scholarly journals Spontaneous pneumothorax

2011 ◽  
Vol 6 ◽  
Author(s):  
Heinrich Matthys

Pneumothorax is defined as the presence of air in the pleural space due to: a) communication be- tween alveolar spaces and pleura; b) direct or indi- rect exchange of air between the atmosphere and the pleural space; or c) the presence of gas produc- ing organisms in the pleural space. From the clinical and etiological standpoint the pneumothorax [...]

Definitions 162 Primary spontaneous pneumothorax (PSP) 162 Secondary spontaneous pneumothorax (SSP) 162 Acute presentation 163 Tension pneumothorax 164 Investigations 165 Management 166 Complications 167 Pneumothorax is defined as air in the pleural space. It may occur as a result of trauma or spontaneously, in which case it is further subdivided into primary and secondary. The treatment, response to therapy, and prognosis in these two groups is quite different, and establishing the category is essential....


2012 ◽  
Vol 113 (4) ◽  
pp. 303-308
Author(s):  
Yoshimasa Mizuno ◽  
H. Iwata ◽  
K. Shirahashi ◽  
M. Matsui ◽  
H. Takemura

Pneumothorax, defined as the presence of air in the pleural space, is usually classified as spontaneous or traumatic; it is unusual for pneumothorax to be categorized as being acute or chronic. Even if conservative treatment is chosen, the pneumothorax is cured when air in the pleural space dissolves into the venous blood. A 50-years-old Japanese man with no prior medical history was referred to our department with a right pneumothorax and two rightsided pulmonary nodules on chest X-ray and CT. The chest radiographs of past mass screening which was taken four years ago showed right pneumothorax and right-sided pulmonary nodules. From then, all chest radiograph and chest computed tomography showed right pneumothorax and pulmonary nodules. But he underwent no medical interventions. We designed to perform an operation for a treatment of right pneumothorax and the diagnosis of pulmonary tumors. We underwent right upper lobectomy and pleural decortication under video assisted thoracic surgery. We obtained pathological diagnosis of inflammatory pseudotumor and surrounding atelectasis. He was cured from pneumothorax and pulmonary tumors. A unique case of spontaneous pneumothorax presenting with a pleural air space that was confirmed by chest radiographs and computed tomography examinations over a 4-year period is reported.


2019 ◽  
Vol 6 (09) ◽  
pp. 4604-4607
Author(s):  
Shawn Zhenhui Lee ◽  
Mohammed Tousif Syed ◽  
Pranav Kumar

Primary spontaneous pneumothorax is defined as the presence of air in the pleural space with no precipitating cause and is four times less likely to occur in women than in men1,2. Common causes for spontaneous pneumothorax in females include: interstitial pneumonia, primary lung cancer and lung metastasis, and asthma3.  An uncommon cause for secondary spontaneous pneumothorax is catamenial pneumothorax, which is associated with thoracic endometriosis. The word “catamenial” is derived from the greek word “katamenios” meaning monthly recurrence.4 Catamenial pneumothorax refers to recurrent spontaneous pneumothorax during menstruation in the absence of concomitant respiratory disease5. 


Author(s):  
Saifudin Khalid ◽  
Rowland J. Bright-Thomas ◽  
Seamus Grundy

Pneumothorax is defined as the presence of air within the pleural space. Pneumothoraces are divided into spontaneous and traumatic categories, depending on the presence or absence of preceding trauma. Spontaneous pneumothoraces are subclassified as primary or secondary: a primary spontaneous pneumothorax (PSP) occurs in a person without underlying lung disease, whereas a secondary spontaneous pneumothorax (SSP) takes place in a person who has an underlying lung condition such as COPD or asthma. Tension pneumothorax is a medical emergency where air entering the pleural space on inspiration is unable to escape on expiration, causing mediastinal shift and cardiovascular compromise.


Author(s):  
Giulio Maurizi ◽  
Camilla Vanni ◽  
Erino Angelo Rendina

The insertion of a chest tube is a common therapeutic procedure routinely employed to restore the natural negative pressure in the pleural space and ensure complete pulmonary reexpansion through the drainage of a pathologic collection of fluid and/or air from the thoracic cavity. The method for inserting the tube, as well as management and withdrawal of the drain unit, should be guided by clinical judgement and amended depending on different circumstances. Similarly, the selection of the appropriate size and type of chest tube to be placed varies according to indications. Despite their widespread use, just a few evidence based guidance on insertion and management of chest drains are currently available. Among these, the British Thoracic Society (BTS) stated in 2003 clinical practice guidelines for the insertion of a chest drain; moreover, the BTS Pleural Disease Guideline Group recently reviewed indications on management of spontaneous pneumothorax and malignant pleural effusion.


2018 ◽  
Vol 69 (10) ◽  
pp. 2937-2947
Author(s):  
Tiberiu Lunguleac ◽  
Marius Valeriu Hinganu ◽  
Cristina Grigorescu ◽  
Liviu Ciprian Gavril ◽  
Paul Salahoru ◽  
...  

Pneumothorax is the presence of air between the two pleural effusions, making the pleural space from a virtual cavity to a real one. At present, we are facing a particular phenomenon: trying to establish with certainty the mechanisms underlying the occurrence of primary spontaneous pneumothorax and how to find and implement the best strategies for the application of treatment methods. Considering the classical conception that the incidence of spontaneous pneumothorax has a seasonal variability, we followed its distribution after the season, calendar month, by checking the statistical significance of the data obtained. Regardless of the dynamics factor involved and the likely mechanism of action, it seems to have an influence on the average duration of hospitalization and the length of time elapsed from intervention to discharge.


2017 ◽  
Vol 4 (5) ◽  
pp. 1383
Author(s):  
Anand Chaudhary ◽  
Nishant Pujara

Background: Pneumothorax is an abnormal collection of air in the pleural space that causes an uncoupling of the lung from the chest wall. It may be spontaneous or traumatic. The spontaneous pneumothorax is usually the result of rupture of superficial emphysematous bullae and may occur in apparently healthy persons or in association with chronic pulmonary disease. It is usually unilateral but may be bilateral. If air reaches the mediastinum and rupture into both the pleural cavity.Methods: 25 consecutive cases of pneumothorax admitted at the Gujarat Adani institute of medical science Bhuj from December 2011 to April 2012 were studied. Each patient was interrogated and examined in detail according to the attached proforma, with a view to identify the nature of pneumothorax.Results: The incidence of pneumothorax was maximum in the 4th decade of life. The youngest one was a boy ages 14 year, while the oldest case was 75 years. 36 cases were under the age of 50 years, while only 2 cases were more than 70 years of age.Conclusions: The prevalence of pneumothorax was greater in male as compared to female. Most of the cases treated with needle aspiration of air and the intercostal drainage through indwelling polyethylene catheter developed surgical emphysema on the affected side which disappeared within 2-3 days after aspiration if air with needle or after removal of polyethylene tube from intercostal space.


2018 ◽  
Vol 57 (2) ◽  
pp. 101-105
Author(s):  
Milorad Pavlović ◽  
◽  
Bojan Ilić ◽  
Desa Nastasijević - Borovac ◽  
Senada Pavlović ◽  
...  

1999 ◽  
Vol 93 (4) ◽  
pp. 262-267 ◽  
Author(s):  
H.J.M. Smit ◽  
M.M. van den Heuvel ◽  
S.B. Barbierato ◽  
R.J.H. Beelen ◽  
P.E. Postmus

Sign in / Sign up

Export Citation Format

Share Document