Massive Hemoptysis: A Rare Presentation of Anterior Mediasti
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Hemoptysis is defined as the expectoration of blood or blood-tinged sputum from the lower respiratory tract. Although common in adult, blood-tinged sputum is rare presenting symptoms in children. Most commonly hemoptysis in children is caused by bronchiectasis, pulmonary tuberculosis, foreign body aspiration, congenital foreign body, and rarely malignancy. Germ cell tumors are predominantly found in the gonads, and the most common extragonadal site is anterior mediastinum. Mediastinal germ cell tumors account for 24% in children. Patients with mediastinum tumors are usually discovered incidentally on chest radiograph. Most symptoms are due to mass effect and pulmonary involvement. This article reports a case of benign teratoma which was presented with massive hemoptysis along with hemorrhagic shock an unusual presentation in pediatric age group.

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