A rare case report of a young female patient with thymoma presenting as hemothorax and hemopericardium

Abstract

Thymoma is a rare neoplasm affecting adults between the fourth and sixth decades of life. Although its mostly diagnosed incidentally, there has been rare cases presenting with hemothorax or hemopericardium. We describe the case history of a 31-year-old Asian female presenting with sudden onset breathlessness and sharp chest pain with chest X-ray and ECHO consistent of massive pericardial effusion and bilateral pleural effusion. Fluid analysis showed plenty of RBC without any evidence of malignant cells. CECT Thorax showed an anterior mediastinal mass whose histopathology confirmed a type AB Thymoma. The patient is currently undergoing neo-adjuvant Chemotherapy and is planned for surgical resection once the tumour becomes operable. This case report describes a young female with an unruptured thymoma presenting with bilateral hemothorax and hemopericardium.