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(Chest. 1970;57:487-489.)
© 1970 American College of Chest Physicians

Pulmonary Hematoma Associated with Thrombocytopenia

Mario A. Luna M.D.1; William V. Leary M.D.1; and Bao-Shan Jing M.D., F.C.C.P.1

1 Departments of Pathology, Medicine, and Diagnostic Radiology, The University of Texas, M. D. Anderson Hospital and Tumor Institute at Houston, Houston, Texas

A 70-year-old man with severe thrombocytopenia was found to have a "coin lesion" in the left lung four days after splenectomy for localized reticulum cell sarcoma. Bronchoscopy, sputum cytology, and chest roentgenograms over the subsequent six weeks were noncontributory. Since the appearance of the lesion remained unchanged, exploratory thoracotomy was performed. An organizing pulmonary hematoma was found and removed by segmental resection of the lung. In the absence of a history of trauma to the chest, bleeding from the pulmonary vessels incident to the thrombocytopenia associated with the splenic tumor was considered responsible for the hematoma.




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J. C. Graff, J. M. Huddleston, and G. A. Salzman
PULMONARY HEMATOMAS COMPLICATING PNEUMOTHORAX TREATMENT WITH TUBE THORACOSTOMY
Chest Meeting Abstracts, October 1, 2005; 128(4): 487S - 488S.
[Abstract] [Full Text] [PDF]


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