Klöti J, Walliser G, Sacher P
Chirurgische Klinik, Universitäts-Kinderspital Zürich.
Z Kinderchir. 1989 Apr;44(2):115-8. doi: 10.1055/s-2008-1043214.
The haematothorax not induced by a trauma is very uncommon in childhood. Its presence may be the leading symptom of a malignant tumour that needs further investigation, but a correct diagnosis cannot always be made before thoracotomy. We report on 3 cases which had been operated on for suspected malignant disease, but in 1 case we found a diaphragmatic hernia, in another one an extralobal sequestration of the lung and only in the third patient a malignant teratoma. The diagnostic and therapeutic procedure of a spontaneous haemothorax is discussed.