Secondary spontaneousRight-sided pneumothoraxPneumothoracesCases of pneumothoraxPrimary pneumothoraxVideo-assisted thoracoscopic surgeryTensionSmall pneumothoraxCatamenialCystsTraumaticThoracotomyPleurodesisSize of the pneumothoraxThoracoscopicRuptureRisk of pneumothoraxRecurrenceComplicationsLeakNeedleOpen pneumothoraxLarge pneumothoraxPresent with spontaneousBlebsBilateralOnsetPatientsLesionsEpisodesOccursSymptomsSubcutaneousTuberculosisShortness of breAcutePatientChest cavityTypicallyChronicLung collapse
Secondary spontaneous6
- A secondary spontaneous pneumothorax occurs in the presence of existing lung disease. (wikipedia.org)
- Secondary spontaneous pneumothoraces (SSPs), by definition, occur in individuals with significant underlying lung disease. (wikipedia.org)
- Prevalence, risk factors, and recurrence risk of persistent air leak in patients with secondary spontaneous pneumothorax. (qxmd.com)
- Persistent air leak (PAL) is common in secondary spontaneous pneumothorax (SSP), with risk factors only been determined for post-pulmonary resection PAL. (qxmd.com)
- Secondary spontaneous pneumothoraces occur in patients with pre-existing lung parenchymal or pleural pathology (e.g. asthma, lung carcinoma). (rcemlearning.co.uk)
- Secondary spontaneous pneumothorax always develops secondary to underlying lung disease. (archbronconeumol.org)
Right-sided pneumothorax7
- The proband was a 40-year-old Korean woman who presented with right-sided pneumothorax and papular lesions on the face and neck area but without renal cancer. (elsevierpure.com)
- 2, 3 Classically, CP occurs in females between the ages of 30-40 years with a history of endometriosis and recurrent right-sided pneumothorax. (pearls4peers.com)
- A 28-year-old man was referred to our hospital because of spontaneous right-sided pneumothorax. (biomedcentral.com)
- The patient was subsequently seen at our hospital for 2 additional episodes of recurrent right-sided pneumothorax. (biomedcentral.com)
- a Chest X-ray at the initial presentation revealed a right-sided pneumothorax. (biomedcentral.com)
- Three months later, the patient was referred to our hospital for recurrent right-sided pneumothorax. (biomedcentral.com)
- One month after the second visit, the patient was again referred to our hospital for recurrent right-sided pneumothorax (Fig. 3 ). (biomedcentral.com)
Pneumothoraces12
- Diagnosis of a pneumothorax by physical examination alone can be difficult (particularly in smaller pneumothoraces). (wikipedia.org)
- Pulmonary cysts and spontaneous pneumothoraces have also been increasingly reported manifestations of Birt-Hogg-Dubé syndrome. (medscape.com)
- 62% of patients had at least one pleurodesis to prevent recurrent pneumothoraces. (bhdsyndrome.org)
- Spontaneous Pneumothoraces in Patients with Birt-Hogg-Dubé Syndrome. (bhdsyndrome.org)
- Associated conditions most commonly include renal cell carcinoma, pulmonary cysts, and spontaneous pneumothoraces. (medscape.com)
- By definition, spontaneous pneumothoraces occur in the absence of any trauma (including iatrogenic causes) to the chest wall. (rcemlearning.co.uk)
- Primary spontaneous pneumothoraces occur in people with no underlying lung pathology. (rcemlearning.co.uk)
- Unlike symptoms, the examination findings in primary spontaneous pneumothoraces are affected by the size of the pneumothorax. (rcemlearning.co.uk)
- Why Does My Young Female Patient Have Recurrent Spontaneous Pneumothoraces? (pearls4peers.com)
- CP is commonly defined as 2 or more episodes of spontaneous pneumothoraces occurring within 72 hours of onset of menstruation. (pearls4peers.com)
- Of these, 100 % (28/28) had pulmonary cysts, 41 % (13/32) had spontaneous pneumothoraces, 26 % (8/31) had kidney cysts, 3 % (1/31) had renal tumors, and 53 % (18/34) had dermatologic manifestations. (medscape.com)
- We found that all individuals had pulmonary cysts, pneumothoraces were common, and cyst size and lower lobe predominant disease were associated with pneumothorax. (medscape.com)
Cases of pneumothorax3
- About 17-23 cases of pneumothorax occur per 100,000 people per year. (wikipedia.org)
