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J Korean Soc Emerg Med > Volume 28(1); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(1): 147-149.
A Case of Spontaneous Hemothorax in a Patient with Neurofibromatosis Type I
Nam Soo Cho1, Kyung Hoon Sun1, Hong Joo Seo2
1Department of Emergency Medicine, Chosun University College of Medicine, Gwangju, Korea
2Department of Cardiovascular Surgery, Chosun University College of Medicine, Gwangju, Korea
Correspondence  Kyung Hoon Sun ,Tel: 062-220-3285, Fax: 062-224-3501, Email: skhkorea@hanmail.net ,
Received: September 21, 2016; Revised: September 22, 2016   Accepted: December 6, 2016.  Published online: February 28, 2017.
Neurofibromatosis type I (NF1) is a genetic disorder associated with the central nervous system and cutaneous manifestations. Complications involving the vascular system, such as arterial rupture and occlusion, are rare. We encountered a patient with NF1 who had non-trauma-related left chest pain and dyspnea. Radiology findings indicated spontaneous hemothorax on his left lung. Following a thoracostomy for hematoma evacuation, approximately 1.5 liters of blood was drained. Consequently, he underwent an operation to identify the culprit vessel. During surgery, the vessel responsible for bleeding was found and treated. This case involved a spontaneous hemothorax caused by periaortic intercostal artery rupture, which was treated with thoracotomy and ligation of the culprit artery. The patient made a full recovery and was discharged without any complications.
Key words: Neurofibromatosis 1, Hemothorax, Vascular system injuries
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