Abstract
1) Idiopathic Spontaneous Hemopneumothorax is uncommon. 2) The etiology is still controversial. 3) Symptoms may appear insidiously or severely. 4) The effect of physical exertion is questionable. 5) Onset may suggest abdominal or coronary pathology. 6) Concomitant pleural effusion is present. 7) Anticoagulants are present in the effusion. 8) Treatment consists of rest, adequate sedation, oxygen, blood transfusion, and aspiration of blood with replacement by air.
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