- however, regarding literature, about one-third of all surgically treated cases of pneumothorax in women are diagnosed to be CPX [ 9 , 10 , 11 , 12 ]. (intechopen.com)
- In cases of pneumothorax with repeated recurrence, the best time to perform surgery on the patient with undetectable culprit lesion is the exact time that air leakage is observed. (biomedcentral.com)
Primary pneumothorax2
- Evidence here is changing, it seems there has been some local work which is yet to be published, but the results favour more conservative management of primary pneumothorax in most instances. (otago.ac.nz)
- The symptoms are often more severe than those associated with a primary pneumothorax because lung function may already have been compromised by the underlying pathological process. (rcemlearning.co.uk)
Video-assisted thoracoscopic surgery1
- Video-assisted thoracoscopic surgery (VATS) has become the standard operative approach for treating spontaneous pneumothorax, because it is less invasive than open thoracotomy. (biomedcentral.com)
Tension12
- this is called a tension pneumothorax. (wikipedia.org)
- It is rare for a PSP to cause a tension pneumothorax. (wikipedia.org)
- Although there is a low chance to have a tension pneumothorax in spontaneous pneumothorax, this can be the worst case scenario for those patients. (iem-student.org)
- If the pneumothorax is made clinically or radiologically, then the types should be confirmed as spontaneous, traumatic, primary, secondary or tension etc. (iem-student.org)
- Hypotension (think tension pneumothorax! (iem-student.org)
- Tension Pneumothorax buildup of air under pressure in the pleural space resulting in interference with filling of both the heart and lungs. (lifenurses.com)
- Treatment is conservative for spontaneous pneumothorax in which no signs of increased pleural pressure appear (indicating tension Pneumothorax), lung collapse is less than 30%, and the patient shows no signs of Dyspnea or other indications of physiologic compromise. (lifenurses.com)
- Tension Pneumothorax Immediate decompression to prevent cardiovascular collapse by thoracentesis or chest tube insertion to let air escape. (lifenurses.com)
- If the pleural leak exerts a one-way valve effect then a tension pneumothorax can develop. (rcemlearning.co.uk)
- Tension pneumothorax in dogs is a life-threatening condition where air accumulates in the pleural cavity (the space between the lungs and chest wall) without an escape route. (drgoodvet.com)
- Tension pneumothorax can occur as a complication of any other types of pneumothorax (traumatic, spontaneous, or iatrogenic) or as a result of a penetrating chest injury that creates a one-way valve effect, allowing air to enter the pleural cavity but not escape. (drgoodvet.com)
- Acute posttraumatic tension gastrothorax mimicking acute tension pneumothorax. (downstate.edu)
Small pneumothorax3
- A 68-year-old man presented to the emergency department with a small pneumothorax following aggressive use of an incentive spirometer. (rcjournal.com)
- Auscultation may not appreciate the difference in small pneumothorax, especially in a busy and noisy ED environment. (iem-student.org)
- A small pneumothorax can be impossible to identify on clinical examination. (rcemlearning.co.uk)
Catamenial17
- Catamenial pneumothorax is a rare condition in which spontaneous pneumothorax is recurrent. (intechopen.com)
- The incidence of catamenial pneumothorax has been underestimated for a few number of reasons. (intechopen.com)
- Recently, the etiology of catamenial pneumothorax has been more accurately diagnosed because of increased awareness and interest in the disease. (intechopen.com)
- In this chapter, we will discuss all aspects of catamenial pneumothorax from diagnosis to treatment. (intechopen.com)
- Recurrent pneumothorax which is associated with menstruation is named as "catamenial pneumothorax" (CPX). (intechopen.com)
- If related, catamenial pneumothorax (CP)- also known as menses-associated pneumothorax-should also be considered. (pearls4peers.com)
