Spontaneous pneumothorax

Case contributed by Dr Jeremy Jones

Presentation

Acute difficulty breathing after a relatively short history of cough and temperature.

Patient Data

Age: 3 month
Gender: Male
X-ray

Focal opacification in the right upper zone with a region of hyperlucency peripherally. The peripheral zone does not have any bronchovascular markings. Features are of a pneumothorax complicating a chest infection (likely bronchiolitis).

X-ray

3 months later

Following treatment with an intercostal drain and IV antibiotics, the chest x-ray is normal. No underlying cause.

Case Discussion

This 3 month old infant has a right-sided spontaneous pneumothorax.  It was treated with intercostal drain insertion and after 3 months, there was complete resolution.

No features to suggest an underlying cause and no suggestion of NAI.

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Case information

rID: 13342
Case created: 1st Apr 2011
Last edited: 26th Feb 2016
Systems: Paediatrics, Chest
Inclusion in quiz mode: Included

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