An active Indonesian male smoker with secondary spontaneous pneumothorax: A case report

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Abstract

Introduction: Secondary spontaneous pneumothorax (SSP) is a rare disease that accumulates air in the pleural cavity caused by complications from previous illnesses. Case presentation: An Indonesian male, 59 years old, complained of breathlessness and chest pain. The patient was examined for Mycobacterium tuberculosis and not detected. Chest X-ray and thorax high-resolution computer tomography (HRCT) scan showed SSP and centrilobular emphysema in the left hemithorax. The patient underwent water seal drainage (WSD) installation on the left lung and experienced improvement and was followed up every month in the outpatient clinic. Clinical discussion: Diagnosis of SSP is based on age, gender, smoker, and radiological description. WSD installation in the left lung showed improvement and did not experience recurrence because several cases were reported to have been repaired without surgery. Conclusion: Conservative management is the first recommendation in the SSP case if it increases the prognosis without surgery.

Original languageEnglish
Article number100640
JournalInternational Journal of Surgery Open
Volume56
DOIs
Publication statusPublished - Jul 2023
Externally publishedYes

Keywords

  • Case report
  • Chest tube
  • Chronic respiratory disease
  • Pneumothorax

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