[Hemothorax in exostoses. Contribution of thoracic echography].
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A woman of 93 was admitted to hospital with a left pleural effusion. The presence of an unrecognised aneurysm of the descending thoracic aorta, lying posteriorly, led to an inadvertent puncture of the aorta. The diagnosis of a haemothorax due to dissection of the aneurysm was supported by echocardiography, and confirmed by angio-scanning.
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Ectopic pregnancy presenting as haemothorax is extremely rare and difficult to handle. A case report concerning this problem is presented and a possible mechanism is discussed. The importance of bearing pregnancy in mind when fertile women present obscure symptoms is emphasized.
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The authors describe a rare case of spontaneous haemothorax in a 19-year-old woman suffering from beta-thalassaemia major which developed as a result of extramedullary haematopoiesis. In intrathoracic disorders of obscure origin they recommend therefore to make first a cytological examination of the punctate to prevent unnecessary surgery.
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