INTRODUCTION: The diagnosis of chest pain at times can be challenging and requires a detailed history, thorough physical examination and investigations including imaging in post transplantation patients. This case is an example of a rare cause of pleuritic chest pain, which was initially misdiagnosed as a haemothorax. The correct diagnosis of dislocated scapula was delayed for three days resulting in considerable discomfort for the patient. CASE PRESENTATION: We present a case of dislocation of scapula following thoracotomy for single lung transplantation. This complication should be considered in the list of differential diagnosis for the pleuritic chest pain after thoracotomy. CONCLUSION: This case highlights the importance of careful positioning of the patient perioperatively and when they are sedated and ventilated after the surgical procedure.