Dendale J, Amram S, Dermakar S, Guillaud R, Lesbros D
Service de pédiatrie, hôpital Gaston-Doumergue, Nîmes, France.
Arch Pediatr. 1995 Jun;2(6):548-50. doi: 10.1016/0929-693x(96)81199-7.
Hemothorax is a rare complication of hereditary multiple exostosis.
A 12 year-old boy suffered from abrupt thoracic pain, firstly attributed to pleural effusion. He had hereditary multiple exostosis known since the age of 9 years. The patients was given anti-inflammatory drugs and erythromycin but the pleural effusion became more abundant 6 days later requiring thoracentesis which showed hemothorax. All bacteriological and cytologic investigations were negative. X rays, ultra-sonography and CT scan showed several costal exostoses developing into the thoracic cavity. The hemothorax disappeared within 12 days and the patient was well 4 months later, without pleural sequelae.
Hemothorax may be due to internal costal exostosis. It may be cured with thoracentesis; more aggressive therapy should be performed in exceptional cases with severe and/or recurrent bleeding.
血胸是遗传性多发性骨软骨瘤的一种罕见并发症。
一名12岁男孩突发胸痛，最初归因于胸腔积液。他自9岁起就患有遗传性多发性骨软骨瘤。患者接受了抗炎药物和红霉素治疗，但6天后胸腔积液增多，需要进行胸腔穿刺术，结果显示为血胸。所有细菌学和细胞学检查均为阴性。X线、超声和CT扫描显示数根肋骨骨软骨瘤向胸腔内生长。血胸在12天内消失，4个月后患者情况良好，无胸膜后遗症。
血胸可能是由于肋骨内骨软骨瘤引起的。胸腔穿刺术可能治愈；在严重和/或反复出血的特殊情况下应采取更积极的治疗措施。
