Rupture of aortic aneurysm with right-sided haemothorax

A 62-yr-old male with a history of high blood pressure was admitted for per sistent dyspnoea and a right-sided pleural effusion, complicated by a recen t episode of shock. There was no history of trauma and the patient denied a ny thoracic pain, A chest tube was inserted which released nonclotting bloo dy fluid, A thoracic computed tomographic scan of the chest revealed an ane urysm of the inferior third of the descending thoracic aorta, The patient u nderwent a successful prosthetic graft replacement, We emphasize that rupture of aortic aneurysms should be considered in the e valuation of spontaneous haemothorax even if it is right-sided and not asso ciated with pain.