Massive hemothorax due to intrathoracic extramedullary hematopoiesis in a patient with beta thalassemia hemoglobin E disease

Case report of a 28-year-old man with beta thalassemia/hemoglobin E disease who developed a massive hemothorax due to bleeding from multiple large intrathoracic, paraspinal hematopoietic masses. Initially, a thoracotomy was required for the control of bleeding. Postoperatively, the patient received...

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Bibliographic Details
Main Authors: Apichat Tantraworasin, Somcharoen Saeteng
Format: Journal
Published: 2018
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Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84880058988&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/52926
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Institution: Chiang Mai University
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Summary:Case report of a 28-year-old man with beta thalassemia/hemoglobin E disease who developed a massive hemothorax due to bleeding from multiple large intrathoracic, paraspinal hematopoietic masses. Initially, a thoracotomy was required for the control of bleeding. Postoperatively, the patient received 2,000 ml of packed red cells but he continued bleeding after the blood chemistries and coagulopathy specimen were corrected. The decision was made to return to the operating room for a thoracotomy to control the bleeding. However, before re-operating, the patient underwent a collapse and failed resuscitation. This complication has never been previously reported in Thailand.