Abstract
Chest pain in low risk patients is a common ED presentation. Rarely, these patients
can have life-threatening conditions requiring timely diagnosis and intervention.
There are currently standardized protocols for diagnosing cardiac ischemia, pulmonary
embolus, and aortic dissection in low risk patients. Even more rare entities such
as esophageal perforation, hemo/pneumothorax, and cardiac tamponade must also be kept
in mind. We present the case of chest pain in a 33 year old male reporting no significant
past medical history who developed spontaneous massive hemothorax while being evaluated
in the ED. Subsequent investigation revealed that the patient had neurofibromatosis;
the etiology of aneurysmal rupture in neurofibromatosis is discussed.
Keywords
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Article Info
Publication History
Published online: May 07, 2020
Accepted:
May 1,
2020
Received:
April 25,
2020
Identification
Copyright
© 2020 Published by Elsevier Inc.
