PDF(Pubmed)
Abstract：
Mediastinal hematomas are thoracic complications often resulting from direct trauma or aortic dissections. Spontaneous non-traumatic mediastinal hematomas are rare. We present a case of spontaneous non-traumatic mediastinal hematoma in a patient on Imatinib therapy for a gastrointestinal stromal tumor (GIST). A 67-year-old female presented to the ER with the chief complaint of constant sharp right shoulder pain that progressed to her chest. The patient was not on any anticoagulants and had not complained of shortness of breath. Under suspicion of a pulmonary embolism, a CT chest scan was performed, and a diagnosis of non-traumatic anterior mediastinal hematoma was confirmed. This case may warrant further investigation into the links between Imatinib use and the formation of mediastinal hematomas.
摘要：
纵隔血肿是通常由直接创伤或主动脉夹层引起的胸部并发症。自发性非创伤性纵隔血肿很少见。我们介绍了一例接受伊马替尼治疗的胃肠道间质瘤（GIST）患者自发性非创伤性纵隔血肿。一名67岁的女性出现在急诊室，主要主诉是持续剧烈的右肩疼痛，一直持续到她的胸部。患者没有服用任何抗凝剂，也没有抱怨呼吸急促。怀疑有肺栓塞,进行了胸部CT扫描，诊断为非创伤性前纵隔血肿。这种情况可能需要进一步研究伊马替尼使用与纵隔血肿形成之间的联系。
