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Requirement of interventional treatment in a patient being conservatively managed for persistent pneumothorax over a prolonged period
- Source :
- BMJ case reports. 14(7)
- Publication Year :
- 2023
-
Abstract
- An 85-year-old ex-smoker being managed conservatively over 2 years for a small right apical pneumothorax presented to the respiratory clinic with suddenly worsening shortness of breath and chest pain. A chest radiograph demonstrated sudden deterioration in the size of his pneumothorax. Previous CT scans had found emphysematous cystic changes within the lungs, and his new presentation warranted definitive surgical intervention with a right bullectomy and talc pleurodesis through a video-assisted thoracoscopic surgery procedure. The patient made a good recovery and was discharged from clinic a year later. This case demonstrates the importance of follow-up in patients with unresolved pneumothoraces due to the potential for sudden deterioration, and highlights the significance of respecting patient involvement and autonomy in the decision-making process.
- Subjects :
- medicine.medical_specialty
Chest Pain
Chest pain
03 medical and health sciences
0302 clinical medicine
Surgery procedure
Recurrence
Medicine
Persistent pneumothorax
Humans
In patient
030212 general & internal medicine
Pleurodesis
Aged, 80 and over
Interventional treatment
medicine.diagnostic_test
business.industry
Thoracic Surgery, Video-Assisted
Pneumothorax
General Medicine
medicine.disease
Surgery
Talc
medicine.symptom
Presentation (obstetrics)
business
Chest radiograph
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 14
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- BMJ case reports
- Accession number :
- edsair.doi.dedup.....125a9b53eb8900f067dc7f958e3d1557