Definition: “Pneumothorax : is an abnormal collection of air or gas in the pleural space separating the lung from the chest wall, causing the lungs to collapse.” 4
Types : Spontaneous pneumothorax: Primary: It occurs in young healthy individuals without underlying lung disease . It is due to rupture of apical sub-pleural bleb . Secondary: occurs in the presence of pre-existing lung pathology. Ex : Cystic lung disease ,COPD, LUNG CANCER & T.B 5
Cont. Traumatic pneumothorax: Open: Chest wall is damaged by any wound --outside air enters pleural space and causes lungs to collapse. Closed: here chest wall is punctured or air leaks from a ruptured bronchus Iatrogenic : Ex. Postoperative Mechanical ventilation , Thoracocentesis & Central venous cannulation . 6
7 Clinical Features:
Diagnosis – Chest Xray The characteristics of pneumothorax Pleural line No lung markings in pneumothorax 8
CT Scanning A further use of CT is in the identification of underlying lung lesions 9
Treatment : Goals : To promote lung expansion. To eliminate the pathogenesis. To decrease pneumothorax recurrence. Treatment options : Simple aspiration Intercostal tube drainage Surgical treatment 10