In the post operative course of a peritonitis, the need for a central venous catheter. A 800 ml hemothorax in the left pleura occurred. It could not be relieved with a chest-tube, and had to be evacuated through a thoracotomy. The risk factors to be considered in this case were sequellae of an inner third clavicle fracture and an arterial hypertension; although the patient was given a minimal dose of calcium heparinate.

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