[Severe thoracic bleeding - 25 years after nephrectomy]. / Massive thorakale Blutung ­ 25 Jahre nach Nephrektomie.

We report a case of a 62 year old patient, who was hospitalised due to haemorrhagic shock. The cause was a rupture of the pulmonary artery due to metastasis of a renal cell carcinoma. This cause is now reported for the first time. The primary tumour (pT2,pN0,M0,R0) was resected 25 years ago. This case demonstrates that after curative nephrectomy pulmonary metastasis can occur, even after decades. This is why patients of this type need lifelong follow-up.

[Severe Hemorrhagic Shock in a 93-Year Old Patient due to a Diagnostic Thoracocentesis]. / Schwerer hämorrhagischer Schock bei einem 93-jährigen Patienten nach diagnostischer Pleurapunktion.

An intercostal artery laceration is a rare iatrogenic complication following thoracocentesis and concerns especially elderly patients. We report a case of a severe hemorrhagic shock in a 93-year old patient due to diagnostic thoracocentesis.