- As for potential mechanisms to explain catamenial pneumothorax, several theories have been proposed, including the passage of air through the vagina and uterus during times of decreased cervical mucus production and peritoneal cavity into the pleural space via diaphragmatic fenestrations. (pearls4peers.com)
- A. Catamenial Pneumothorax and Endometriosis-Related Pneumothorax: Clinical Features and Risk Factors. (pearls4peers.com)
- Catamenial Pneumothorax Revisited: Clinical Approach and Systematic Review of the Literature. (pearls4peers.com)
- Clinical-Pathological Findings of Catamenial Pneumothorax: Comparison Between Recurrent Cases and Non-Recurrent Cases. (pearls4peers.com)
- Catamenial pneumothorax is a rarely encountered entity characterized by recurrent pneumothorax concurrent with menstruation. (karger.com)
- Numerous mechanisms have been postulated in the etiology of catamenial pneumothorax and treatment is still controversial. (karger.com)
- We report a case of a catamenial pneumothorax successfully treated with a Gn-RH analogue supporting the efficacy of this regimen and the endometriosis theory as an underlying cause of the disease. (karger.com)
- Slabbynck H, Laureys M, Impens N, De Vroey P, Schandevyl W: Recurring catamenial pneumothorax treated with a Gn-Rh analogue. (karger.com)
- Carter EJ, Ettensohn DB: Catamenial pneumothorax. (karger.com)
- Fonseca P: Catamenial pneumothorax: A multifactorial etiology. (karger.com)
- Van Schil PE, Vercauteren SR, Vermeire PA, Nackaerts YH, Van Marck EA: Catamenial pneumothorax caused by thoracic endometriosis. (karger.com)
Cysts3
- Birt-Hogg-Dubé syndrome (BHDS) is an autosomal dominant disease presenting with skin fibrofolliculomas, pulmonary cysts, primary spontaneous pneumothorax (PSP), and renal cancer. (elsevierpure.com)
- Birt-Hogg-Dubé syndrome (BHDS) is an autosomal dominant disorder clinically manifested by fibrofolliculomas, renal cell carcinoma, lung cysts, and spontaneous pneumothorax. (medscape.com)
- Further, the study demonstrated 24% of Birt-Hogg-Dubé syndrome patients and 34% of Birt-Hogg-Dubé syndrome family members screened for lung cysts had a history of spontaneous pneumothorax. (medscape.com)
Traumatic5
- A traumatic pneumothorax can develop from physical trauma to the chest (including a blast injury) or from a complication of a healthcare intervention. (wikipedia.org)
- Traumatic pneumothorax most commonly occurs when the chest wall is pierced, such as when a stab wound or gunshot wound allows air to enter the pleural space, or because some other mechanical injury to the lung compromises the integrity of the involved structures. (wikipedia.org)
- Traumatic Pneumothorax may result from insertion of a central venous line, thoracic surgery, or a penetrating chest injury, such as a gunshot or knife wound, or it may follow a transbronchial biopsy. (lifenurses.com)
- When traumatic Pneumothorax follows a penetrating chest injury, hemothorax (blood in the pleural space) may also occur. (lifenurses.com)
- Traumatic pneumothorax in dogs is a critical condition involving air accumulation in the pleural space, negatively impacting lung function. (drgoodvet.com)
Thoracotomy2
- Surgical interventions include removing the penetrating object, exploratory thoracotomy if necessary, thoracentesis, and thoracotomy for patients with two or more episodes of spontaneous pneumothorax or patients with pneumothorax that does not resolve within 1 week. (lifenurses.com)
- Surgical intervention by pleurodesis or thoracotomy with resection of apical blebs is advised for patients with recurrent spontaneous pneumothorax. (lifenurses.com)
Pleurodesis10
- Patients with recurrent pleural effusions and/or spontaneous pneumothorax were prospectively randomized to undergo pleurodesis with cosmetic talc (5g) or iodopovidone (20mL of a 10% solution) by tube thoracostomy. (nih.gov)
- Talc pleurodesis by thoracoscopy in patients with primary spontaneous pneumothorax: a 10-year experience. (ers-education.org)
- PAL over seven days increased future recurrent pneumothorax risks, while elderly SSP patients unfit for surgery had acceptable recurrence rates after medical pleurodesis. (qxmd.com)
