Spontaneous pneumothorax

Case contributed by Seamus O'Flaherty
Diagnosis certain

Presentation

Acute onset dyspnea in absence of trauma.

Patient Data

Age: 20 years
Gender: Male
x-ray

Large left sided pneumothorax with mediastinal shift to the right. 

x-ray

A Pig-tail catheter has been inserted on the left. The pneumothorax has significantly resolved and a small residual apical pneumothorax is noted measuring approximately 15mm.

Case Discussion

A primary spontaneous pneumothorax is one which occurs in a patient with no known underlying lung disease. Tall and thin people are more likely to develop a primary spontaneous pneumothorax. There may be a familial component, and there are well-known associations to diseases such as Marfan syndrome, Ehlers-Danlos syndrome, alpha-1-antitrypsin deficiency and homocystinuria.

 

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