Bilateral pneumothoraces (capnothoraces)

Case contributed by Dr Jayanth Keshavamurthy


45 year old female with history of ALS got immediate post operative chest radiograph after bilateral diaphragmatic pacemakers.

Patient Data

Age: 45
Gender: Female
Modality: X-ray

There are bilateral pneumothoraces in the apices. Given recent laparoscopy and diaphragmatic pacemakers this was felt to be secondary to CO2 and capnothoraces. 

Modality: Annotated image

Bilateral pneumothorax. Diaphragmatic pacer wires are annotated.

Case Discussion

Patient was extubated without problems. But had some right sided chest discomfort and so got a right pleural pig tail catheter 15 hours after this chest radiograph. The pneumothorax had not gotten bigger. The left apical pneumothorax resolved over 5 days.

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Case Information

rID: 33919
Case created: 29th Jan 2015
Last edited: 11th Mar 2017
System: Chest
Inclusion in quiz mode: Included

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