- A common preventative strategy used following an initial SP in patients with BHD is pleurodesis , however, its efficacy in preventing recurrent episodes is not well known. (bhdsyndrome.org)
- evaluate the risk of pneumothorax, the efficacy of pleurodesis, and the safety of air travel in patients with BHD. (bhdsyndrome.org)
- Pleurodesis was generally performed after the second pneumothorax and reduced the recurrence by half - 63% of recurrence rate of SP managed without pleurodesis compared to 33% following pleurodesis. (bhdsyndrome.org)
- 8 of these 11 episodes represented recurrent SP and the majority had not undergone prior pleurodesis. (bhdsyndrome.org)
- Prior pleurodesis reduced the occurrence of a subsequent flight-related pneumothorax. (bhdsyndrome.org)
- the present study indicates that patients with BHD have a risk of spontaneous pneumothorax during flight that is most likely less than 1%, and even lower for patients with a history of pleurodesis. (bhdsyndrome.org)
- Patients with BHD should be advised about the risks of pneumothorax and benefits of pleurodesis and get medical advice regarding air travel. (bhdsyndrome.org)
Size of the pneumothorax4
- At least, today, the algorithms are still designed to the size of the pneumothorax. (iem-student.org)
- How to estimate the size of the pneumothorax? (iem-student.org)
- The symptoms do not correlate closely with the size of the pneumothorax [12]. (rcemlearning.co.uk)
- The symptoms will vary depending on the cause e.g. fever, weight loss, night sweats but the primary complaint is that of breathlessness which is often out of proportion to the size of the pneumothorax radiologically. (rcemlearning.co.uk)
Thoracoscopic2
- Could staple-line reinforcement on video-assisted thoracoscopic blebectomy prevent postoperative recurrent pneumothorax? (ers-education.org)
- How much prevention of postoperative recurrence by staple-line reinforcement on thoracoscopic blebectomy for spontaneous pneumothorax? (ers-education.org)
Rupture5
- Due to the pressure changes during air travel, cystic air spaces expand and compress in the thorax possibly leading to cyst rupture and pneumothorax. (bhdsyndrome.org)
- of a specific nature - pneumothorax due to the rupture of caverns, the breakthrough of caseous foci in tuberculosis . (medic-journal.com)
- It is relatively rare in dogs and is thought to result from the spontaneous rupture of small air-filled sacs called blebs or bullae on the lung's surface, sometimes referred to as the edges of the lung lobes. (drgoodvet.com)
- Causes of spontaneous pneumothorax are legion, including cigarette use, genetic predisposition, or most commonly subpleural bleb rupture. (pearls4peers.com)
- Rupture of subleural bullae may result in primary spontaneous pneumothorax in tall, asthenic individuals. (manualofmedicine.com)
Risk of pneumothorax1
- Primary objectives were to characterize cystic lung changes on computed tomography (CT) chest scanning and identify features that stratify patients at higher risk of pneumothorax. (medscape.com)
Recurrence1
- Of the patients with a sentinel pneumothorax, 73% had an ipsilateral recurrence. (bhdsyndrome.org)
Complications3
- Pneumothorax can be life-threatening if not treated promptly, as it impairs the dog's respiratory function and can lead to respiratory failure or other complications. (drgoodvet.com)
- And chest x-rays later on, while hospitalisation, for monitoring for worsening COVID pneumonitis, secondary infections, to identify complications such as pneumothorax, pneumomediastinum especially if patient on NIV/IMV. (cmeindia.in)
- The postoperative complications were mostly infectious, with nine patients with bronchopneumonia (69.23%), one patient had pneumothorax. (bvsalud.org)
Leak2
- Predicting outcomes in primary spontaneous pneumothorax using air leak measurements. (medelahealthcare.com)
- Recurrent air leak soon after pulmonary lobectomy: an analysis based on an electronic airflow evaluation. (medelahealthcare.com)
Needle3
- Needle aspiration is likely to fail to resolve the pneumothorax with complete lung collapse and tends to fail about ⅓ of the time anyway. (otago.ac.nz)
