DOI: 10.36347/sjmcr.2019.v07i08.008

Pages: 491-493

We present a case of a 70-year-old male with a history of poorly monitored high blood pressure, who was transferred to our hospital due to a large thoracic wall mass, at the left scapular region. He complained of back and left shoulder pain. Chest X-ray revealed a middle and posterior mediastinal widening. Thoracic computed tomography showed a ruptured dissecting aneurysm of the thoracic aorta, with type B aortic dissection, large left thoracic wall mass of 15cm, costal and left scapular lysis. The patient was hospitalized during eight days, an analgesic treatment was instituted, he had blood transfusion and the high blood pressure was controlled with beta-blockers. We opted for a conservative therapy, open surgery being hazardous and endovascular treatment unavailable in our hospital. The patient couldn’t afford to be evacuated. It was our first case of chest wall contained ruptured of thoracic aorta aneurysm. We haven’t seen a similar case in the literature.