An unusual presentation of thoracic para-aortic hematoma due to blunt trauma.
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Date
2010-07
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Abstract
An 11-yr-old boy was admitted to the hospital with gradually aggravating acute abdominal pain along with nausea, vomiting
and constipation for 5 days. The pain started after blunt trauma on the superior abdomen. He had normal laboratory tests and
abdominal examination, but his chest radiograph showed infiltration in the right lung and an abnormal mass on the left
diaphragm. Further investigation like computed tomography (CT) and magnetic resonance MR angiography, revealed an
abnormal para-aotic mass located a mass located para-aortic above posterior to the left diaphragm with a well-defined margin.
The abnormal mass was finally confirmed to be a hematoma with exploratory thoracotomy. The rarity of this kind of presentation is discussed for making an early and correct diagnosis.
Description
Keywords
Hematoma, Acute abdomen, Blunt trauma, Child
Citation
Chen Hou-Ping, Liu Wen-Ying, Tang Yun-Man, Wang Xue-Jun, Xu Bing. An unusual presentation of thoracic para-aortic hematoma due to blunt trauma. Indian Journal of Pediatrics. 2010 July; 77(7): 809-810.