Left hemothorax caused by aortic dissection |
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Authors: | Bousnina S Zendah I Marniche K Racil H Kachboura S Megdiche M L Chabbou A |
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Affiliation: | 1 Service de Pneumologie, Pavillon 2, Hôpital de Pneumo-Phtisiologie Abderrahman-Mami, 2080 L’Ariana/Tunis, Tunisie;2 Service de Cardiologie, Hôpital de Pneumo-Phtisiologie Abderrahman-Mami, 2080 L’Ariana/Tunis, Tunisie;3 Service Ibn Nafis, Hôpital de Pneumo-Phtisiologie Abderrahman-Mami, 2080 L’Ariana/Tunis, Tunisie |
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Abstract: | Hemothorax is generally secondary to trauma, invasive thoracic surgery or specific lung of pleural disease. Hemothorax secondary to aortic dissection is rare. We report a case in a 69-year-old man with a history of smoking and hypertension. The patient was referred for exploration of a left pleural opacity with mediastinal widening. Pleural puncture produced a hemorrhagic fluid. The thoracic scan led to the diagnosis of Stanford type B aortic dissection. The patient was given antihypertensive treatment and now has a sixteen month follow-up. Aortic dissection can give rise to hemothorax, especially in a hypertensive subject with an anomalous aortic arch or mediastinal widening on the chest X-ray. Computed tomography generally gives the diagnosis. Treatment may be medical or surgical, depending on the site of the lesion and the severity of the clinical presentation. Aortic dissection is a cause of hemothorax, particularly in patients with favorable conditions or a suggestive radiological anomaly. |
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Keywords: | Dissection aortique Hémothorax |
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