Full medical treatment of COVID-19 associated large pneumothorax - A case report



  • Alberto Fantin | alberto.fantin@asufc.sanita.fvg.it Department of Pulmonology, University Hospital of Udine (ASUFC), Udine, Italy. https://orcid.org/0000-0002-5707-775X
  • Nadia Castaldo Department of Pulmonology; Department of Infectious Disease, University Hospital of Udine (ASUFC), Udine, Italy.
  • Paolo Vailati Department of Pulmonology, University Hospital of Udine (ASUFC), Udine, Italy.
  • Giuseppe Morana Department of Pulmonology, University Hospital of Udine (ASUFC), Udine, Italy.
  • Vincenzo Patruno Department of Pulmonology, University Hospital of Udine (ASUFC), Udine, Italy. https://orcid.org/0000-0001-6984-3936


A 52-year-old man was re-admitted two weeks after recovering from severe COVD-19 following a 3-days history of cough and worsening shortness of breath. The chest radiograph showed a large right-sided pneumothorax. The first attempt at drainage, performed through a large bored tube, failed. Due to the large dimension of the pneumothorax, and the lung condition (extensive consolidation and diffuse bullous dystrophies), the only thoracic surgical approach prospected was a pneumonectomy. Willing to preserve the lung, the pulmonology team attempted a multi-phase medical-oriented strategy based on medical thoracoscopy. Therefore, the patient underwent 5 chest tube insertions, 2 talc pleurodesis, and an intrapleural blood patch. Air leakage resolution was progressively achieved, and the patient became asymptomatic.

            We strongly encourage a medical thoracoscopic approach for the patient presenting with recurrent pneumothorax in order to ensure complete lung re-expansion and preserve lung parenchyma.



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Pneumology - Case Reports
Supporting Agencies
pneumothorax, covid-19, sars-cov2, thoracoscopy, pleural, drainage
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How to Cite
Fantin, Alberto, Nadia Castaldo, Paolo Vailati, Giuseppe Morana, and Vincenzo Patruno. 2021. “Full Medical Treatment of COVID-19 Associated Large Pneumothorax - A Case Report”. Monaldi Archives for Chest Disease, September. https://doi.org/10.4081/monaldi.2021.1956.