DIAGNOSTICS METHODS EFFICIENCY IN DETECTION AND SURGICAL TREATMENT CONTROL OF PRIMARY SPONTANEOUS PNEUMOTHORAX


 

Pavlov Yu.V., Serova N.S., Rybin V.K., Karpova R.V., Shekhter A.I., Pavlova O.Yu.

 

 

This clinical observation emphasizes the importance of a clear interaction between radiologists and surgeons within the treatment of primary spontaneous pneumothorax. Materials and methods. Patient A, 15 years old, was admitted to the thoracic department of the Faculty Surgery Clinic of the Sechenov University with complaints of dry cough, constant pain, uncomfortable sensations and edema in the left chest half, dyspnoea within physical exercises. Results. Based on the patient's complaints, the history of the present disease, data of subjective and objective investigation methods, the patient was diagnosed with a spontaneous primary left-sided pneumothorax complicated by the growing intermuscular emphysema. Controled by X-ray, the patient’s pleural cavity was drained with subsequent air aspiration. Conclusion. The observation confirms the high information value of radiology diagnostic methods: thoracic X-ray and computed tomography. These methods allowed checking the effectiveness of each treatment stage, to diagnose such complication of primary spontaneous pneumothorax - increasing intermuscular emphysema and timely performing adequate surgical treatment.

Sechenov University. Moscow, Russia.


 

 

Keywords: X-ray, MSCT, primary spontaneous pneumothorax, intermuscular emphysema.

 

 

Corresponding author: Pavlov Yu.V., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

 

For citation: Pavlov Yu.V., Serova N.S., Rybin V.K., Karpova R.V., Shekhter A.I., Pavlova O.Yu. Diagnostics methods efficiency in detection and surgical treatment control of primary spontaneous pneumothorax. REJR 2018; 8(2):234-238. DOI:10.21569/2222-7415-2018-8-2-234-238.

Received: 26.02.2018 Accepted: 24.03.2018