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J Thorac Cardiovasc Surg 2003;126:1202-1203
© 2003 The American Association for Thoracic Surgery

Brief communication

Successful treatment of huge chronic expanding hematoma after thoracoplasty

Iwao Takanami, MDa,*

a Department of Surgery, Teikyo School of Medicine, Tokyo, Japan

Received for publication March 11, 2003; accepted for publication April 24, 2003.

* Address for reprints: Iwao Takanami, MD, Department of Surgery, Teikyo School of Medicine, 2-11 Kaga 2-Chome, Itabashi-Ku, Tokyo, 173 Japan
takanami@med.teikyo-u.ac.jp

The first 20% of the full text of this article appears below.

Chronic expanding hematoma in the chest is known to be a specific type of chronic empyema. Four cases of chronic expanding hematomas after thoracoplasty have been reported in Japan.1-3 As far as I have been able to determine, no such cases have been reported in other countries. Incomplete treatment for tuberculosis, such as thoracoplasty, is considered to be one of the origins of this disease. Here I describe the successful treatment of a patient with chronic expanding hematoma after a thoracoplasty.

Clinical summary

A 79-year-old man was admitted with a chest wall swelling. Fifty-two years earlier, at the age of 27 years, the patient underwent thoracoplasty for the treatment of tuberculosis. A year earlier a tumor had been detected in the right axilla, which had gradually protruded. For the purpose of more detailed examination, he was transferred to my hospital. Physical examination revealed a large tumor, 30 x 10 x 10 cm in size, from . . . [Full Text of this Article]






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