Spontaneous Hemothorax in Infants: An Unusual Presentation

Author Info

Faten Fedhila Ben Ayed S. Ben Ahmed A. Borgi S. Kbaier E. Jbebli F. Mezghani L. Lahmar S. Haddad W. Douira N. Ben Jaballah S. Jlidi S. Rhayem M. Khemiri

Corresponding Author

Faten Fedhila Ben Ayed
Associate Professor in Pediatry, Pediatric Department A, Bechir Hamza Children’s Hospital of Tunis, University of Tunis El Manar, Tunis, Tunisia

A B S T R A C T

We report the case of a 40-day-old boy, who presented to hospital with tachypnea and sudden pallor. A pleural effusion in the left chest was observed on the chest X-ray. He was ventilated and thoracic drainage was performed because of degradation of his respiratory status. Computed Tomography as well as Magnetic Resonance Imaging supported strongly the diagnosis of mediastinal neuroblastoma. The extension assessment was negative. We opted for a conservative treatment by chemotherapy, and the courses proceeded favourably. After neoadjuvant chemotherapy, the residual mass was resected completely through a left thoracotomy. Histopathological examination established the final diagnosis of ganglioneuroblastoma. Thus, it is possible to avoid invasive treatment for massive hemothorax caused by neuroblastoma by initiating chemotherapy.

Article Info

Article Type

Case Report

Publication history

Received: Mon 15, Mar 2021
Accepted: Fri 26, Mar 2021
Published: Fri 09, Apr 2021

Copyright

© 2023 Faten Fedhila Ben Ayed. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.COR.2021.04.03