- Observe and allow for spontaneous resolution for less than 50% pneumothorax in otherwise healthy person, Needle aspiration or chest tube drainage may be necessary to achieve reexpansion of collapsed lung if greater than 30% pneumothorax. (lifenurses.com)
- Management of emergency department patients with primary spontaneous pneumothorax: needle aspiration or tube thoracostomy? (downstate.edu)
Open pneumothorax2
- A patient with an open pneumothorax assumes a forced position, lying on the injured side and tightly clamping the wound. (medic-journal.com)
- Open Pneumothorax (sucking wound of chest) implies an opening in the chest wall large enough to allow air to pass freely in and out of thoracic cavity with each attempted respiration. (lifenurses.com)
Large pneumothorax1
- The rationale for using 2 cm as the cut-off for indicating a large pneumothorax is that this approximates to the point at which up to half of the lung volume has been lost. (rcemlearning.co.uk)
Present with spontaneous1
- A patient with malignant mesothelioma may present with spontaneous or recurrent pneumothorax. (medicalalgorithms.com)
Blebs1
- air blebs and pneumothorax. (pearls4peers.com)
Bilateral1
- Bilateral pneumothorax is less common. (archbronconeumol.org)
Onset5
- The sudden onset of breathlessness in someone with chronic obstructive pulmonary disease (COPD), cystic fibrosis, or other serious lung diseases should therefore prompt investigations to identify the possibility of a pneumothorax. (wikipedia.org)
- In the literature, CPX is defined to be a recurrent pneumothorax occurring up to 24 h before or within 72 h after the onset of menstruation [ 4 , 6 ], and on the other hand, not necessarily appearing every month [ 7 ]. (intechopen.com)
- At the typical onset of pneumothorax, a piercing stabbing pain appears on the side of the affected lung, radiating into the arm, neck, and sternum. (medic-journal.com)
- In about a quarter of cases, spontaneous form has an atypical onset and develops gradually. (medic-journal.com)
- Spontaneous Pneumothorax sudden onset of air in the pleural space with deflation of the affected lung in the absence of trauma. (lifenurses.com)
Patients13
- A complete response was obtained in all patients with pneumothorax in both the iodopovidone and talc groups. (nih.gov)
- 104 BHD patients were recruited from the Rare Lung Diseases Clinic Network and the BHD Foundation , and surveyed about pneumothorax and air travel experiences. (bhdsyndrome.org)
- Spontaneous pneumothorax was the presenting manifestation that led to the diagnosis in 65% of patients, typically after the second episode. (bhdsyndrome.org)
- 76% of patients had at least one spontaneous pneumothorax during their lifetime , and 82% had multiple. (bhdsyndrome.org)
- Spontaneous pneumothorax was mainly diagnosed by chest radiograph, with computed tomographic imaging used as a diagnostic modality for the first episode in only 8 patients. (bhdsyndrome.org)
- 11 episodes of spontaneous pneumothorax occurred in 8 patients either during or within 24 hours of air travel. (bhdsyndrome.org)
- The recommendations that patients were given by physicians regarding the safety of air travel after spontaneous pneumothorax were variable and more than half of the patients were given no specific recommendations. (bhdsyndrome.org)
- A significant proportion of the patients were recruited from pulmonary clinics, representing an ascertainment bias, perhaps causing the higher prevalence of spontaneous pneumothorax (76%) observed in this study compared with the 24-38% previously reported in the literature. (bhdsyndrome.org)
- Complicated course of pneumothorax occurs in 50% of patients. (medic-journal.com)
- Spontaneous form occurs with relapses in almost half of patients. (medic-journal.com)
- Pazopanib, used in the treatment of sarcoma patients, is also a cause of pneumothorax. (archbronconeumol.org)
- American College of Chest Physicians (ACCP) recommends stable patients with pneumothorax get small bore and the unstable patient gets a small to moderate-sized chest tube. (rebelem.com)
- Digital versus analogue chest drainage system in patients with primary spontaneous pneumothorax: a randomized controlled trial. (medelahealthcare.com)
