Iatrogenic Pneumothorax with Subsequent Subcutaneous Emphysema.
St. Petersburg General Hospital
hemoptysis, lung cancer, pneumothorax, subcutaneous emphysema
Medicine and Health Sciences | Pulmonology | Respiratory Tract Diseases
This presentation reports a case of a 67-year-old former smoker who presented to the emergency department with new-onset hemoptysis. During the workup, a left lung mass was identified. During the biopsy, he experienced a pneumothorax. The procedure had to be aborted, and a small-sized chest tube was placed. The following day, the patient underwent a successful second lung biopsy, but a day later he developed significant subcutaneous emphysema despite having a chest tube. The same day, the smaller chest tube was removed and a larger chest tube was inserted. While small chest tubes are preferred for patient comfort, in some patients with risk factors, a large chest tube is recommended. Over the course of a few days, the emphysema improved.
Publisher or Conference
Yuschak E, Michael G, Lanza J, Haq F. Iatrogenic Pneumothorax with Subsequent Subcutaneous Emphysema. Cureus. 2019;11(12):e6480. Published 2019 Dec 27. doi:10.7759/cureus.6480