The most common cause of massive hemorrhagic effusion is malignancy. Herein we present a case of dissecting aneurysm of descending thoracic aorta presenting initially with shortness of breath due to left sided massive pleural effusion. Effusion was hemorrhagic in nature with high hematocrit value. CT scan of thorax with CT angiogram was done and that revealed the diagnosis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2988179PMC
http://dx.doi.org/10.4103/0970-2113.71963DOI Listing

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