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16 de abril

2020, Number 277

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16 de abril 2020; 59 (277)

Recurrent spontaneous pneumothorax despite multiple surgical interventions

Cárdenas VCA, Ramos CAE, Aranda AJ

Language: Spanish
References: 10
Page: 1-4
PDF size: 225.45 Kb.


ABSTRACT

Introduction: The secondary spontaneous pneumothorax is the presence of air in the pleural space caused by diseases of the lung parenchyma. Although many patient resolve in less than 2 weeks of conservative treatment, a recurrence rate is estimated between 40-56%. Case Report: It is presented a 70-year-old woman, smoker, with a history of chronic obstructive pulmonary disease and having been subject to 3 minimum pleurostomies who was attended in Abel Santamaría Cuadrado Surgical Clinical Hospital, with dyspnea and pain at the tip of the side in the left hemithorax of three days of evolution. Spontaneous pneumothorax secondary to COPD was diagnosed, Low Minimum Pleurostomy was performed and one week later, thoracotomy. In the surgery room, he is treated with bronchodilators, antibiotic therapy and treatment of underlying diseases. Before a new picture of respiratory insufficiency it became necessary to intervene again surgically. Conclusions: pneumothorax is a condition that can deteriorate the patient’s health in a short time. Acting quickly and accurately constitutes a cornerstone in patients`survival. The possibility of recurrence must always be taken into account.


REFERENCES

  1. Noya Chaveco ME, Moya Lorenzo NL. Neumotórax espontáneo. Roca Goderich Temas de Medicina Interna Tomo I, 5tª edición. La Habana: Editorial Ciencias Médicas; 2017. p. 265- 267

  2. Diagnóstico y tratamiento del Neumotórax Espontáneo. México: Secretaría de Salud, 2010. Disponible en: www.cenetec.salud.gob.mx/interior/gpc.html

  3. Pinargo Guaygua MS. Análisis de caso clínico sobre: Neumotórax espontáneo secundario a bulla enfisematosa [en línea]. 2018. Ambato, Ecuador. Disponible en: http://repo.uta.edu.ec/bitstream/123456789/27956/2/Michael%20Pinargo.pdf

  4. Saínz Menéndez BA. Actualización sobre neumotórax. Revista Cubana de Cirugía [Internet] 2013 [citado 15 Septiembre 2018]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932013000100009

  5. Parreño Buedo D, Gerónico-Pardo M. Neumotórax persistente a pesar de la colocación de varios tubos de drenaje pleural. Rev Elect AnestesiaR [Internet] 2017 [citado 29 Septiembre 2018]; Vol. 9(7): 2. Disponible en: https://anestesiar.org/2017/neumotorax-persistente-pesar-la-colocacion-varios-tubos-drenaje-pleural/

  6. Álvarez MF, Ramírez Quintero JD, Mejía SA. Neumonía y neumotórax espontáneo por tuberculosis. Acta Médica Colombiana 2016 Vol. 41(1). Disponible en: http://www.scielo.org.co/pdf/amc/v41n1/0120-2448-amc-41-01-00062.pdf

  7. Nason KS, Maddaus MA, Luketich JD. Pared torácica, pulmón, mediastino y pleura. Charles Brunicardi F. En: Schwartz Principios de Cirugía 10ma edición. McGraw-Hill Interamericana Editores; 2015. p. 650.

  8. Porcel JM. El médico en las situaciones urgentes. Neumotórax espontáneo. Medicina Integral [Internet] 2001 [citado 15 Mar 2018]; 38(1) p.3-7. Disponible en: http://www.elsevier.es/es-revista-medicina-integral-63-articulo-neumotorax-espontaneo-13015301

  9. González-Hermosillo-Cornejo D, Díaz-Girón-Gidi A, Vidal-Tamayo R. Neumotórax espontáneo primario, revisión de la literatura. Rev Invest Med Sur Mex, [Internet] Enero-Marzo 2015 [citado 15 Mar 2018]; 22 (1): 19-26. Disponible en: http://www.medigraphic.com/pdfs/medsur/ms-2015/ms151c.pdf

  10. Bobbio A, Dechartres A, Bouam S, et al. Epidemiology of spontaneous pneumothorax: gender-related differences. Thorax [internet] 2015; [citado 5 Octubre 2018]; 0:1–6. DOI: 10.1136/thoraxjnl-2014-206577




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