Wedge resection on recurrent pneumothorax, failed lung expansion after needle aspiration: A case report.
Needle aspiration
Recurrent pneumothorax
Wedge resection
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
15
04
2021
revised:
11
05
2021
accepted:
12
05
2021
pubmed:
29
5
2021
medline:
29
5
2021
entrez:
28
5
2021
Statut:
ppublish
Résumé
Pneumothorax has several classifications, including based on etiology, location, extent, and degree of collapse as well as by mechanism and type. A 61-years-old man with the main complaint of sudden shortness of breath after lifting a birdcage. The complaint worsened, and it was accompanied by nausea, sweating, and decreased vital signs. The patient was in a life-threatening condition with a tension pneumothorax and treated with needle aspiration (NA). On the second day of treatment, a clinical evaluation showed recurrent dyspnea. Lung physical examination and chest X-ray evaluation showed recurrent pneumothorax with subcutaneous emphysema. Installation of chest tube drainages (CTD) with active continuous suction of -20 cmH Diagnosis of pneumothorax is based on clinical manifestations. Conservative management by providing oxygen or NA/CTD insertion. Needle aspiration is a simple and alternative treatment and performed for an outpatient indication, whereas CTD requiring hospitalization and is performed by experts. Management aims to restore clinical symptoms, restore lung expansion and prevent a recurrence. The choice of thoracoscopy/VATS or thoracotomy needs to be considered according to the indications so that complications do not occur and have a good prognosis.
Sections du résumé
BACKGROUND
BACKGROUND
Pneumothorax has several classifications, including based on etiology, location, extent, and degree of collapse as well as by mechanism and type.
CASE PRESENTATION
METHODS
A 61-years-old man with the main complaint of sudden shortness of breath after lifting a birdcage. The complaint worsened, and it was accompanied by nausea, sweating, and decreased vital signs. The patient was in a life-threatening condition with a tension pneumothorax and treated with needle aspiration (NA). On the second day of treatment, a clinical evaluation showed recurrent dyspnea. Lung physical examination and chest X-ray evaluation showed recurrent pneumothorax with subcutaneous emphysema. Installation of chest tube drainages (CTD) with active continuous suction of -20 cmH
DISCUSSION
CONCLUSIONS
Diagnosis of pneumothorax is based on clinical manifestations. Conservative management by providing oxygen or NA/CTD insertion. Needle aspiration is a simple and alternative treatment and performed for an outpatient indication, whereas CTD requiring hospitalization and is performed by experts. Management aims to restore clinical symptoms, restore lung expansion and prevent a recurrence.
CONCLUSION
CONCLUSIONS
The choice of thoracoscopy/VATS or thoracotomy needs to be considered according to the indications so that complications do not occur and have a good prognosis.
Identifiants
pubmed: 34049176
pii: S2210-2612(21)00502-2
doi: 10.1016/j.ijscr.2021.106000
pmc: PMC8167297
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
106000Informations de copyright
Copyright © 2021. Published by Elsevier Ltd.