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Iskander M, Siddique K, Kaul A. Spontaneous Atraumatic Mediastinal Hemorrhage: Challenging Management of a Life-Threatening Condition and Literature Review. J Investig Med High Impact Case Rep. 2013;1(2):2324709613484451doi: 10.1177/2324709613484451.
Iskander, M., Siddique, K., & Kaul, A. (2013). Spontaneous Atraumatic Mediastinal Hemorrhage: Challenging Management of a Life-Threatening Condition and Literature Review. Journal of investigative medicine high impact case reports, 1(2), 2324709613484451. https://doi.org/10.1177/2324709613484451
Iskander, Morkos, et al. "Spontaneous Atraumatic Mediastinal Hemorrhage: Challenging Management of a Life-Threatening Condition and Literature Review." Journal of investigative medicine high impact case reports vol. 1,2 (2013): 2324709613484451. doi: https://doi.org/10.1177/2324709613484451
Iskander M, Siddique K, Kaul A. Spontaneous Atraumatic Mediastinal Hemorrhage: Challenging Management of a Life-Threatening Condition and Literature Review. J Investig Med High Impact Case Rep. 2013 Apr 01;1(2):2324709613484451. doi: 10.1177/2324709613484451. eCollection 2013. PMID: 26425573; PMCID: PMC4528791.
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J Investig Med High Impact Case Rep. 2013 Apr 01;1(2):2324709613484451. doi: 10.1177/2324709613484451. eCollection 2013.

Spontaneous Atraumatic Mediastinal Hemorrhage: Challenging Management of a Life-Threatening Condition and Literature Review.

Journal of investigative medicine high impact case reports

Morkos Iskander, Khurram Siddique, Anil Kaul

Affiliations

  1. St Helen's & Knowsley NHS Trust, Whiston Hospital, Liverpool, UK.

PMID: 26425573 PMCID: PMC4528791 DOI: 10.1177/2324709613484451

Abstract

Spontaneous atraumatic mediastinal hematomas are rare. We present a case of a previously fit and well middle-aged lady who presented with acute breathlessness and an increasing neck swelling and spontaneous neck bruising. On plain chest radiograph, widening of the mediastinum was noted. The bruising was later confirmed to be secondary to mediastinal hematoma. This life-threatening diagnostic conundrum was managed conservatively with a multidisciplinary team approach involving upper gastrointestinal and thoracic surgeons, gastroenterologists, radiologists, intensivists, and hematologists along with a variety of diagnostic modalities. A review of literature is also presented to help surgeons manage such challenging and complicated cases.

Keywords: hematoma; mediastinum; spontaneous

References

  1. Laryngoscope. 2010;120 Suppl 4:S179 - PubMed
  2. J Med Case Rep. 2007 Dec 28;1:185 - PubMed
  3. Ann Thorac Surg. 2001 Jan;71(1):370-2 - PubMed
  4. Case Rep Surg. 2012;2012:672370 - PubMed
  5. Rev Mal Respir. 1989;6(4):381-4 - PubMed
  6. Anesth Analg. 2004 Jul;99(1):31-5 - PubMed
  7. Interact Cardiovasc Thorac Surg. 2009 Feb;8(2):275-6 - PubMed
  8. Interact Cardiovasc Thorac Surg. 2010 Aug;11(2):209-10 - PubMed

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