Pneumothorax with apical bleb

Case contributed by Dr Jeremy Jones

Presentation

Acute onset shortness of breath.

Patient Data

Age: 13
Gender: Female
X-ray

Right simple pneumothorax.

CT

Medically at the right apex, are a number of apical blebs.  The presumption is that one of these has ruptured resulting in a pneumothorax.

Case Discussion

Presentation with shortness of breath has an extremely wide differential.  In patients where a cause for breathlessness, it is important to think about whether there is an underlying pathology.  

In this case, diagnosis of pnuemothorax is relatively simple, but the diagnosis of the underlying cause (ruptured apical bleb) is key to appropriate management.

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Case information

rID: 20009
Case created: 28th Oct 2012
Last edited: 5th Dec 2016
Systems: Paediatrics, Chest
Inclusion in quiz mode: Included

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