{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T16:39:10Z","timestamp":1788021550518,"version":"build-2784847793"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T00:00:00Z","timestamp":1729641600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T00:00:00Z","timestamp":1729641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The majority of the patients with a solitary fibrous tumor (SFT) of the pleura are asymptomatic, and rupture of an SFT with hemothorax is rare.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 48-year-old man was taken by ambulance to our hospital because of sudden onset of left chest pain. Two months before the referral, a tumor was detected in the left upper lobe of the lung by screening computed tomography at another hospital, and further observation was recommended, because the tumor was suspected to be benign. Our contrast-enhanced computed tomography analysis of the chest revealed a solid tumor (5\u00a0cm in diameter) with an irregular enhancement effect close to the pericardium and pleural effusion in the left thoracic cavity. Pleural effusion was not detected in the previous imaging analysis. CT number of the pleural effusion was 40 HU, and the pleural effusion was suspected to be hematogenous. Therefore, rupture of the tumor with bleeding was suspected as the cause of the effusion because of the sudden onset. Preoperative diagnosis was a mediastinal tumor, such as a teratoma, because the tumor was close to the pericardium. Thoracoscopic surgery was performed with the patient in the right lateral decubitus position; bloody pleural effusion was observed and drained. The tumor originated from the visceral pleura of the left upper lobe of the lung and was resected with a surgical stapler. Macroscopic analyses of the resected tumor indicated that bleeding were caused by the rupture of the tumor at the defect of the capsule wall. The operation took 63\u00a0min. The postoperative pathological diagnosis was a benign SFT. Hemorrhage was observed just under the capsule wall of the tumor. The postoperative course of the patient was uneventful, and he was discharged 2\u00a0days after surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Even when an SFT is neither huge nor malignant, rupture can occur, and resection should be considered regardless of the size or malignant characteristics. After an SFT rupture, careful follow-up is needed to monitor for the intrathoracic recurrence or dissemination of the tumor.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-02044-z","type":"journal-article","created":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T05:02:19Z","timestamp":1729659739000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Ruptured solitary fibrous tumor of the pleura with hemothorax: a case report"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1199-3533","authenticated-orcid":false,"given":"Hiroaki","family":"Komatsu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nao","family":"Furukawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosuke","family":"Imamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazunori","family":"Okabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,10,23]]},"reference":[{"key":"2044_CR1","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1186\/s12890-016-0279-0","volume":"16","author":"JH Tan","year":"2016","unstructured":"Tan JH, Hsu AA. Challenges in diagnosis and management of giant solitary fibrous tumour of pleura: a case report. BMC Pulm Med. 2016;16:114.","journal-title":"BMC Pulm Med"},{"key":"2044_CR2","first-page":"E209","volume":"6","author":"F Shao","year":"2014","unstructured":"Shao F, Yang R, Pan Y. Emergency operation of a patient with spontaneous rupture and massive hemorrhage of pleural solitary fibrous tumor. J Thorac Dis. 2014;6:E209\u201311.","journal-title":"J Thorac Dis"},{"key":"2044_CR3","volume":"2014","author":"G Negri","year":"2014","unstructured":"Negri G, Bandiera A, Ciriaco P, Melloni G, Carretta A, Cremona GI, et al. Solitary fibrous tumour of the pleura presenting as a spontaneous massive haemothorax. Surg Res Pract. 