文摘
A 20-year-old male presented to the hospital with discharging pus from anterior chest wall region for 15 days. He had a past history of left-sided pleural effusion for which he was put on ATT by a private practitioner on an empirical basis. In view of an excessive bleeding from the chest wall abscess, the patient was taken up for emergency exploratory thoracotomy. Intra-operatively, it was found that the abscess had ruptured in the thorax eroding the left internal mammary artery which was ligated at its origin, and hemothorax was drained. Post-operatively, the patient had an uneventful recovery.