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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
A RARE CASE OF SPONTANEOUS ANTERIOR MEDIASTINAL BLEEDING IN PATIENT ON CHRONIC HEMODIALYSIS
Author
Pradeep M. Venkategowda*, Naveen M Nayak, Radha M Guruprasad, Anand Sutar
Email
drpradeepmarur@gmail.com
keyword
Spontaneous, Mediastinal, Bleeding, Hemodialysis.
Abstract
Bleeding tendencies are known to occur in patients with end stage renal disease. Spontaneous mediastinal bleed (SMB) in patient on chronic hemodialysis (DH) is a rare entity. This is a case report of 54 years old female known case of HTN, Hypothyroidism and CKD on maintenance hemodialysis. Patient developed sudden onset of breathlessness during maintenance HD. On further evaluation found to have mediastinal widening on chest X-ray (CXR) and anterior mediastinal fluid collection with evidence of contrast leak within the fluid collection on Contrast enhanced computed tomography (CECT) scan. She was diagnosed to be having spontaneous anterior mediastinal bleed secondary to CKD. Patient was managed conservatively in medical ICU with platelet transfusion, positive pressure ventilation and hemodialysis. Repeat CECT chest showed findings of decrease in mediastinal swelling. Patient was later discharged home successfully. This case report mainly highlights about a rare case of SMB in patient on chronic HD.
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