Trapped lung

Case contributed by Dr Henry Knipe

Presentation

Shortness of breath. Two days post pleural tap.

Patient Data

Age: 50
Gender: Female
X-ray

Right basal hydropneumothorax with increased opacity and volume loss in the right lower zone. Mild cardiomegaly. 

Case Discussion

This patient has features of trapped lung on chest x-ray and CT (not shown), which occurs post pleural tap:

  • basal pneumothorax
  • right basal opacity (reflecting thickened pleura and atelectasis as demonstrated on CT)

She has a history of ovarian cancer with pleural metastases and recurrent pleural effusions. The pneumothorax is a result pleural inflammation causing bronchopleural fistulas and unexpanded lung rather than being procedure related. These pneumothoraces will often not resolve with placement of an ICC. 

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Case information

rID: 32243
Case created: 21st Nov 2014
Last edited: 7th Sep 2015
System: Chest
Inclusion in quiz mode: Included

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