Presentation
Background of COPD. Sudden onset breathlessness and left sided chest pain. Reduced oxygen saturations and tachycardia.
Patient Data
Large left sided pneumothorax (7 cm at level of left hilum) with collapse of left lung structures.
Some mediastinal divergence from midline - possible tension pneumothorax.
Right lung clear.
Chest drain in situ - left mid-zone.
Left lung re-expanded.
Atelectasis in left lower zone.
Background changes in both lungs consistent with COPD.
Case Discussion
This patient attended with a spontaneous secondary pneumothorax.
Due to the size of the pneumothorax, and signs of respiratory distress, an intercostal chest drain was inserted (using Seldinger technique) to good effect.
The patient was discharged home within three days.
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