Pneumothorax due to apical blebs - surgically treated

Case contributed by Dr Chris O'Donnell

Presentation

Recurrent left pneumothorax

Patient Data

Age: 20 years
Gender: Female
X-ray

Initial chest X-ray

Left sided pneumothorax.

X-ray

Chest X-ray after recurrent chest pain

Recurring left-sided pneumothorax, this time with apparent small apical air-filled blebs (arrows).

X-ray

Chest X-ray following bleb excision

Given the repeated episodes, surgical excision was undertaken with a line of surgical staples (arrows) traversing the left apex at the site of the excised blebs.

Case Discussion

Recurrent (non-traumatic) pneumothorax in young people is often due to apical blebs that rupture spontaneously.

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Case information

rID: 34235
Published: 11th Feb 2015
Last edited: 15th Sep 2019
System: Chest
Inclusion in quiz mode: Included

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