Spontaneous pneumothorax

Case contributed by Dr Seamus O'Flaherty

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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Case information

rID: 78395
Published: 3rd Jun 2020
Last edited: 4th Jun 2020
System: Chest
Inclusion in quiz mode: Included
Institution: Epworth Healthcare

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