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Spontaneous mediastinal haematoma
  1. Yasuyuki Chida1,
  2. Ryota Inokuchi2,
  3. Tokiya Ishida1,
  4. Kazuaki Shinohara1
  1. 1Emergency and Critical Care Medicine, Ohta Nishinouchi Hospital, Koriyama, Japan
  2. 2Emergency and Critical Care Medicine, The University of Tokyo Hospital, BunkyoKu, Japan
  1. Correspondence to Dr Ryota Inokuchi, inokuchir-icu{at}

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A healthy man aged 32 years, with no notable family or medical history and no history of trauma, reported of sudden severe back pain on stretching and holding his breath while working at his desk. Apart from tachypnoea, his vital signs and physical examination were normal. A chest radiograph showed mediastinal widening (figure 1). Results of laboratory tests, including coagulation tests—prothrombin time, activated …

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