Secondary Spontaneous Pneumothorax (SSP) with Bronchopleural Fistula in A Patient with COPD
The aim of this article is to report a case of secondary spontaneous pneumothorax (SSP) with bronchopleural fistula in a patient with chronic obstructive pulmonary disease (COPD). SSP is a common life threatening complication in a patient with COPD and usually creates confusion in the mind of the...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/5807/13265_CE[Ra]_F(P)_PF1(NJAK)_PFA(P)_PF2(PAG)_u.pdf |
| Summary: | The aim of this article is to report a case of secondary spontaneous pneumothorax (SSP) with bronchopleural fistula in a patient with
chronic obstructive pulmonary disease (COPD). SSP is a common life threatening complication in a patient with COPD and usually
creates confusion in the mind of the treating physician during an episode of acute exacerbation of COPD. A 52-year-old male presented
with a three day history of dry cough and breathing difficulty. He had a history of COPD. A large pneumothorax on the left side was
confirmed after chest X-ray. Tube thoracostomy was performed which showed a persistent air-leak suggesting a bronchopleural fistula.
The patient was treated conservatively with patience and the leak sealed spontaneously. The patient recovered uneventfully. This case
emphasizes that SSP should be considered in the differential diagnosis of patients having a history of long-term COPD who are in a
relatively stable condition with non- critical respiratory distress and the importance of conducting a chest X-ray along with repeated
clinical examination in a patient of COPD who does not improve with adequate therapy. |
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| ISSN: | 2249-782X 0973-709X |