Tension pneumothorax: pre and post drainage

Case contributed by Dr Ian Bickle

Presentation

Sudden shortness of breath. No air entry on the right side of the chest.

Patient Data

Age: 30
Gender: Male

Large right sided pneumothorax, with a deep sulcus sign (supine projection).

The heart and mediastinal structures are displaced to the left.

X-ray

Pleural drain inserted.

Right basal pleural drain.

Small residual apical pneumothorax.

Case Discussion

A small percentage of pneumothoraces are under tension. These are truly life threatening and merits urgent medical intervention.

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Case information

rID: 46031
Published: 20th Jun 2016
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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