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

Published: September 28, 2021
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Authors

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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Citations

Yasukawa K, Vamadevan A, Rollins R. Bulla formation and tension pneumothorax in a patient with COVID-19. Am J Trop Med Hyg 2020;103:943-4.
Al-Shokri SD, Ahmed AOE, Saleh AO, et al. Case Report: COVID-19-related pneumothorax-case series highlighting a significant complication. Am J Trop Med Hyg 2020;103:1166-9.
McGuinness G, Zhan C, Rosenberg N, et al. Increased incidence of barotrauma in patients with COVID-19 on invasive mechanical ventilation. Radiology 2020;297:E252-62.
Flower L, Carter J-PL, Lopez JR Henry AM. Tension pneumothorax in a patient with COVID-19. BMJ Case Rep 2020;13:e235861.
Nunna K, Braun AB. Development of a large spontaneous pneumothorax after recovery from mild COVID-19 infection. BMJ Case Rep 2021;14:e238863.

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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.

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