Thorac Cardiovasc Surg 2000; 48(2): 107-109
DOI: 10.1055/s-2000-9943
Case Report
© Georg Thieme Verlag Stuttgart · New York

Chronic Spontaneous Pneumothorax Decortication after 130 Days

A. S. Böhle, R. Kurdow, P. Dohrmann
  • Department of General Surgery and Thoracic Surgery, Christian-Albrechts University Hospital, Kiel, Germany
Further Information

Publication History

Publication Date:
31 December 2000 (online)

The case of a 21-year-old male with neglected and protacted spontaneous pneumothorax is reported. Video-assisted thoracoscopy after 130 days showed the lung to be trapped solely by a thick pleurovisceral membrane, which required open surgical decortication. Chronic pneumothorax is a rare complication of spontaneous pneumothorax. This is the second report on a chronic pneumothorax solely due to a pleurovisceral membrane and the longest reported interval until decortication.

References

  • 1 Melton L J, Hepper N G, Offord K P. Incidence of spontaneous pneumothorax in Olmstedt County, Minnesota: 1950 - 1974.  Am Rev Respir Dis.. 1979;  120 1379-82
  • 2 Athanassiadi K, Kalavrouziotis G, Loutsidis A, Hatzimichalis A, Bellenis I, Exarchos N. Surgical treatment of spontaneous pneumothorax: ten-year experience.  World J Surg.. 1998;  22 803-6
  • 3 Agostoni E. Mechanics of the pleural space.  Physiol Rev.. 1972;  52 57-128
  • 4 Wait M A, Estrera A. Changing clinical spectrum of spontaneous pneumothorax.  Am J Surg.. 1992;  164 528-31
  • 5 O'Rourke J P, Yee E S. Civilian spontaneous pneumothorax: treatment and long-term results.  Chest.. 1989;  96 1302-6
  • 6 Rieger R, Woisetschläger R, Schrenk P, Wayand W. Thoracoscopic bleb resection selectively combined with pleurectomy for complicated spontaneous pneumothorax.  Eur J Surg.. 1998;  164 333-8
  • 7 Massard G, Thomas P, Wihlm J M. Minimally invasive management for first and recurrent pneumothorax.  Ann Thorac Surg.. 1998;  66 592-8
  • 8 Svane S. Chronic spontaneous pneumothorax due solely to a pleurovisceral membrane.  Scand J Thor Cardiovasc Surg.. 1979;  13 169-71

Received for Publication: March 4, 1999

Dr. med. Arnd Steffen Böhle

Department of General Surgery and Thoracic Surgery Christian-Albrechts-University Hospital

Arnold-Heller-Straße 7

24105 Kiel

Germany

Phone: +49(0)431 597 4586

Email: boehle@surgery.uni-kiel.de