Pneumothorax can be either primary with apparently normal lung parenchyma or secondary when associated with an underlying pathology. Primary spontaneous pneumothorax is idiopathic occurring in young healthy adults and adolescents; however, a causative aetiology should be suspected if encountered in younger children or recurring after surgical intervention. In older adults, it is invariably secondary to chronic obstructive pulmonary disease (COPD). Although, significant radiological investigations are considered unnecessary after its identification on chest X-ray in young healthy individuals, it may be necessary to investigate selected cases and children with CT scan of thorax. Surgical thoracoscopic intervention is both diagnostic and therapeutic and gives good outcomes if combined with parietal pleurectomy.
KeywordsSpontaneous pneumothorax Sub-pleural blebs Apical bullae Tension pneumothorax Marfan’s syndrome Emphysema Pleurodesis Pleurectomy Cystic fibrosis Acquired immune deficiency syndrome
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