Spontaneous pneumothorax

Case contributed by Dr Ahmed Hamdy Mhsb

Presentation

Acute onset of severe chest pain and dyspnea. No history of smoking or familial disease.

Patient Data

Age: 30 years
Gender: Male

Chest

ct
  • mild emphysematous changes
  • moderate Left side pneumothorax
  • both apices show minute belbs
  • no pleural effusion or parenchymal masses

Case Discussion

Spontaneous pneumothorax with no definite cause occurs with high possibility of recurrence.

Possibility of cystic fibrosis should be excluded.

Attention must be given for such patients, especially if they develop any chest pain. 

Management could be intercostal chest tube or even thoracoscopy for further evaluation and excision of the belbs or other possible lung tears.

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