Massive hemothorax due to intrathoracic extramedullary hematopoiesis in a patient with hereditary spherocytosis |
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| Authors: | N. Xiros T. Economopoulos E. Papageorgiou G. Mantzios S. Raptis |
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| Affiliation: | (1) Second Department of Internal Medicine-Propaedeutic, Evangelismos Hospital, University of Athens, Ipsilantou 45–47, 10676 Athens, Greece e-mail: nxiros@otenet.gr Tel.: +30-1-7201062 Fax: +30-1-7211635, GR |
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| Abstract: | Extramedullary hematopoiesis (EMH) is a rare disorder, characterized by the appearance of hematopoietic elements outside of the bone marrow, which occurs in patients with chronic myeloproliferative disorders or congenital hemolytic anemias. We report on a 64-year-old man with hereditary spherocytosis, who presented with anemia, jaundice, intrathoracic EMH, and massive hemothorax. The diagnosis of EMH was established after computer tomography (CT)-guided punctuation of the paravertebral mass. The patient underwent splenectomy and thoracic drainage. After 1 year, the patient is in good health, with normal hemoglobin values, and hemothorax has not recurred. Received: 23 December 1999 / Accepted: 31 May 2000 |
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| Keywords: | Extramedullary hematopoiesis Hemothorax Hereditary spherocytosis |
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