Chronic expanding hematoma of the thorax is a rare disease entity and usually presents as a slowly expanding mass in patients with histories of either thoracoplasty or tuberculous pleurisy. chronic expanding hematoma, is a benign entity in which a hematoma does not undergo resorption, but rather it persists or even expands slowly. This report presents a case of a subcapsular hepatic CEH that was treated with transarterial embolization Neither of the 2 was on anticoagulation.
We describe a series of 5 cases of AS arising in chronic expanding hematomas. The large fluid collection is surrounded by a pseudocapsule and fibrous tissue, and present months or years after the original insult, as chronic expanding hematoma. Chronic expanding hematoma of the thorax is a rare disease entity and usually presents as a slowly expanding mass in patients with histories of either thoracoplasty or tuberculous pleurisy. Chronic expanding haematoma (CEH) is a very infrequent event with imprecise developmental mechanism and is rarely reported in literature. Corresponding to the various histological findings, MRI shows heterogeneous low to intermediate . Chronic expanding organizing hematoma (CEH), also known as chronic expanding hematoma, is a benign condition in which a hematoma does not undergo resorption, but rather it persists or even expands slowly. Chronic expanding hematoma in the chest is known to be a specific type of chronic empyema. DOI: 10.1200/JCO.2001.19.11.2971 Journal of Clinical Oncology - published online before print September 21, 2016 . Hematoma enlargement with repeated local hemorrhages occur regardless of angiographic AVM obliteration. Chronic expanding hematoma of the thorax is a rare disease entity and usually presents as a slowly expanding mass in patients with histories of either thoracoplasty or tuberculous pleurisy. Each caused extensive osteolysis. Chronic expanding the disease in consideration of the history of trauma or hematoma is a rare persistent hematoma manifesting as surgery. Y1 - 2012/8. PY - 2012/8. N2 - Pseudotumors have been described around both stable and failed total hip arthroplasties. Hematomas caused by surgery or trauma that persist and expand slowly for more than a month are defined as chronic expanding hematomas (CEH). Chronic exapnding hematomas occur in many locations, often simulating neoplasms. Chronic expanding hematoma first advocated by Reid et al (6). The term was first coined by Reid et al. However, in the literature dealing with chronic expanding hematoma, the descriptions of the vascular changes are deficient, and in particular, arteriographic findings have not been documented [1-5, 15, 16].Chronic expanding hematomas may also occur in the extremities [3, 15, 16].Preexisting conditions including infection, history of surgery, or episodes of trauma are involved in most . Hematomas usually re-solve rapidly without clinical problems. is a rare clinicopathologic entity that can occur in various locations, such as scrotum, kidney, thigh, retroperitoneum, cerebrum and chest (6-9). One CEH occurred after a minor fall, and the other appeared with no obvious injury. Chronic Expanding Hematoma in the Extremities: A Clinical Problem of Adhesion to the Surrounding Tissues AkioSakamoto,TakeshiOkamoto,andShuichiMatsuda DepartmentofOrthopaedicSurgery,GraduateSchoolofMedicine,KyotoUniversity,Shogoin,Kawahara-cho54, Sakyo-ku,Kyoto606-8507,Japan It was performed through posterolateral thoracotomy following median sternotomy, t CEHs were reported initially by Friedlander and Bump 5 in 1968 and were well defined with pathological considerations by Reid et al.
JAMA 244: 2441 - 2442, 1980 Reid JD, Kommareddi S, Lankerani M, et al: Chronic expanding hematomas. The presenting symptom is usually dyspnea related to lung compression or a slowly growing chest wall mass, both of which develop 30 years or more after treatment for tuberculosis. In this case study, we present a rare case of chronic expanding hematoma in an 84-year-old woman. It can also develop at any location in the body in the absence of trauma. The final diagnosis was a secondary chronic encapsulated expanding hematoma after GKS.
