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

Published: September 28, 2021
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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.



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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 92 (1). https://doi.org/10.4081/monaldi.2021.1956.