.doi.org/10.7759/cureus.45833 Text en Copyright © 2023, Bellegarde et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Bellegarde, Sophia B
Gibson, Vanessa
Andaz, Shahriyour
Huang, Lillian
Robinson, Eric
Turi, George
Tofuah, Donald
Ekhator, Chukwuyem
Bardarov, Svetoslav
Massive Hemorrhage Following Spontaneous Mediastinal Inflammatory Myofibroblastic Tumor Rupture: A Case Report
title Massive Hemorrhage Following Spontaneous Mediastinal Inflammatory Myofibroblastic Tumor Rupture: A Case Report
title_full Massive Hemorrhage Following Spontaneous Mediastinal Inflammatory Myofibroblastic Tumor Rupture: A Case Report
title_fullStr Massive Hemorrhage Following Spontaneous Mediastinal Inflammatory Myofibroblastic Tumor Rupture: A Case Report
title_full_unstemmed Massive Hemorrhage Following Spontaneous Mediastinal Inflammatory Myofibroblastic Tumor Rupture: A Case Report
title_short Massive Hemorrhage Following Spontaneous Mediastinal Inflammatory Myofibroblastic Tumor Rupture: A Case Report
title_sort massive hemorrhage following spontaneous mediastinal inflammatory myofibroblastic tumor rupture: a case report
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518044/
https://www.ncbi.nlm.nih.gov/pubmed/37750062
http://dx.doi.org/10.7759/cureus.45833
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