Published in:
Open Access 01-12-2007 | Case report
Posterior mediastinal hematoma – a rare case following a fall from standing height: a case report
Published in: Journal of Medical Case Reports | Issue 1/2007
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Introduction
We present a previously unreported complication of a fall from standing height.
Case presentation
A 76-year-old woman sustained blunt chest trauma resulting from a fall from standing height. She was diagnosed with a mediastinal hematoma, and did well with supportive care. Follow up CT angiograms on days 2 and 4 of hospital stay revealed a stable hematoma and she did not require any intervention.
Conclusion
Mediastinal hematoma has been reported secondary to trauma, coagulation abnormalities and hematologic malignancies, but it not been reported secondary to a fall from standing height. Factors predisposing to a hematoma in this case were aspirin therapy and a modest elevation of INR secondary to chronic hepatitis C.