A 62-yr-old male with a history of high blood pressure was admitted for persistent dyspnoea and a right-sided pleural effusion, complicated by a recent episode of shock. There was no history of trauma and the patient denied any thoracic pain, A chest tube was inserted which released nonclotting bloody fluid, A thoracic computed tomographic scan of the chest revealed an aneurysm of the inferior third of the descending thoracic aorta, The patient underwent a successful prosthetic graft replacement, We emphasize that rupture of aortic aneurysms should be considered in the evaluation of spontaneous haemothorax even if it is right-sided and not associated with pain.
Baharloo, F., Verhelst, R., Collard, P., & Pieters, T. (1999). Rupture of aortic aneurysm with right-sided haemothorax. The European Respiratory Journal, 13(2), 465-467. https://doi.org/10.1183/09031936.99.13246599 (Original work published 1999)