Successful Treatment for a Large Chronic Expanding Hematoma Treated by Pneumonectomy after Arterial Embolization

A chronic expanding hematoma is a rare late complication of thoracoplasty for tuberculosis, before the development of drugs. Total resection of a chronic expanding hematoma often requires invasive surgery consisting of combined resection of the lung and chest wall, accompanied by intraoperative blee...

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Bibliographic Details
Published in:Case reports in pulmonology 2022-02, Vol.2022, p.1932420-5
Main Authors: Fujiwara-Kuroda, Aki, Nozomu Iwashiro, Ohara, Masanori, Kichizo Kaga
Format: Article
Language:English
Subjects:
Biopsy
Blood
Case Report
Case reports
Chemotherapy
Development and progression
Embolization
Granulomas
Hematoma
Hemorrhage
Hospitals
Ostomy
Pain
Pneumonectomy
Pulmonary arteries
Surgery
Tuberculosis
Veins & arteries
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Summary:A chronic expanding hematoma is a rare late complication of thoracoplasty for tuberculosis, before the development of drugs. Total resection of a chronic expanding hematoma often requires invasive surgery consisting of combined resection of the lung and chest wall, accompanied by intraoperative bleeding. We report a case of successful surgical resection of a chronic expanding hematoma with preoperative arterial embolization, 48 years after extraperiosteal paraffin plombage for pulmonary tuberculosis. The operative indication or procedure for a chronic expanding hematoma should be determined carefully, and preoperative preparations as well as strategies should be elaborated for safe surgical resection. It is important to share information about treatment for a large chronic expanding hematoma, as we may continue to encounter this complication over the long term.
ISSN:2090-6846
2090-6854
DOI:10.1155/2022/1932420