• J Formos Med Assoc · Apr 2005

    Case Reports

    Spontaneous hemothorax caused by a ruptured intercostal artery aneurysm in von Recklinghausen's neurofibromatosis.

    • Wei-Chou Chang, Hsian-He Hsu, Hung Chang, and Cheng-Yu Chen.
    • Department of Radiology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan.
    • J Formos Med Assoc. 2005 Apr 1; 104 (4): 286-9.

    AbstractAneurysms arising from an intercostal artery are very rare vascular malformations in von Recklinghausen's neurofibromatosis, which often have a silent clinical presentation and are difficult to diagnose before rupture. We report a case of von Recklinghausen's neurofibromatosis with massive hemothroax caused by spontaneous rupture of an intercostal artery aneurysm in a 29-year-old man. The diagnosis was eventually confirmed by percutaneous angiography and treated with endovascular embolization. During a 10-month follow-up period, the patient had a satisfactory recovery. This case illustrates that angiography and possible endovascular embolization should be the first strategy in managing hemothorax in patients with von Recklinghausen's disease.

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