Radiologically Guided Management of Secondary Spontaneous Pneumothorax
Secondary spontaneous pneumothorax is a serious medical condition that typically occurs in patients with an underlying lung pathology such as chronic obstructive pulmonary disease. Those patients are usually compromised and more amenable to higher morbidity and mortality rates. Moreover, they are po...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-07-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043320300807 |
| _version_ | 1828415482701545472 |
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| author | Yasser Aljehani Arwa Alshamekh Abdullah A AlQatari |
| author_facet | Yasser Aljehani Arwa Alshamekh Abdullah A AlQatari |
| author_sort | Yasser Aljehani |
| collection | DOAJ |
| description | Secondary spontaneous pneumothorax is a serious medical condition that typically occurs in patients with an underlying lung pathology such as chronic obstructive pulmonary disease. Those patients are usually compromised and more amenable to higher morbidity and mortality rates. Moreover, they are poor candidates for general anesthesia and mechanical ventilation due to their poor health condition. We report a case of an 86-year-old male, who presented with a non-ST-elevation myocardial infarction and was incidentally found to have secondary spontaneous pneumothorax on a routine chest x-ray. The results of his blood work, international normalized ratio and liver function test were abnormal. Therefore, a novel intervention was introduced to control the air-leak by injecting a sealant material (Progel™, Warwick, Rhode Island, USA) through a thoracostomy tube guided by computed tomography fluoroscopy. The procedure was demonstrated to be a successful method of air-leak repair with minimal complications; as the patient was followed for two and a half years without any evidence of recurrence. |
| first_indexed | 2024-12-10T13:45:39Z |
| format | Article |
| id | doaj.art-e691d5dcccb84201ac132e2ec817517a |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-10T13:45:39Z |
| publishDate | 2020-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-e691d5dcccb84201ac132e2ec817517a2022-12-22T01:46:28ZengElsevierRadiology Case Reports1930-04332020-07-0115711151118Radiologically Guided Management of Secondary Spontaneous PneumothoraxYasser Aljehani0Arwa Alshamekh1Abdullah A AlQatari2Corresponding author.; Thoracic Surgery Division, Department of Surgery, King Fahad Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaThoracic Surgery Division, Department of Surgery, King Fahad Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaThoracic Surgery Division, Department of Surgery, King Fahad Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaSecondary spontaneous pneumothorax is a serious medical condition that typically occurs in patients with an underlying lung pathology such as chronic obstructive pulmonary disease. Those patients are usually compromised and more amenable to higher morbidity and mortality rates. Moreover, they are poor candidates for general anesthesia and mechanical ventilation due to their poor health condition. We report a case of an 86-year-old male, who presented with a non-ST-elevation myocardial infarction and was incidentally found to have secondary spontaneous pneumothorax on a routine chest x-ray. The results of his blood work, international normalized ratio and liver function test were abnormal. Therefore, a novel intervention was introduced to control the air-leak by injecting a sealant material (Progel™, Warwick, Rhode Island, USA) through a thoracostomy tube guided by computed tomography fluoroscopy. The procedure was demonstrated to be a successful method of air-leak repair with minimal complications; as the patient was followed for two and a half years without any evidence of recurrence.http://www.sciencedirect.com/science/article/pii/S1930043320300807Air leakLung sealantProgel™Secondary spontaneous pneumothoraxIntervention radiology |
| spellingShingle | Yasser Aljehani Arwa Alshamekh Abdullah A AlQatari Radiologically Guided Management of Secondary Spontaneous Pneumothorax Radiology Case Reports Air leak Lung sealant Progel™ Secondary spontaneous pneumothorax Intervention radiology |
| title | Radiologically Guided Management of Secondary Spontaneous Pneumothorax |
| title_full | Radiologically Guided Management of Secondary Spontaneous Pneumothorax |
| title_fullStr | Radiologically Guided Management of Secondary Spontaneous Pneumothorax |
| title_full_unstemmed | Radiologically Guided Management of Secondary Spontaneous Pneumothorax |
| title_short | Radiologically Guided Management of Secondary Spontaneous Pneumothorax |
| title_sort | radiologically guided management of secondary spontaneous pneumothorax |
| topic | Air leak Lung sealant Progel™ Secondary spontaneous pneumothorax Intervention radiology |
| url | http://www.sciencedirect.com/science/article/pii/S1930043320300807 |
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