Pneumothorax due to apical blebs - surgically treated

Case contributed by Chris O'Donnell
Diagnosis certain


Recurrent left pneumothorax

Patient Data

Age: 20 years
Gender: Female

Initial chest X-ray


Left sided pneumothorax.

CXR after recurrent chest pain


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

CXR 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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.