Spontaneous Pneumothorax

  • Maninder Singh Kalkat


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.


Spontaneous pneumothorax Sub-pleural blebs Apical bullae Tension pneumothorax Marfan’s syndrome Emphysema Pleurodesis Pleurectomy Cystic fibrosis Acquired immune deficiency syndrome 


  1. 1.
    Melton LJ III, Hepper NG, Offord KP. Incidence of spontaneous pneumothorax in Olmsted County, Minnesota: 1950 to 1974. Am Rev Respir Dis. 1979;120:1379–82.PubMedGoogle Scholar
  2. 2.
    Bense L, Eklund G, Wiman LG. Smoking and the increased risk of contracting. Spontaneous pneumothorax. Chest. 1987;92:1009–12.CrossRefPubMedGoogle Scholar
  3. 3.
    Gobbell WG, Rhea WG, Nelson IA, Daniel RA. Spontaneous pneumothorax. J Thorac Cardiovasc Surg. 1963;46:331.Google Scholar
  4. 4.
    Gupta D, Hansell A, Nichols T, et al. Epidemiology of pneumothorax in England. Thorax. 2000;55:666–71.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Davies HE, Davies RJ, Davies CW, BTS Pleural Disease Guideline Group. Management of pleural infection in adults: British Thoracic Society pleural disease guideline 2010. Thorax. 2010;65(Suppl 2):ii41–53.CrossRefPubMedGoogle Scholar
  6. 6.
    Baldt MM, Bankier AA, Germann PS, et al. Complications after emergency tube thoracostomy: assessment with CT. Radiology. 1995;195:539–43.CrossRefPubMedGoogle Scholar
  7. 7.
    Soccorso G, Anbarasan R, Singh M, Lindley RM, Marven SS, Parikh DH. Management of large primary spontaneous pneumothorax in children: radiological guidance, surgical intervention and proposed guideline. Pediatr Surg Int. 2015;31(12):1139–44.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Birmingham Heartlands HospitalBirminghamUK

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