A rare case of hemothorax: Due to thoracic Evving’s sarcoma

An 11 - year old boy presented to the emergency room with severe dyspnea and left upper chest pain. The initial chest radiograph showed a massive left pleural effusion, opacities in the left hemithorax and lytic areas in the left 3rd rib. A thoracocentesis demonstrated a hemothorax. Despite treatment with blood tansfusions and aspiration of hemothorax, the patient’s clinical status worsened and developed dyspnea. A thoracic computed tomograghic scan demonstrated a mass in the intrathoracic extrapulmonary space and a lytic lesion in the 3rd rib. A posterolateral thoracotomy was performed. Base on histologic findings, evving’s sarcoma vvas diagnosed. He was asymptomatic throughout the 11 months follovv - up. İntrathoracic extrapulmonary thoracic Evving’s sarcoma with spontaneous hemothroax is extremelyare.