Tension pneumothorax

Case contributed by Dr Andrew Taylor

Presentation

Motorbike accident. Chest pain and shortness of breath.

Patient Data

Age: 60 years
Gender: Male
X-ray

The left lung is collapsed with mediastinal shift to the right in-keeping with a tension pneumothorax.

There are fractures of the left third, fourth, and fifth ribs posteriorly with associated subcutaneous emphysema.

Fracture of the mid third of the left clavicle.

X-ray

Post-ICC insertion

Left sided ICC in situ. Left pneumothorax remains however the mediastinal shift has resolved.

No residual pneumothorax seen in the second image post repositioning of the ICC. 

Case Discussion

This case demonstrates the classic chest x-ray appearance of tension pneumothorax. Emergency decompression is required. 

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Case information

rID: 67035
Published: 17th Mar 2019
Last edited: 18th Mar 2019
System: Chest, Trauma
Inclusion in quiz mode: Included

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