TY - JOUR
AR - COR-2021-4-103
TI - Spontaneous Hemothorax in Infants: An Unusual Presentation
AU - Faten Fedhila , Ben Ayed
AU - S. Ben , Ahmed
AU - A. , Borgi
AU - S. , Kbaier
AU - E. , Jbebli
AU - F. , Mezghani
AU - L. , Lahmar
AU - S. , Haddad
AU - W. , Douira
AU - N. Ben , Jaballah
AU - S. , Jlidi
AU - S. , Rhayem
AU - M. , Khemiri
JO - Clinical Oncology and Research
PY - 2021
DA - Fri 09, Apr 2021
SN - 2613-4942
DO - http://dx.doi.org/10.31487/j.COR.2021.04.03
UR - https://www.sciencerepository.org/spontaneous-hemothorax-in-infants-an-unusual-presentation_COR-2021-4-103 
KW - Neuroblastoma, hemothorax, pleural effusion, chemotherapy, thoracic drainage
AB - 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.