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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 334:452-459 February 15, 1996 Number 7
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Case 5-1996— A 25-Year-Old Man with Hemopericardium, Bilateral Hemothorax, and Hemoptysis after Chest Trauma
J.J. Collins, and M.R. Pins

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Presentation of Case

A 25-year-old man was admitted to the hospital because of persistent chest pain and dyspnea after an injury.

The patient had been well until one week earlier, when a bale of newspapers weighing an estimated 900 kg fell on his chest. He was seen at another hospital, where plain chest radiographs were normal. On the following day mild dyspnea and chest pain developed, with pain in the right upper abdomen and vomiting. He returned to the same hospital, and erythromycin was prescribed, without benefit. Computed tomographic (CT) scans of the chest (Figure 1) and abdomen showed a large . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. John J. Collins, Jr.'s Diagnoses

Pathological Discussion

Anatomical Diagnosis

References




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