Posterior mediastinal hematoma - A rare case following a fall from standing height: A case report

Abstract

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. © 2007 Pasumarthy; licensee BioMed Central Ltd.