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Case ReportCase Reports

Massive Hemothorax in a Beta-Thalassemic Patient Due to Spontaneous Rupture of Extramedullary Hematopoietic Masses: Diagnosis and Successful Treatment

Prapaporn Pornsuriyasak, Thitiporn Suwatanapongched, Narathip Wangsuppasawad, Montian Ngodngamthaweesuk and Pantep Angchaisuksiri
Respiratory Care March 2006, 51 (3) 272-276;
Prapaporn Pornsuriyasak
Division of Pulmonary and Critical Care, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Harbor University of California Medical School, Torrance, California.
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  • For correspondence: [email protected]
Thitiporn Suwatanapongched
Division of Diagnostic Radiology, Department of Radiology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
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Narathip Wangsuppasawad
Division of Pulmonary and Critical Care, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
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Montian Ngodngamthaweesuk
Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
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Pantep Angchaisuksiri
Division of Hematology, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
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Abstract

Intrathoracic extramedullary hematopoiesis is an unusual but well-described entity. The condition is typically found in patients who have chronic hemolytic anemias, especially thalassemia. We report a case of a 38-year-old man with underlying beta thalassemia/hemoglobin E who developed intrathoracic extramedullary hematopoiesis. The hematopoietic masses spontaneously ruptured, resulting in massive hemothorax. The condition was confirmed by video-assisted thoracoscopy and successfully treated with surgery, hydroxyurea, and radiation.

  • extramedullary hematopoiesis
  • spontaneous hemothorax
  • beta thalassemia

Footnotes

  • Correspondence: Prapaporn Pornsuriyasak MD, Division of Pulmonary and Critical Care, Department of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama 6 Road, Rajthevi, Bangkok 10400, Thailand. E-mail: tepor{at}mahidol.ac.th.
  • Copyright © 2006 by Daedalus Enterprises Inc.
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Respiratory Care: 51 (3)
Respiratory Care
Vol. 51, Issue 3
1 Mar 2006
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Massive Hemothorax in a Beta-Thalassemic Patient Due to Spontaneous Rupture of Extramedullary Hematopoietic Masses: Diagnosis and Successful Treatment
Prapaporn Pornsuriyasak, Thitiporn Suwatanapongched, Narathip Wangsuppasawad, Montian Ngodngamthaweesuk, Pantep Angchaisuksiri
Respiratory Care Mar 2006, 51 (3) 272-276;

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Massive Hemothorax in a Beta-Thalassemic Patient Due to Spontaneous Rupture of Extramedullary Hematopoietic Masses: Diagnosis and Successful Treatment
Prapaporn Pornsuriyasak, Thitiporn Suwatanapongched, Narathip Wangsuppasawad, Montian Ngodngamthaweesuk, Pantep Angchaisuksiri
Respiratory Care Mar 2006, 51 (3) 272-276;
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Keywords

  • extramedullary hematopoiesis
  • spontaneous hemothorax
  • beta thalassemia

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