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Ann Thorac Surg 2006;82:1500-1501
© 2006 The Society of Thoracic Surgeons

Case Reports

Massive Spontaneous Hemothorax Associated With Von Recklinghausen's Disease

Mohammad Vaziri, MDa,*, Meetra Mehrazma, MDb

a Department of Thoracic Surgery, Hazrat Rasool Hospital, Iran University of Medical Sciences, Tehran, Iran
b Department of Pathology, Hazrat Rasool Hospital, Iran University of Medical Sciences, Tehran, Iran

Accepted for publication February 2, 2006.

* Address correspondence to Dr Vaziri, Thoracic Surgery Ward-Hazrat Rasool Hospital-Niayesh Ave-Shahrara, Tehran, 1445713131 Iran (Email: dr_m_vaziri{at}yahoo.com).

A 30-year-old woman with Von Recklinghausen's disease was admitted to our hospital because of sudden onset of dyspnea and syncope. A chest roentgenogram showed a massive right pleural effusion and insertion of an intercostal tube drained 1,600 cc of blood. A computed tomographic chest scan with contrast revealed a hyperdense mass in the right paravertebral area. At thoracotomy, retained clotted hemothorax and continued bleeding from tumor vessels was noted. The apex of the right hemithorax and the tumor location was packed. The pathologic diagnosis was ganglioneuroma and follow-up of the patient for 2 years after re-thoracotomy and removal of the packs revealed no complication and morbidity. We report this case to emphasize the importance of early recognition and prompt surgical intervention in spontaneous hemothorax associated with Von Recklinghausen's disease.






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