[Rebound hyperplasia of the thymus with secondary intrathymic bleeding. Rare differential diagnosis of acute chest pain]. / Rebound-Hyperplasie des Thymus mit sekundärer Einblutung. Seltene Differenzialdiagnose des akuten Thoraxschmerzes.
Dtsch Med Wochenschr
; 129(37): 1916-8, 2004 Sep 10.
Article
em De
| MEDLINE
| ID: mdl-15372370
ABSTRACT
HISTORY AND ADMISSION FINDINGS:
A 41-year-old man was admitted, in reduced general condition, having for several hours experienced acute left chest pain and dyspnoea. On examination there was dullness on percussion over the base of the left lung with decreased breath sounds. At the age of 28 years he had been placed on peritoneal dialysis for renal failure due to congenital kidney aplasia. A year later he had been given a renal transplant, which had to be removed a year before admission because of transplant glomerulopathy. He had been on peritoneal dialysis since then. INVESTIGATIONS Haemoglobin concentration, erythrocyte count and haematocrit gradually fell. A chest X-ray revealed a mediastinum widened to the left. Computed tomography demonstrated a blood-containing mediastinal tumour and a haemothorax. DIAGNOSIS, TREATMENT AND COURSE A haemorrhagic mediastinal tumour was excised at thoracotomy. Histology of the specimen showed thymus hyperplasia with extensive fresh bleeding in the thymus. The postoperative course was without complication and the patient's exercise capacity returned to normal.CONCLUSION:
Thymus hyperplasia with life-threatening spontaneous haemorrhage can occur after termination of immunosuppression following transplant removal.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Timo
/
Dor no Peito
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Hemorragia
/
Doenças Linfáticas
/
Doenças do Mediastino
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
De
Revista:
Dtsch Med Wochenschr
Ano de publicação:
2004
Tipo de documento:
Article