Aouadi Samira, Sebai Asma, Gharsalli Houda, Zribi Hazem, Neji Henda, Maâlej Sonia, Douik El Gharbi Leila
Respiratory Department D, Aberrahmen Mami Hospital, University of Medicine, University El Manar, Tunis, Tunisia.
Thoracic Surgery Department, Aberrahmen Mami Hospital, University of Medicine, University El Manar, Tunis, Tunisia.
Tanaffos. 2016;15(1):57-60.
Rupture of thoracic aortic aneurysm is a life threatening condition. Rupture in the right pleural cavity is extremely rare. We report the case of an 80-year-old man with a spontaneous right hemothorax. Diagnosis was made by computed tomography (CT) scan. He was managed with chest tube and stabilization. The patient died before any surgical intervention. We report this case to emphasize that rupture of aortic aneurysm should be considered in the evaluation of spontaneous hemothorax even if it is right-sided particularly in the elderly. Emergent therapy is necessary to prevent mortality.
胸主动脉瘤破裂是一种危及生命的情况。破裂进入右胸腔极为罕见。我们报告一例80岁男性自发性右侧血胸的病例。通过计算机断层扫描（CT）作出诊断。对其进行了胸腔闭式引流和稳定病情的处理。该患者在接受任何手术干预之前死亡。我们报告此病例以强调，即使是右侧自发性血胸，尤其是在老年人中，在评估时也应考虑主动脉瘤破裂的可能性。必须采取紧急治疗以防止死亡。
