A case of missed giant bullae emphysema diagnosed as pneumothorax
We report a case of a giant bullous emphysema misdiagnosed as a pneumothorax. A 18-year-old chronic smoker presented with right sided chest pain and dyspnoea. Initial respiratory rate was 35 /min, blood pressure was 136/90 mmHg, heart rate 80/min and SpO2 was 98% on room air. Clinical examination re...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2017
|
| Online Access: | http://journalarticle.ukm.my/11868/1/10_ong_et_al_pdf_12444.pdf |
| _version_ | 1796931567932669952 |
|---|---|
| author | Ong, SF Nik Azlan Nik Muhamad, |
| author_facet | Ong, SF Nik Azlan Nik Muhamad, |
| author_sort | Ong, SF |
| collection | UKM |
| description | We report a case of a giant bullous emphysema misdiagnosed as a pneumothorax. A 18-year-old chronic smoker presented with right sided chest pain and dyspnoea. Initial respiratory rate was 35 /min, blood pressure was 136/90 mmHg, heart rate 80/min and SpO2 was 98% on room air. Clinical examination revealed reduced right air entry and left trachea deviation. Chest X-ray helped to arrive at a diagnosis of pneumothorax. Needle aspiration was then performed followed by a chest tube thoracostomy because of no improvement. Massive amount of blood was drained and patient deteriorated further. CT thorax revealed a right haemopneumothorax with multiple bullaes. Patient was rushed to OT for emergency thoracotomy for stapling of the ruptured bullae. Giant bullous emphysema can mimic pneumothorax and physician must be vigilant if draining a suspected pneumothorax. |
| first_indexed | 2024-03-06T04:19:54Z |
| format | Article |
| id | ukm.eprints-11868 |
| institution | Universiti Kebangsaan Malaysia |
| language | English |
| last_indexed | 2024-03-06T04:19:54Z |
| publishDate | 2017 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| record_format | dspace |
| spelling | ukm.eprints-118682018-07-10T04:28:47Z http://journalarticle.ukm.my/11868/ A case of missed giant bullae emphysema diagnosed as pneumothorax Ong, SF Nik Azlan Nik Muhamad, We report a case of a giant bullous emphysema misdiagnosed as a pneumothorax. A 18-year-old chronic smoker presented with right sided chest pain and dyspnoea. Initial respiratory rate was 35 /min, blood pressure was 136/90 mmHg, heart rate 80/min and SpO2 was 98% on room air. Clinical examination revealed reduced right air entry and left trachea deviation. Chest X-ray helped to arrive at a diagnosis of pneumothorax. Needle aspiration was then performed followed by a chest tube thoracostomy because of no improvement. Massive amount of blood was drained and patient deteriorated further. CT thorax revealed a right haemopneumothorax with multiple bullaes. Patient was rushed to OT for emergency thoracotomy for stapling of the ruptured bullae. Giant bullous emphysema can mimic pneumothorax and physician must be vigilant if draining a suspected pneumothorax. Pusat Perubatan Universiti Kebangsaan Malaysia 2017 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/11868/1/10_ong_et_al_pdf_12444.pdf Ong, SF and Nik Azlan Nik Muhamad, (2017) A case of missed giant bullae emphysema diagnosed as pneumothorax. Medicine & Health, 12 (1). pp. 90-93. ISSN 2289-5728 http://www.medicineandhealthukm.com/toc/12/1 |
| spellingShingle | Ong, SF Nik Azlan Nik Muhamad, A case of missed giant bullae emphysema diagnosed as pneumothorax |
| title | A case of missed giant bullae emphysema diagnosed as pneumothorax |
| title_full | A case of missed giant bullae emphysema diagnosed as pneumothorax |
| title_fullStr | A case of missed giant bullae emphysema diagnosed as pneumothorax |
| title_full_unstemmed | A case of missed giant bullae emphysema diagnosed as pneumothorax |
| title_short | A case of missed giant bullae emphysema diagnosed as pneumothorax |
| title_sort | case of missed giant bullae emphysema diagnosed as pneumothorax |
| url | http://journalarticle.ukm.my/11868/1/10_ong_et_al_pdf_12444.pdf |
| work_keys_str_mv | AT ongsf acaseofmissedgiantbullaeemphysemadiagnosedaspneumothorax AT nikazlannikmuhamad acaseofmissedgiantbullaeemphysemadiagnosedaspneumothorax AT ongsf caseofmissedgiantbullaeemphysemadiagnosedaspneumothorax AT nikazlannikmuhamad caseofmissedgiantbullaeemphysemadiagnosedaspneumothorax |