2014;2014: 139404.","journal-title":"Surg Res Pract"},{"key":"2044_CR4","doi-asserted-by":"publisher","first-page":"251","DOI":"10.5761\/atcs.cr.11.01714","volume":"18","author":"XF Leng","year":"2012","unstructured":"Leng XF, Xian L, Qin JJ, Lei BF. Malignant solitary fibrous tumor of pleura accompanied with first symptoms of chest pain and hemoptysis: a case report. Ann Thorac Cardiovasc Surg. 2012;18:251\u20135.","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"2044_CR5","first-page":"1325","volume":"169","author":"PL Kristensen","year":"2007","unstructured":"Kristensen PL, Petersen RH, Hansen PB. Spontaneous hemothorax from a fibrous pleural tumour in an expectant father. Is the delivery room a dangerous place for men? Ugeskr Laeger. 2007;169:1325\u20136.","journal-title":"Ugeskr Laeger"},{"key":"2044_CR6","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1007\/BF02719597","volume":"51","author":"K Asai","year":"2003","unstructured":"Asai K, Suzuki K, Shimota H, Takahashi T, Asano K, Kazui T. Solitary fibrous tumor of the pleura with hemothorax at the thoracic apex. Jpn J Thorac Cardiovasc Surg. 2003;51:434\u20137.","journal-title":"Jpn J Thorac Cardiovasc Surg"},{"key":"2044_CR7","first-page":"1006","volume":"66","author":"Y Morita","year":"2013","unstructured":"Morita Y, Ichimura H, Kikuchi S, Ozawa Y, Inoue K, Uchida A, et al. Spontaneous tension hemothorax due to rupture of a solitary fibrous tumor of the posterior mediastinum. Kyobu Geka. 2013;66:1006\u20139.","journal-title":"Kyobu Geka"},{"key":"2044_CR8","doi-asserted-by":"publisher","first-page":"709","DOI":"10.2995\/jacsurg.22.709","volume":"22","author":"T Ikeda","year":"2008","unstructured":"Ikeda T, Sasaki M, Hirai S, Kimura M. A case of a malignant solitary fibrous tumor compressing the cardiac ventricle with massive hemorrhage. Jpn J Chest Surg. 2008;22:709\u201312.","journal-title":"Jpn J Chest Surg"},{"key":"2044_CR9","doi-asserted-by":"publisher","first-page":"640","DOI":"10.1097\/00000478-198908000-00003","volume":"13","author":"DM England","year":"1989","unstructured":"England DM, Hochholzer L, McCarthy MJ. Localized benign and malignant fibrous tumors of the pleura. A clinicopathologic review of 223 cases. Am J Surg Pathol. 1989;13:640\u201358.","journal-title":"Am J Surg Pathol"},{"key":"2044_CR10","doi-asserted-by":"publisher","first-page":"4166","DOI":"10.3390\/cancers15164166","volume":"15","author":"P Bertogio","year":"2023","unstructured":"Bertogio P, Querzoli G, Kestenholz P, Scarci M, La Porta M, Solli P, et al. Surgery for solitary fibrous tumors of the pleura: a review of the available evidence. Cancers (Basel). 2023;15:4166.","journal-title":"Cancers (Basel)"},{"key":"2044_CR11","doi-asserted-by":"publisher","first-page":"487","DOI":"10.2214\/AJR.10.4948","volume":"196","author":"DT Ginat","year":"2011","unstructured":"Ginat DT, Bokhari A, Bhatt S, Dogra V. Imaging features of solitary fibrous tumors. AJR Am J Roentgenol. 2011;196:487\u201395.","journal-title":"AJR Am J Roentgenol"},{"key":"2044_CR12","first-page":"E509","volume":"7","author":"T Nakano","year":"2015","unstructured":"Nakano T, Endo S, Tsubochi H, Tetsuka K, Nokubi M. Potentially disseminated solitary fibrous tumor of the pleura: a case report. J Thorac Dis. 2015;7:E509\u201312.","journal-title":"J Thorac Dis"},{"key":"2044_CR13","unstructured":"Demicco EG, Fritchie KJ, Han A. Who classification of tumours soft tissue and bone tumours. In: Solitary fibrous tumour. 5th edn. IARC Press, Lyon 2020."}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-02044-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-02044-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-02044-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T05:03:07Z","timestamp":1729659787000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-02044-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,23]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2044"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-02044-z","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,23]]},"assertion":[{"value":"5 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 October 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 October 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The local institutional ethics committee approved this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient to publish this case report and accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"239"}}