Spontaneous cervical haematoma resulting from intrathoracic pathology |
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Authors: | Adelson Robert Todd Vories Andrew |
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Institution: | Department of Otorlaryngology - Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA. rdadelson@mac.com |
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Abstract: | Spontaneous cervical haematomas are rare occurrences for which a wide variety of aetiologies have been reported. Although the pathogenesis of this condition can be quite diverse, all known cases have emanated from a cervical source. The authors report the first case of a spontaneous cervical haematoma arising from an intrathoracic source. A case review and Medline search from 1962-2003 was carried out. No prior experience with intrathoracic sources for cervical haematomas has previously been reported. Transcervical haematoma evacuation confirmed the intrathoracic origin and a median sternotomy was required to gain control of this haemorrhage. Thoracic sources should be considered in the differential diagnosis of a spontaneous cervical haematoma. Preparations for a combined procedure with a thoracic surgeon can be predicted pre-operatively based on imaging studies. |
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