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- respiratory medicine (see thoracic medicine)
- general medicine (see internal medicine)
- accident & emergency medicine
A previously healthy 22-year-old man presented with acute chest pain and dyspnoea. Chest radiography showed a large right-sided pneumothorax. Primary spontaneous pneumothorax was diagnosed and chest tube drainage was performed (figure 1A). Four hours later, the patient complained of chest pain and dyspnoea and developed hypotension. Bloody pleural effusion was drawn through the chest tube. Chest radiography showed massive right pleural effusion (figure 1B). Subsequently, spontaneous haemopneumothorax (SHP) was diagnosed. Video-assisted thoracic surgery (VATS) revealed a torn aberrant vessel at the …
Contributors YW and KS conceived of the idea. NK and HA wrote the initial draft of the manuscript. TM developed the manuscript. MI selected the images. All authors discussed the results and contributed to the final manuscript. All authors met the International Committee of Medical Journal Editors authorship criteria.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.