Radiological challenges in differentiating Occult Traumatic Pulmonary Hematoma from mediastinal tumor: a case report and literature review
Abstract Traumatic Pulmonary Hematoma (TPH) is a rare consequence of blunt chest trauma, characterised by lung parenchyma laceration and subsequent hemorrhage. While less common than pulmonary contusions, TPH presents significant diagnostic challenges, particularly when it manifests as Occult Trauma...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-024-03243-3 |
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| author | Zhedong Zhang Yu Huang Lufeng Zhao Baiqin Zhao |
| author_facet | Zhedong Zhang Yu Huang Lufeng Zhao Baiqin Zhao |
| author_sort | Zhedong Zhang |
| collection | DOAJ |
| description | Abstract Traumatic Pulmonary Hematoma (TPH) is a rare consequence of blunt chest trauma, characterised by lung parenchyma laceration and subsequent hemorrhage. While less common than pulmonary contusions, TPH presents significant diagnostic challenges, particularly when it manifests as Occult Traumatic Pulmonary Hematoma (OTPH) exhibiting subtle or atypical imaging features. We report a case where OTPH was initially misdiagnosed as a posterior mediastinal tumor. A 36-year-old male with a history of minor left chest trauma presented with two oval masses in the right paravertebral region on chest computed tomography (CT). These masses were initially suspected to be mediastinal tumors.Thoracoscopic surgery revealed these lesions to be subpleural tumors in the right lower lobe, which were ultimately diagnosed as pulmonary hematomas (PH). This case highlights the necessity of including PH in the differential diagnosis of intrathoracic masses, especially when imaging findings are ambiguous. Accurate diagnosis often necessitates the integration of clinical history with advanced imaging modalities. |
| format | Article |
| id | doaj-art-4c7ffdd7bb2c4fee89919c19f3f7de25 |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-4c7ffdd7bb2c4fee89919c19f3f7de252025-02-02T12:42:07ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011610.1186/s13019-024-03243-3Radiological challenges in differentiating Occult Traumatic Pulmonary Hematoma from mediastinal tumor: a case report and literature reviewZhedong Zhang0Yu Huang1Lufeng Zhao2Baiqin Zhao3Department of Thoracic Surgery, The Second Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Thoracic Surgery, The Second Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Thoracic Surgery, The Second Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Thoracic Surgery, The Second Affiliated Hospital, School of Medicine, Zhejiang UniversityAbstract Traumatic Pulmonary Hematoma (TPH) is a rare consequence of blunt chest trauma, characterised by lung parenchyma laceration and subsequent hemorrhage. While less common than pulmonary contusions, TPH presents significant diagnostic challenges, particularly when it manifests as Occult Traumatic Pulmonary Hematoma (OTPH) exhibiting subtle or atypical imaging features. We report a case where OTPH was initially misdiagnosed as a posterior mediastinal tumor. A 36-year-old male with a history of minor left chest trauma presented with two oval masses in the right paravertebral region on chest computed tomography (CT). These masses were initially suspected to be mediastinal tumors.Thoracoscopic surgery revealed these lesions to be subpleural tumors in the right lower lobe, which were ultimately diagnosed as pulmonary hematomas (PH). This case highlights the necessity of including PH in the differential diagnosis of intrathoracic masses, especially when imaging findings are ambiguous. Accurate diagnosis often necessitates the integration of clinical history with advanced imaging modalities.https://doi.org/10.1186/s13019-024-03243-3Pulmonary hematomaMediastinal tumorDifferential diagnosisRadiologic imagingCase report |
| spellingShingle | Zhedong Zhang Yu Huang Lufeng Zhao Baiqin Zhao Radiological challenges in differentiating Occult Traumatic Pulmonary Hematoma from mediastinal tumor: a case report and literature review Journal of Cardiothoracic Surgery Pulmonary hematoma Mediastinal tumor Differential diagnosis Radiologic imaging Case report |
| title | Radiological challenges in differentiating Occult Traumatic Pulmonary Hematoma from mediastinal tumor: a case report and literature review |
| title_full | Radiological challenges in differentiating Occult Traumatic Pulmonary Hematoma from mediastinal tumor: a case report and literature review |
| title_fullStr | Radiological challenges in differentiating Occult Traumatic Pulmonary Hematoma from mediastinal tumor: a case report and literature review |
| title_full_unstemmed | Radiological challenges in differentiating Occult Traumatic Pulmonary Hematoma from mediastinal tumor: a case report and literature review |
| title_short | Radiological challenges in differentiating Occult Traumatic Pulmonary Hematoma from mediastinal tumor: a case report and literature review |
| title_sort | radiological challenges in differentiating occult traumatic pulmonary hematoma from mediastinal tumor a case report and literature review |
| topic | Pulmonary hematoma Mediastinal tumor Differential diagnosis Radiologic imaging Case report |
| url | https://doi.org/10.1186/s13019-024-03243-3 |
| work_keys_str_mv | AT zhedongzhang radiologicalchallengesindifferentiatingocculttraumaticpulmonaryhematomafrommediastinaltumoracasereportandliteraturereview AT yuhuang radiologicalchallengesindifferentiatingocculttraumaticpulmonaryhematomafrommediastinaltumoracasereportandliteraturereview AT lufengzhao radiologicalchallengesindifferentiatingocculttraumaticpulmonaryhematomafrommediastinaltumoracasereportandliteraturereview AT baiqinzhao radiologicalchallengesindifferentiatingocculttraumaticpulmonaryhematomafrommediastinaltumoracasereportandliteraturereview |