Spontaneous pneumothorax (RCD code: VIII)
Pneumothorax is defined as the occurrence of air in the pleural space. From a clinical standpoint, pneumothorax can be classified as spontaneous (without an obvious triggering factor) or nonspontaneous. Primary spontaneous pneumothorax (PSP) is defined as the spontaneous presence of air in the pleural space in patients without clinically apparent lung disease. We present a case of a 26‑year old man who reported chest pain at rest. A standard chest x‑ray (CXR) picture on inspiration did not reveal any severe pathology, but a second imaging on expiration showed a large pneumothorax. In this case, the pneumothorax would have been undetected if only the inspiratory CXR was used. Lung ultrasonography (USG) can be used to diagnose radio‑occult pneumothoraxes independent of the respiratory phase of the patient. JRCD 2018; 3 (7): 236–238
Noppen M. Spontaneous pneumothorax: epidemiology, pathophysiology and cause. European Respiratory Review 2010; 19: 217–219; DOI: 10.1183/09 059 180.00 005 310
Mizobuchi T, Kurihara M, Ebana H, et al. A total pleural covering of absorbable cellulose mesh prevents pneumothorax recurrence in patients
Bradley M, Willams C, Walshaw MJ. The value of routine expiratory films in the diagnosis of pneumothorax. Arch Emerg Med 1991; 8: 115–116.
Lichtenstein DA. Ultrasound in the management of thoracic disease. Crit Care Med 2007; 35: S250–S261 2.
Bouhemad B, Zhang M, Lu Q, et al. Clinical review: bedside lung ultrasound in critical care practice. Crit Care 2007; 11: 205.
Volpicelli G. Sonographic diagnosis of pneumothorax. Intensive Care Med 2011; 37(2): 224–232; doi: 10.1007/s00 134‑010‑2079‑y.
Alrajhi K, Woo MY, Vaillancourt C. Test characteristics of ultrasonography for the detection of pneumothorax: a systematic review and meta‑analysis. Chest 2012;14:703–708; doi: 10.1378/chest.11–0131.
Lichtenstein D. Novel approaches to ultrasonography of the lung and pleural space: where are we now? Breathe (Sheff) 2017;13:100–111; doi: 10.1183/20 734 735.004 717.
Ojaghi Haghighi SH, Adimi I, Shams Vahdati S, et al. Ultrasonographic diagnosis of suspected hemopneumothorax in trauma patients. Trauma Mon 2014;19: e17 498; doi: 10.5812/traumamon.17 498.
Marchetti G, Arondi S, Baglivo F, et al. New insights in the use of pleural ultrasonography for diagnosis and treatment of pleural disease. Clin Respir J 2018; doi: 10.1111/crj.12 907.
Aziz SG, Patel BB, Ie SR, et al. The Lung Point Sign, not Pathognomonic of a Pneumothorax. Ultrasound Q 2016; 32:277–279.
- There are currently no refbacks.