Traumatic pneumothorax

Case contributed by Dr Nikos Karapasias

Presentation

Female 34 years old refers a fall from bicycle and an injury on lower left hemithorax by the handlebar. The patient complains of a sharp pain in the chest, aggravated by deep breathing and initial she’s refuse to cooperate.

Patient Data

Age: 34
Gender: Female
Modality: X-ray

Note the visible visceral pleural edge and a relative transradiancy of the involved hemithorax.

Case Discussion

Traumatic pneumothorax is caused by penetrating or blunt trauma to the chest and refers to a collection of air in the pleural space resulting in collapse of the lung on the affected side.

The supine pneumothorax is best confirmed on full expiration, but if the patient is able to be imaged in the erect position this will be very helpful.

In our incident,in the supine projection, the pneumothorax it seems to be slightly small, while in the erect projection is very well identifiable, and in plus, is large in gravity (requires placement of bullautube).

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Case Information

rID: 25667
Case created: 2nd Nov 2013
Last edited: 5th Oct 2015
System: Chest
Inclusion in quiz mode: Excluded

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