Chronic expanding hematoma is a rare entity on the leg. The diagnosis of this uncommon entity is often difficult, it being easily mistaken for one of the relatively more frequent malignant . Haematomas are often reabsorbed, and gradually . Chronic expanding hematoma of the thorax is a rare disease entity and usually presents as a slowly expanding mass in patients with histories of either thoracoplasty or tuberculous pleurisy.1,2 As with all chronic expanding hematomas, symptoms may arise months or years after trauma or surgery and most cases of growing hematomas have been detected in patients with no history of hemophilia or any . Chronic expanding hematoma (CEH) is a rare lesion that was first defined by Reid et al. Chronic expanding hematoma of the thorax is a rare disease. Hematoma, retroperitoneal, chronic expanding hematoma Introduction. Chronic expanding hematoma is a rare hematoma, which increases in size for more than 1 month, and only two cases showing a fluid-fluid level has been reported. JAMA 244: 2441-2442, 1980 Patients were 4 men and 1 woman; ages ranged from 43 to 71 years. CEH is a type of haematoma that is most commonly caused by trauma, post-surgical and haemorrhagic disorders. We report the successful treatment of a rare case of chronic expanding intrapericardial hematoma that had slowly developed into a large mass after coronary artery bypass surgery. Case presentation: A 42-year-old Japanese man with a large mass in his leg, suggestive of malignancy, presented to our hospital. Imaging Three months before his visit with us, Chronic expanding hematoma (CEH) is a rare disease that is usually present as a large solitary pulmonary nodule. Chronic expanding hematoma is a rare entity resulting from trauma or surgery. In addition to cysts and neoplasms, chronic expanding hematomas should be considered in the differential diagnosis if the patient has a history of remote trauma. Chronic expanding hematoma (CEH) is a rare disease that can develop in any region of the body, but it most frequently develops in the thorax. as an organized blood collection that increases in size for more than a month after the initial hemorrhagic event .. We present a case of enormous and spontaneous chronic haematoma of the back, expanded from the lower thoracic area to the sacral area, in a young patient without any history of trauma or chronic coagulopathy. It is reported to occur in patients with a history of trauma or surgery or tuberculosis. Clinical findings and various diagnostic imaging modalities can aid in the differential diagnosis of this condition. INTRODUCTION. CEHs are slow growing, but processes underlying their development remain unknown. Six patients had subcutaneous hematomas, while 1 was deep-seated in the thigh. T1 - Chronic Expanding Hematoma of the Lateral Thigh and Massive Bony Destruction After a Failed Total Hip Arthroplasty. When intrathoracic CEH is left untreated, gradually . in 1980 (1). Chronic expanding hematoma is a rare pathology, which has not been previously described as a complication of gunshot injury with retained bullet fragments. All have the same structure with a central mass of blood, a wall of granulation tissue, and dense, fibrous tissue at the periphery. Conclusion: Chronic expanding haematomas are tumour like lesions with a vague history of trauma and has been mentioned infrequently in literatures with a variety of presentations. The most frequently reports of chronic expanding hematoma was occured in the cerebrum, followed by occurred in the chest. A clinicopathologic entity. A chronic expanding hematoma is a hematoma caused by trauma or other etiology, located on muscle fascia or between muscles, that does not show complete absorption, undergoes necrotic degradation and liquefaction, becomes cystic and forms a foreign body granuloma, and is encased in a fibrous capsule. A clinicopathologic entity. These hematomas were termed as chronic expanding hematomas. Superior vena cava syndrome is a life-threatening condition. Abstract: A chronic expanding hematoma is a hematoma with long term, continuous growth. BACKGROUND:Chronic expanding hematoma is characterized by a continuous growing hematoma lesion. PMID: 11387374 A 69-year-old male presented with an extra-thoracic chronic expanding hematoma 45 years after thoracoplasty. The patient had undergone a pneumonectomy 37 Can J Neurol Sci 7: 71-72.
1980; 244(21):2441-2442. INTRODUCTION.
It can also develop at any location in the body in the absence of trauma. However, some persist for long periods and appear clinically as slowly expanding lesions in soft tissues simulating neoplastic growth; these are called chronic expanding haematomas (CEH). But, in some rare cases, hematomas persist for long periods as slowly expanding masses for months or years. It was defined by Reid et al. 1, 2 As with all chronic expanding hematomas, symptoms may arise months or years after trauma or surgery and most cases of growing hematomas have been . Affected patients typically have a history of medical or surgical therapy for tuberculosis. Our case was very similar to clinical findings of previous reports. 10.1001/jama.1980.03310210043026. Introduction: Chronic expanding hematoma is a rare persistent hematoma that can sometimes be misdiagnosed as a malignant tumor due to its clinical and radiological features. Total excision with the pseudocapsule is the treatment method. AU - McCarthy, Edward F. AU - Khanuja, Harpal S. PY - 2011/2. The importance of these swellings lies in its mimicry of soft . All lesions occurred in the lower extremities, with 4 seen in the thigh and 3 in the knee region. The presence or absence of internal contrast enhancement is often used to distinguish between hematomas and hemorrhagic neoplasms on MRI and CT. This report presents a case of a subcapsular hepatic CEH that was treated with transarterial embolization (TAE) and hepatectomy. Gradient echo T2-weighted images were not ob- an enlarging space-occupying mass [1, 2]. The patient noted a painful swelling in the posteromedial aspect of the lower .
