scholarly journals Spontaneous Esophageal Perforation with a Posterior Mediastinal Hematoma

2014 ◽  
Vol 53 (16) ◽  
pp. 1889-1890
Author(s):  
Kazuhiro Ota ◽  
Toshihisa Takeuchi ◽  
Masahiko Aoki ◽  
Kazuhide Higuchi
Keyword(s):  
Esophageal Perforation ◽  
Mediastinal Hematoma ◽  
Posterior Mediastinal

scholarly journals Posterior mediastinal hematoma after a simple fall in a patient with normal coagulation

2015 ◽  
Vol 3 (1) ◽  
pp. 43-45
Author(s):  
Thiparpa Aime Thamamongood ◽  
Takuya Onuki ◽  
Masami Kuramochi ◽  
Masaharu Inagaki
Keyword(s):  
Mediastinal Hematoma ◽  
Posterior Mediastinal

scholarly journals Spontaneous hematoma of posterior mediastinum with an uncommon cause: a case report and review of the literature

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Xiaowei Li ◽  
Leilei Liu ◽  
Dianbo Cao ◽  
Yutian Sun
Keyword(s):  
Bronchial Artery ◽  
Left Gastric Artery ◽  
Posterior Mediastinum ◽  
Gastric Artery ◽  
Mediastinal Hematoma ◽  
Satisfactory Outcome ◽  
Contrast Enhanced ◽  
Feeding Vessels ◽  
Posterior Mediastinal ◽  
Enhanced Computed Tomography

Spontaneous mediastinal hematoma is exceedingly rare. We described such a case of a 61-year-old male with a posterior mediastinal hematoma from ruptured small aneurysm, which was ascertained <em>via</em> contrast-enhanced computed tomography examination. Subsequent super-selective angiography of left gastric artery revealed a ruptured aneurysm with contrast medium leakage, feeding vessels respectively from caudal and cranial artery. The left gastric artery branch caudally feeding aneurysm was successfully occluded, while cranially feeding artery from the branch of left bronchial artery failed to embolize due to complex anatomic factor. Our management still yields to a satisfactory outcome.

scholarly journals Posterior Mediastinal Hematoma after a Fall from Standing Height: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
J. M. Josse ◽  
A. Ameer ◽  
S. Alzaid ◽  
A. Arrowaili ◽  
M. Ben-Ely ◽  
...  
Keyword(s):  
Ct Scanning ◽  
Initial Assessment ◽  
Montreal General Hospital ◽  
Review Of The Literature ◽  
Careful Monitoring ◽  
Respiratory Compromise ◽  
Mediastinal Hematoma ◽  
Standing Height ◽  
Posterior Mediastinal ◽  
Complicated Patient

Posterior Mediastinal Hematomas (PMHs) secondary to a fall from standing height are uncommon, with only one previous case reported in the literature. We describe a case of a 78-year-old male with multiple medical comorbidities, who was transferred to Montreal General Hospital (MGH) with a posterior mediastinal hematoma (PMH) after sustaining a fall from standing height. On initial assessment, the patient was hemodynamically stable and complained of mild chest pain, dyspnea, fatigue, and diaphoresis. The patient's airway was secured via endotracheal intubation fearing impending respiratory compromise secondary to an enlarging PMH. The patient was admitted to ICU where over the next 3 days he was managed conservatively via careful monitoring of his hemodynamic and hematologic indices. Repeat CT scanning indicated reduction in size of the PMH. The patient was discharged on hospital day eight. This case describes the assessment, evaluation, and conservative management of PMH in a complicated patient receiving prior anticoagulation. A review of the literature regarding the epidemiology of PMH and the management of both unstable and stable PMHs is also presented.

Mediastinal hematoma secondary to syndesmophyte fracture in ankylosing spondylitis

Trauma ◽  
2017 ◽  
Vol 20 (3) ◽  
pp. 237-239
Author(s):  
Tarik Wasfie ◽  
Scott Kreitzberg ◽  
Peter Rydesky
Keyword(s):  
Cervical Spine ◽  
Ankylosing Spondylitis ◽  
Current Literature ◽  
Spine Fractures ◽  
Rheumatoid Disease ◽  
Severe Osteoporosis ◽  
Mediastinal Hematoma ◽  
Posterior Mediastinal ◽  
Cervical Spine Fractures

Ankylosing spondylitis is an inflammatory rheumatoid disease with severe osteoporosis affecting the spine with a tendency to fracture. Cervical spine fractures resulting in posterior mediastinal hematoma are rare. We present a patient with widened mediastinum secondary to fracture of a cervical ankylosing spondylitis and discuss its presentation and the current literature on the disease.

Disorders of the Pleura, Mediastinum, and Hilum

2019 ◽  
Author(s):  
Andrew D Lerner ◽  
David Feller-Kopman
Keyword(s):  
Pleural Effusion ◽  
Ct Scan ◽  
Esophageal Perforation ◽  
B Cell Lymphoma ◽  
Smooth Muscle Tumor ◽  
Neurogenic Tumor ◽  
Barium Swallow ◽  
Parietal Pleura ◽  
Characteristic Appearance ◽  
Posterior Mediastinal

The pleura are a composition of two serous membranes: the visceral pleura lining the lungs and the parietal pleura lining the inner chest wall, diaphragm, and mediastinum. The pulmonary hilum is composed of blood vessels, airways, nerves, and lymph nodes and denotes the meeting point between the mediastinum and the pleural cavities. This review covers disorders of the pleura, mediastinum, and hilum. Figures show a schematic diagram of normal filtration/resorption of fluid in the pleural space; comparison of a simultaneously obtained chest x-ray (CXR) and a chest computed tomographic (CT) scan of the same patient; an algorithm for evaluation of patients with pleural effusion (PE); a three-compartment model of mediastinal anatomy; photographs of a resected, well-encapsulated thymoma and a benign, multiloculated thymic cyst that were completely removed by sternotomy, a resected esophageal duplication cyst, and an esophageal leiomyoma being removed by means of a right thoracotomy; CT scans demonstrating the characteristic appearance of an invasive thymoma, an extragonadal germ cell tumor, a primary mediastinal B cell lymphoma, a goiter with extension behind the trachea, right paratracheal adenopathy in the middle mediastinal compartment, a middle mediastinal cystic mass, a large subcarinal bronchogenic cyst, a tracheal chondrosarcoma, gas in the mediastinum due to esophageal perforation, and mediastinal fibrosis; coronal imaging showing a large, smooth muscle tumor associated with the distal esophagus; a barium swallow showing a large esophageal perforation that resulted in soilage of the middle mediastinum; and posteroanterior and lateral CXRs of a posterior mediastinal neurogenic tumor accompanied by a CT scan showing the posterior mediastinal neurogenic tumor visualized in the posteroanterior radiograph.  This review contains 19 figures, 51 tables, and 83 references. Keywords:  Mediastinum, mediastinitis, pleural effusion, empyema, congestive heart failure, adenopathy, thymoma, esophageal perforation  

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