Correlating Radiology with Thoracoscopic Findings in a Case of Primary Spontaneous Pneumothorax in a Child

AUTHORS

Rakesh Kumar Thakur 1 , * , Anies Mahomed 1

1 Department of Pediatric Surgery, Royal Alexandra Childrens Hospital, [email protected], UK

How to Cite: Kumar Thakur R, Mahomed A. Correlating Radiology with Thoracoscopic Findings in a Case of Primary Spontaneous Pneumothorax in a Child, J Minim Invasive Surg Sci. Online ahead of Print ; 2(3):31-4.

ARTICLE INFORMATION

Journal of Minimally Invasive Surgical Sciences: 2 (3); 31-4
Published Online: June 29, 2013
Article Type: Case Report
Received: May 22, 2012
Accepted: July 26, 2012
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Abstract

Background: Spontaneous pneumothorax hardly occurs in healthy children. Diagnosing its etiology can be difficult. Chest X ray and Computerized Tomographic scan (CT) are useful investigations but have limitations. CT scan in combination with video assisted thoracoscopic surgery (VATS) improves diagnostic accuracy and facilitates appropriate management of non-resolving spontaneous pneumothorax. Showcased are images demonstrating how effectively CT complements video assisted thoracoscopic surgery (VATS) in managing a recalcitrant case of spontaneous pneumothorax caused by a solitary bulla.

Objectives: A 15 year old boy presented to the referring hospital with a right sided spontaneous pneumothorax which occurred whilst playing football

Case report: A 15 year old boy presented to the referring hospital with a right sided spontaneous pneumothorax which occurred whilst playing football. His symptoms were shortness of breath and right pleurisy chest pain. His oxygen saturations were more than 95% on air. A needle aspiration was performed yielding 2300mls of air, however the pneumothorax persisted.

Conclusions: In cases of pontaneous pneumothorax, Chest X ray and Computerised Tomographic scan have limitations. CT scan in combination with video assisted thoracoscopic surgery improves diagnostic accuracy and facilitates appropriate management of non-resolving spontaneous pneumothorax.

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© 2013, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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