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创伤性血胸偶然发现许旺细胞瘤。

Detection of incidental schwannoma by traumatic hemothorax.

机构信息

Department of Emergency Medicine, Afyonkarahisar Health Sciences University Faculty of Medicine, Afyonkarahisar-Turkey.

Department of Thoracic Surgery, Afyonkarahisar State Hospital, Afyonkarahisar-Turkey.

出版信息

Ulus Travma Acil Cerrahi Derg. 2022 Mar;28(3):399-401. doi: 10.14744/tjtes.2020.62290.

DOI:10.14744/tjtes.2020.62290
PMID:35485567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10493546/
Abstract

A case of hemothorax caused by traumatic rupture of schwannoma is rarely reported. We present a case of thorax injury of an 18-year-old woman who had fallen from a high place with a Glasgow Coma Score 13. Chest X-ray showed a left-sided massive pleural effusion. Chest tomography revealed a 105×80 mm formation in the left lung basal region. The patient underwent an emergency thoracotomy after 2000 cc blood drainage with intercostal tube placement. Tumor's pathologic diagnosis was schwannoma (neurilemmoma). In this case study, we would like to present a traumatic hemothorax for the previously unknown mediastinal mass with the relevant literature.

摘要

创伤性神经鞘瘤破裂导致血胸的病例很少见。我们报告了一例 18 岁女性高处坠落伤的病例，该患者格拉斯哥昏迷评分 13 分。胸部 X 线片显示左侧大量胸腔积液。胸部 CT 显示左肺基底部有一个 105×80mm 的肿块。患者在放置肋间引流管引流 2000cc 血液后行急诊开胸术。肿瘤的病理诊断为神经鞘瘤（神经瘤）。在本病例研究中，我们将结合相关文献，介绍一例以前未知的纵隔肿块伴外伤性血胸的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ecd/10493546/0e863a88d790/TJTES-28-399-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ecd/10493546/5df5d5015bfc/TJTES-28-399-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ecd/10493546/fd0975968052/TJTES-28-399-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ecd/10493546/0e863a88d790/TJTES-28-399-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ecd/10493546/5df5d5015bfc/TJTES-28-399-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ecd/10493546/fd0975968052/TJTES-28-399-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ecd/10493546/0e863a88d790/TJTES-28-399-g003.jpg

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引用本文的文献

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Ann Med Surg (Lond). 2023 Nov 1;85(12):6279-6284. doi: 10.1097/MS9.0000000000001445. eCollection 2023 Dec.

本文引用的文献

1
Mediastinal Ancient Schwannoma Causing Intrathoracic Bleeding.纵隔陈旧性许旺细胞瘤致胸内出血。
Ann Thorac Cardiovasc Surg. 2022 Feb 20;28(1):75-78. doi: 10.5761/atcs.cr.19-00145. Epub 2019 Sep 20.
2
An Unusual Presentation of a Posterior Mediastinal Schwannoma Associated with Traumatic Hemothorax.一例与创伤性血胸相关的后纵隔神经鞘瘤的罕见表现。
Case Rep Surg. 2015;2015:175645. doi: 10.1155/2015/175645. Epub 2015 May 7.
3
Successful resection of schwannoma from an intercostal nerve causing bloody pleural effusion: report of a case.
成功切除肋间神经来源的神经鞘瘤导致血性胸腔积液：病例报告。
Surg Today. 2011 Jul;41(7):989-91. doi: 10.1007/s00595-010-4379-9. Epub 2011 Jul 12.
4
Solitary cellular schwannoma presenting with haemothorax.以血胸为表现的孤立性细胞性神经鞘瘤。
J R Soc Med. 1998 Nov;91(11):596-7. doi: 10.1177/014107689809101115.