Lesions1
- Her older sisters have been treated for recurrent PSP but did not have skin lesions suspicious of fibrofolliculoma. (elsevierpure.com)
Episodes2
- PSPs more commonly occur during changes in atmospheric pressure, explaining to some extent why episodes of pneumothorax may happen in clusters. (wikipedia.org)
- The mean age at first and second pneumothorax was 36.5 and 37 years, respectively and the average number of recurrent episodes was 3.6. (bhdsyndrome.org)
Occurs3
- A primary spontaneous pneumothorax is one that occurs without an apparent cause and in the absence of significant lung disease. (wikipedia.org)
- Spontaneous pneumothorax occurs primarily without any apparent cause or underlying medical condition. (drgoodvet.com)
- Iatrogenic pneumothorax in dogs occurs due to medical procedures or interventions performed by a veterinarian or other medical professional. (drgoodvet.com)
Symptoms3
- A primary spontaneous pneumothorax (PSP) tends to occur in a young adult without underlying lung problems, and usually causes limited symptoms. (wikipedia.org)
- When we diagnosed pneumothorax, the patient symptoms are the driven factor for the treatment options. (iem-student.org)
- The severity of the symptoms of pneumothorax depends on the cause of the disease and the degree of compression of the lung. (medic-journal.com)
Subcutaneous1
- With spontaneous and especially valvular pneumothorax , subcutaneous and mediastinal emphysema may be observed. (medic-journal.com)
Tuberculosis2
- Smoking increases the risk of primary spontaneous pneumothorax, while the main underlying causes for secondary pneumothorax are COPD, asthma, and tuberculosis. (wikipedia.org)
- artificially induced pneumothorax - an artificial pneumothorax is applied for the treatment of pulmonary tuberculosis, for the purpose of diagnosis - during thoracoscopy. (medic-journal.com)
Shortness of bre1
- In a larger pneumothorax, or if there is shortness of breath, the air may be removed with a syringe or a chest tube connected to a one-way valve system. (wikipedia.org)
Acute1
- The development of spontaneous pneumothorax is usually acute: after an attack of coughing, physical effort, or for no apparent reason. (medic-journal.com)
Patient7
- It is important for the clinician to consider the possibility of a malignant mesothelioma when evaluating a patient with a pneumothorax. (medicalalgorithms.com)
- 1) The patient may present with either a spontaneous or recurrent pneumothorax or hydropneumothorax. (medicalalgorithms.com)
- The authors calculated a flight related pneumothorax risk of 8% per patient, and 0.12% per flight. (bhdsyndrome.org)
- This is very important "red flag" for a pneumothorax patient. (iem-student.org)
- New systemic treatment was planned for the patient for recurrent synovial sarcoma. (archbronconeumol.org)
- 1 However, in cases without an apparent cause, a young female patient with recurrent spontaneous pneumothorax should routinely be asked about the timing of the pneumothorax in relation to her menstrual periods. (pearls4peers.com)
- Herein, we describe a patient with recurrent pneumothorax, for whom we were able to use an intraoperative submersion test to identify a minute culprit lesion, because we performed surgery at the time air leakage was observed. (biomedcentral.com)
Chest cavity2
- Treatment of pneumothorax in dogs typically involves removing the accumulated air or gas from the chest cavity and stabilizing the lung to prevent further collapse. (drgoodvet.com)
- After a thorough examination, the vet diagnosed Bella with pneumothorax, a potentially life-threatening condition in which air accumulates in the chest cavity. (drgoodvet.com)
Typically1
- A small spontaneous pneumothorax will typically resolve without treatment and requires only monitoring. (wikipedia.org)
Chronic1
- Maurer ER, Schaal JA, Mendez FL: Chronic recurring spontaneous pneumothorax due to endometriosis of the diaphragm. (karger.com)
Lung collapse1
- A pneumothorax is a collection of gas in the pleural space that results in a variable amount of lung collapse on the affected side. (rcemlearning.co.uk)