Choriocarcinoma presenting as hemothorax.

A 38-year-old woman presented to the emergency department of the Sir Mortimer B. Davis-Jewish General Hospital with a 2-week history of right-sided pleuritic pain and shortness of breath. She had an occasional cough with scanty sputum. The patient had immigrated to Canada from Hong Kong I 1 years previously. She had three children. Fifteen months earlier she had had a therapeutic abortion (the products of conception were normal) and a tubal ligation. Four months before admission she experienced menometrorrhagia. A pelvic examination and a Papanicolaou smear yielded normal. results. A diagnosis of dysfunctional uterine bleeding was made and no further investigation or therapy was carried out. The patient had no history of previous pulmonary disease and was receiving no medication.