Its hematoma was extirpated with pleuropneumonectomy. Incomplete treatment for tuberculosis, such as thoracoplasty, is considered to be one of the origins of this disease. Introduction "Chronic expanding hematoma" (CEH) is an uncommon clinical entity described for the first time by Reid et al. Pseudoaneurysms result from arterial wall disruptions and can be mistaken for CEH. Chronic expanding hematoma in the retroperitoneal space: a case report Takahiro Syuto*, Motoaki Hatori, Nomura Masashi, Yoshitaka Sekine and Kazuhiro Suzuki Abstract Background: Chronic expanding hematoma is a rare condition that develops after surgery, trauma, or injury. This condition usually occurs in soft tissue, such as the trunk or extremities, while chronic expanding hematoma arising from bone has not been reported previously. JAMA. JAMA 244: 2441-2442. The hematoma was surgically removed, and intraoperative finding confirmed an old hematoma with a capsule and capillary hyperplasia, without developing cavernous angioma. (Chest injury due to blunt chest trauma may result in a hemor-
We report 2 patients who developed chronic expanding hematomas (CEHs) more than 20 years after ceramic-on-polyethylene total hip arthroplasty (THA). Reid JD, Kommareddi S, Lankerani M, Park MC (1980) Chronic expanding hematomas. However, CEH per-sists and continues to develop for over a month after the in-itial injury. However, the pathogenesis for developing chronic encapsulated expanding hematoma is still unknown14),18). We describe an unusual case of a huge intraosseous chronic expanding hematoma arising from the ilium, which had grown over a 40-year period following hip . The pathogenesis of these lesions is similar to those of chronic subdural hematomas, . Intramuscular hematoma most commonly occurs following trauma; however, spontaneous hematomas may be seen in elderly patients due to anticoagulation. It can also develop at any location in the body in the absence of trauma. Chronic expanding hematoma of soft tissue is a rare entity. We report the first case in Korea of a chronic expanding hematoma, which presented as a huge mass in the pleural cavity. A 71-year-old female presented with a chronic expanding . Neither of the 2 was on anticoagulation.
Because of the similar characteristics of chronic expanding hematoma to malignancy, it can present a diagnostic challenge for clinicians. We analyzed the clinical features of 7 patients with chronic expanding hematomas in the extremities, with an average age of 65.6 years. Therefore, the incidence of this entity following herniorrhaphy is unclear, and symptoms are likely independent of size. PubMed Google Scholar An . In this report, we describe a case of chronic expanding hematoma with a pseudoaneurysm that underwent surgical biopsy, which led to . Clinical findings and various diagnostic imaging modalities can aid in the differential diagnosis of this condition. confused for more common, benign disorders.2 Chronic expanding hematoma, first described by Friedlander and colleagues3 in 1968, is a rare entity that is particularly dif-ficult to distinguish from soft-tissue malignancy.3-5 Chronic expanding hematoma is defined as a hematoma that gradu-ally expands over 1 month or longer, is absent of neoplastic A 55-year-old women presented with 2 small nonhealing leg ulcers. Introduction. is a rare clinicopathologic entity that can occur in various locations, such as scrotum, kidney, thigh, retroperitoneum, cerebrum and chest (6-9). A 58-year-old woman underwent conventional abdominoplasty and thereafter refused to use a compression binder, citing discomfort. A 69-year-old male presented with an extra-thoracic chronic expanding hematoma 45 years after thoracoplasty. A clinicopathologic entity. By this time the original blood-containing cavity has largely collapsed, surrounding reactive edema has disappeared, RBCs have completely lysed, hemoglobin species have undergone degradation, and heme iron has been released and deposited in the surrounding tissues. Chronic Expanding Hematoma with Bronchopleural Fistula and Empyema Space Ann Thorac Cardiovasc Surg Vol. On examination we observed a painless bulky tumor-like mass that developed slowly after deep soft tissue infection almost 2 years ago. CASE REPORT:The present case is of a patient who had undergone resection of synovial sarcoma in the posterior thigh and subsequent intraoperative radiation to the region at the age of 18 years. All have the same structure with a central mass of blood, a wall of granulation tissue, and dense, fibrous tissue at the periphery. Chronic expanding organizing hematoma, a.k.a. in 1980 [].CEH is characterized by its persistence and increasing size over a period of more than a month after the initial hemorrhage, whereas most hematomas in skeletal muscle may arise with or without any identifiable trauma and gradually expand over days to weeks, followed by a decrease in size or .
