 Case reportSpontaneous tension haemopneumothoraxBenjamin Oliver Patterson  , Sarah Itam  and Fey Probst Department of Emergency Medicine, Charing Cross Hospital, Fulham Palace Road, W6 8RF, London  author email corresponding author email
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2008,
16:12doi:10.1186/1757-7241-16-12
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| Published: |
31 October 2008 |
Abstract
We present a patient with sudden onset progressive shortness of breath and no history of trauma, who rapidly became haemodynamically compromised with a pneumothorax and pleural effusion seen on chest radiograph. He was treated for spontaneous tension pneumothorax but this was soon revealed to be a tension haemopneumothorax. He underwent urgent thoracotomy after persistent bleeding to explore an apical vascular abnormality seen on CT scanning. To our knowledge this is the first such case reported.
Aetiology and current approach to spontaneous haemothorax are discussed briefly. | 
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