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Hemorrhagic shock due to intrathoracic rupture of an osteosarcoma of the rib.

Authors
  • Osawa, H
  • Yoshii, S
  • Takahashi, W
  • Hosaka, S
  • Ishikawa, N
  • Mizutani, E
  • Abraham, S J
  • Tada, Y
Type
Published Article
Journal
Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
Publication Date
Aug 01, 2001
Volume
7
Issue
4
Pages
232–234
Identifiers
PMID: 11578264
Source
Medline
License
Unknown

Abstract

A 13-year-old girl presented with dyspnea and chest pain. Chest radiography showed a massive left pleural effusion. Computed tomography revealed a tumor of the fourth rib. A large bloody effusion was drained. Her anemia worsened (hemoglobin: 4.8 g/dl), and hemorrhagic shock ensued. An emergency thoracotomy was performed. Bleeding from the ruptured tumor was identified. The fourth rib, the tumor, and the adjacent tissues were resected. Histopathologic examination revealed a ruptured primary osteosarcoma of the rib with pleural dissemination.

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