Post lung biopsy pneumothorax

Case contributed by Assoc Prof Craig Hacking


2 hours post CT guided lung Bx. Desat and subcut emphysema.

Patient Data

Age: 65 years
Gender: Male

Large left pneumothorax with mediastinal shift indicating tension. Left upper lobe cavitating lesion, the lesion which was recently biopsied. Extensive left chest wall and neck surgical emphysema.

The patient had an ICC inserted immediately.

The patient had been lying decubitus (right side down) despite instructions not to.

Case Discussion

Pneumothorax is a known and relatively common complication of CT guided lung biopsy, however tension is fortunately less common. This patient showed clinical signs which lead to this CXR.

Routinely a CXR is performed at 4 hours post biopsy at the author's institution and the patient nursed decubitus with the side of biopsy down (to reduce the occurrence of pneumothorax).

This patient however was nursed left side up due to pain.

PlayAdd to Share

Case information

rID: 37183
Published: 11th Jun 2015
Last edited: 14th Aug 2019
Tag: ptx
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.