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Pneumothorax in pulmonary eosinophilic granuloma
Canadian Medical Association Journal
|April 20, 1974
Summary
Pulmonary eosinophilic granuloma can cause recurrent spontaneous pneumothorax. Aggressive surgical management including pleurodesis and biopsy is recommended for these challenging cases.
Area of Science:
- Pulmonology
- Thoracic Surgery
Background:
- Pulmonary eosinophilic granuloma (EG) is a rare disease.
- Spontaneous pneumothorax is a potential complication of EG.
Purpose of the Study:
- To describe the clinical presentation and management of two patients with EG and spontaneous pneumothorax.
- To recommend a management strategy for recurrent pneumothorax in EG patients.
Main Methods:
- Case report of two patients with pulmonary EG.
- Description of clinical course, including prolonged air leak and recurrent pneumothorax.
- Surgical intervention details: thoracotomy and pleurodesis.
Main Results:
- Both patients experienced prolonged air leak and pneumothorax recurrence after initial treatment.
- One patient presented with simultaneous bilateral and near-complete pneumothorax.
- Successful management involved aggressive pleurodesis.
Conclusions:
- Spontaneous pneumothorax in pulmonary EG can be complicated by prolonged air leak and recurrence.
- Aggressive thoracotomy with total pleurodesis is recommended to prevent recurrence.
- Lung biopsy during thoracotomy is advised for all recurrent pneumothorax cases.
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