One CEH occurred after a minor fall, and the other appeared with no obvious injury. Chronic encapsulated expanding hematoma after gamma knife radiosurgery. 6 in 1980. In general, hematomas are naturally reabsorbed and rarely cause serious problems. AU - Goddard, Maria S. AU - Vakil, Jeffrey J. Our case also suggests that chronic expanding hematoma can be a cause of piriformis syndrome. Y1 - 2011/2. Chronic expanding hematoma is a mixture of old and new blood with time-related changes present. Chronic expanding organizing hematomas are defined as hematomas which increase in size over 1 month after the causative event. 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. J Arthroplasty. A chronic expanding hematoma of the chest is a rare condition that often occurs months to years after tuberculous pleuritis or thoracic surgery, and rarely after a blunt chest trauma1-3). There have been occasional reports of chronic haematoma as complication of implantation of silicone breast prostheses after mastectomy for cancer, presenting 2.5-8 years later. 1, 2 As with all chronic expanding hematomas, symptoms may arise months or years after trauma or surgery and most cases of growing hematomas have been detected in patients with no history of hemophilia or . These hematomas are called chronic expanding hematomas (CEHs). 3 (2009) 173 hematomas have been called chronic expanding hemato-mas, which can occur in various locations, and cases with a lesion arising in the thorax have been reported.1-3) Patients suffering from a chronic expanding hematoma Chronic expanding hematoma is a rare condition that develops after surgery, trauma, or injury. They can grow to form space-occupying lesions, Chronic expanding hematoma (CEH) presents as a progressively enlarging mass in patients with histories of trauma or surgery. Magnetic resonance imaging (MRI) is useful for the diagnosis. The present case suggested that chronic expanding hematoma can extend into multiple muscles due, perhaps, to long-term growth and the anatomical and functional conditions of the affected muscles. Chronic expanding hematoma is a relatively rare complication of soft tissue trauma and often clinically mistaken for a malignant neoplasm. Crossref, Google Scholar; 6. She was involved in a traffic accident approximately 30 years before the current hospital admission; however, she did not recall if she had abdominal pain at that time. (1), and the authors defined CEHs as hematomas that increase in size for over 1 month
Chronic expanding hematoma (CEH) occasionally develops after trauma and surgery, and can occur anywhere in the body; however, to our knowledge, no cases have been reported following herniorrhaphy [1, 2]. It is a hematoma that grows progressively sometime after the original trauma, the cause of which is still unknown. Chronic expanding hematomas can be misdiagnosed as malignant tumors because of their large size and slow, progressive enlargement [1-3].Positron-emission tomography (PET) with 2-18 F] fluoro-2-deoxy-d-glucose (FDG) is an evolving diagnostic modality used for . Chronic expanding hematomas: a clinicopathologic entity. We report a 60-year-old man with chronic expanding hematoma, which occupied the left entire hemithorax. Chronic expanding hematoma is a clinicopathologic entity that is characterized by its increasing size over one month after the initial event of hemorrhage ().It may resemble malignant neoplasm for its large size, and slow but progressive enlargement ().Chronic expanding hematoma may occur in various locations, and several studies have sporadically reported that it occurred in the soft tissue . The first chronic expanding hematoma (CEH) was de-scribed by Reid et al. AU - Pignatti, G. AU - Rani, N. AU - C. Carubbi, Carubbi. Chronic expanding intrapericardial hematoma is a rare disease that occurs after open heart surgery, chest trauma, or epicardial injury. Chronic expanding hematoma first advocated by Reid et al (6). We present a rare case report of a 45-year-old . Inclusion criteria were the presence of a hematoma of at least 1-year duration and a thick fibrous wall surrounding the hematoma. We report a patient with CEH as a late complication of abdominoplasty. Chronic expanding hematoma is a rare condition that develops after surgery, trauma, or injury. Quartey GRC, Gabriel YH, Tchang S (1980) Chronic extradural hematoma presenting with subgaleal mass. The self-perpetuating exapnding nature of the lesion appears to be due to the irritant It can appear in dierent locations (often simulating neoplasms) such as the head, thorax, abdomen, scrotum and extremities [1]. Each caused extensive osteolysis. The histological features are reportedly a mixture of blood breakdown products, granulation tissue with capillary ingrowth, and inflammatory tissue [3].
Here, we present a case of chronic expanding hematoma showing a fluid-fluid level on magnetic resonance imaging (MRI) and review of the literature. Chronic expanding hematoma is characterized by continuous growth of a blood collection. The final pathologic diagnosis was a chronic expanding hematoma (CEH). The self-perpetuating expanding nature of the lesion appears to be due to the irritant.
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