Presentation
Acute onset dyspnea in absence of trauma.
Patient Data
Large left sided pneumothorax with mediastinal shift to the right.
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.