Related Experiment Video
Updated: Jul 11, 2026
07:29
The Left Pneumonectomy Combined with Monocrotaline or Sugen as a Model of Pulmonary Hypertension in Rats
Published on: March 8, 2019
A spontaneous pneumothorax in a "buffalo chest".
Anabela Marinho1, Beatriz Lima, Idalina Araújo
1Interna Complementar de Pneumologia do Hospital de S. João, 4202-451 Porto, Portugal. a.n.marinho@tvtel.pt
Revista Portuguesa De Pneumologia
|September 28, 2007
Summary
Spontaneous pneumothorax after pneumonectomy is rare and challenging. Chemical pleurodesis with talc slurry offers a viable, less invasive treatment option for managing air leaks in high-risk patients.
Area of Science:
- Thoracic Surgery
- Pulmonology
- Critical Care Medicine
Background:
- Spontaneous contralateral pneumothorax post-pneumonectomy is a rare clinical entity.
- Diagnosis requires a high index of suspicion due to potential diagnostic challenges.
- Management is complex, especially when surgical intervention poses significant risks.
Observation:
- A 21-year-old female presented with spontaneous pneumothorax in her single remaining lung.
- Initial chest X-ray interpretation was complicated by a "buffalo chest" deformity.
- The patient exhibited a significant air leak without complete pulmonary expansion, deeming thoracic surgery high-risk.
Findings:
- Chemical pleurodesis using talc slurry was administered via a thoracic drain.
- This intervention led to the eventual resolution of the pneumothorax and air leak.
- Bronchopleural fistula resolution was facilitated by talc slurry, even without complete lung expansion.
Implications:
- Chemical pleurodesis with talc slurry can be a safe and effective alternative to surgery in select high-risk patients.
- This approach offers a less invasive management strategy for spontaneous pneumothorax post-pneumonectomy.
- The findings suggest talc pleurodesis can be beneficial even when full lung expansion is not achieved.
Related Concept Videos
01:26Pneumothorax-I
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
01:27Pneumothorax-II
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
01:08Pneumothorax II: Pathophysiology
Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance between...
01:24Flail Chest-I
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
01:13Pleura of the Lungs
The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History: