Spontaneous peri‐aortic hematoma in a patient with new‐onset chest pain
Abstract Peri‐aortic hematoma formation is a common sequela of esophageal rupture and aortic dissection, but non‐traumatic spontaneous hematoma formation is an uncommon finding. We present the case of a spontaneous peri‐aortic hematoma in a 66‐year‐old male with associated left atrial thrombus. This...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-04-01
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| Series: | Journal of the American College of Emergency Physicians Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/emp2.12910 |
| _version_ | 1797843447054336000 |
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| author | Harold Gomez Acevedo Stanley Budzinski Micaela Ramsey |
| author_facet | Harold Gomez Acevedo Stanley Budzinski Micaela Ramsey |
| author_sort | Harold Gomez Acevedo |
| collection | DOAJ |
| description | Abstract Peri‐aortic hematoma formation is a common sequela of esophageal rupture and aortic dissection, but non‐traumatic spontaneous hematoma formation is an uncommon finding. We present the case of a spontaneous peri‐aortic hematoma in a 66‐year‐old male with associated left atrial thrombus. This 66‐year‐old male presented to a local emergency department with non‐radiating epigastric and mid‐sternal chest pain and was found to have a non‐traumatic peri‐aortic hematoma of unknown etiology that developed over a period of 12 hours. Imaging revealed a newly formed left atrial thrombus causing mass effect on the pulmonary veins and a newly formed left‐sided pleural effusion. The patient was subsequently transferred to an outside facility for higher level of care where additional pathological etiologies of hematoma were further excluded. Before discharge, the hematoma spontaneously dissipated and the patient was discharged on oral anticoagulants for treatment of the atrial thrombus and advised to follow‐up on an outpatient basis with hematology and cardiology specialists. |
| first_indexed | 2024-04-09T17:05:24Z |
| format | Article |
| id | doaj.art-6e569c7a16bb48458971dba0bcb83d62 |
| institution | Directory Open Access Journal |
| issn | 2688-1152 |
| language | English |
| last_indexed | 2024-04-09T17:05:24Z |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj.art-6e569c7a16bb48458971dba0bcb83d622023-04-20T18:18:31ZengWileyJournal of the American College of Emergency Physicians Open2688-11522023-04-0142n/an/a10.1002/emp2.12910Spontaneous peri‐aortic hematoma in a patient with new‐onset chest painHarold Gomez Acevedo0Stanley Budzinski1Micaela Ramsey2HCA West Florida DivisionHCA Florida Brandon Hospital Department of Emergency Medicine BrandonFloridaUSAHCA West Florida DivisionHCA Florida Brandon Hospital Department of Emergency Medicine BrandonFloridaUSAHCA West Florida DivisionHCA Florida Brandon Hospital Department of Emergency Medicine BrandonFloridaUSAAbstract Peri‐aortic hematoma formation is a common sequela of esophageal rupture and aortic dissection, but non‐traumatic spontaneous hematoma formation is an uncommon finding. We present the case of a spontaneous peri‐aortic hematoma in a 66‐year‐old male with associated left atrial thrombus. This 66‐year‐old male presented to a local emergency department with non‐radiating epigastric and mid‐sternal chest pain and was found to have a non‐traumatic peri‐aortic hematoma of unknown etiology that developed over a period of 12 hours. Imaging revealed a newly formed left atrial thrombus causing mass effect on the pulmonary veins and a newly formed left‐sided pleural effusion. The patient was subsequently transferred to an outside facility for higher level of care where additional pathological etiologies of hematoma were further excluded. Before discharge, the hematoma spontaneously dissipated and the patient was discharged on oral anticoagulants for treatment of the atrial thrombus and advised to follow‐up on an outpatient basis with hematology and cardiology specialists.https://doi.org/10.1002/emp2.12910hematomaperi‐aorticposterior mediastinumthrombus |
| spellingShingle | Harold Gomez Acevedo Stanley Budzinski Micaela Ramsey Spontaneous peri‐aortic hematoma in a patient with new‐onset chest pain Journal of the American College of Emergency Physicians Open hematoma peri‐aortic posterior mediastinum thrombus |
| title | Spontaneous peri‐aortic hematoma in a patient with new‐onset chest pain |
| title_full | Spontaneous peri‐aortic hematoma in a patient with new‐onset chest pain |
| title_fullStr | Spontaneous peri‐aortic hematoma in a patient with new‐onset chest pain |
| title_full_unstemmed | Spontaneous peri‐aortic hematoma in a patient with new‐onset chest pain |
| title_short | Spontaneous peri‐aortic hematoma in a patient with new‐onset chest pain |
| title_sort | spontaneous peri aortic hematoma in a patient with new onset chest pain |
| topic | hematoma peri‐aortic posterior mediastinum thrombus |
| url | https://doi.org/10.1002/emp2.12910 |
| work_keys_str_mv | AT haroldgomezacevedo spontaneousperiaortichematomainapatientwithnewonsetchestpain AT stanleybudzinski spontaneousperiaortichematomainapatientwithnewonsetchestpain AT micaelaramsey spontaneousperiaortichematomainapatientwithnewonsetchestpain |