• Nisar Khan
  • Huma Jadoon
  • Munawar Zaman
  • Aqeel Subhani
  • Abdur Rab Khan
  • Mian Ihsanullah


Background: Primary spontaneous pneumothorax is a common clinical problem and its incidence isthought to be increasing. This study was conducted to see the frequency, aetiology, presentation andmanagement outcomes of pneumothorax in patients presenting at Pulmonology unit, Ayub TeachingHospital, Abbottabad, Pakistan. Methods: Pneumothorax patients reporting at the Pulmonology unit ofAyub Teaching Hospital, Abbottabad from 2002 to December 2008 were included in the study. Patientsof all ages were included. They were admitted and followed up to the full recovery. Results: A total of195 pneumothorax patients reported during this period. Majority of the patients were diagnosed to havepneumothorax due to pulmonary tuberculosis making about 36.92% of the total cases. Second mostcommon cause was primary spontaneous pneumothorax (21.53%). COPD were also sizeable at 8.71%.Other causes included Bacterial infections, Asthma, iatrogenic, interstitial lung disease, bronchiectasisand Trauma. Conclusion: It was concluded from this study that pulmonary tuberculosis is thecommonest cause of pneumothorax in our setup.Keywords: Primary spontaneous Pneumothorax (PSP), Secondary spontaneous Pneumothorax (SSP),Tuberculosis, Pulmonary, Lung diseases, Obstructive.


Light RW. Pneumothorax. In: Pleural diseases. 3rd ed.

Baltimore: Williams and Wilkins, 1995. p.242–77.

Laennec RTH. De l’auscultation médiate ou Traité du

Diagnostic des Maladies des Poumon et du Coeur. 1st ed.

Paris: Brosson & Chaudé; 1819.

Kjaergard H. Spontaneous pneumothorax in the apparently

healthy. Acta Med Scand 1932;43(Suppl):1–159.

Baumann M H, Strange C. Treatment of spontaneous

pneumothorax. Chest 1997;112:789–804.

Miller AC, Harvey JE. Guidelines for the management of

spontaneous pneumothorax. BMJ 1993;307:114–6.

Melton LJ, Hepper NCG, Offord KP. Incidence of

spontaneous pneumothorax in Olmsted County, Minnesota:

–1974. Am Rev Respir Dis 1979;29:1379–82.

Bense L, Wiman LG, Hedenstierna G. Onset of symptoms in

spontaneous pneumothorax: correlations to physical

activity. Eur J Respir Dis 1987;71:181–6.

Donahue DM, Wright CD, Viale G, Mathisen DJ. Resection

of pulmonary blebs and pleurodesis for spontaneous

pneumothorax. Chest 1993;104:1767–9.

Lesur O, Delorme N, Frogamet JM, Bernadac P, Polu JM.

Computed tomography in the aetiological assessment of

idiopathic spontaneous pneumothorax. Chest 1990;98:341–7.

Bense L, Eklund G, Wiman LG. Smoking and the increased

risk of contracting pneumothorax. Chest 1987;92:1009–12.

Khan N, Wazir MS, Yasin M, Mohammad J, Javed A.

Etiology, presentation and management outcome of

pneumothorax. J Ayub Med Coll Abbottabad 2005;17(1):62–4.

National Tuberculosis Control Programme. Pakistan ranks

th amongst the countries with a highest burden of TB in the

world. Available from:

Light RW. Pneumothorax. In: Light-RW (ed). Pleural

diseases. Philadelphia: Lea and Febiger;1990.p. 237–62.

Shigeru T, Kikan N, Shokudoka, Kaiho G. Smoking and COPD.

J Japan Broncho-esophagological Soc 2005;56(5):410–6.

Ahmad K, Jaffery F, Jehan I Hatcher J, Khan AQ, Chaturvedi

N, et al. Prevalence and predictors of smoking in Pakistan:

results of the National Health Survey of Pakistan. Eur J

Cardiovasc Prev Rehabil, 2005;12(3):203–8.

Light RW. Veterans Administration Medical Center, Long

Beach, and University of California, Irvine, California. Am

Rev Resp Dis 1993;148;245–8.

Playfair EE. Case of empyema treated by aspiration and

subsequently by drainage. BMJ 1875;1:45–50.

Seaton D, Yoganathan K, Coady T, Baker R. Spontaneous

pneumothorax: marker gas technique for predicting outcome

of manual aspiration. BMJ 1991;302:262–5.

Mathur R, Cullen J, Kinnear WJM, Johnston ID. Time course

of resolution of persistent air leak in spontaneous

pneumothorax. Respir Med 1995;89:129–32.

Maunder RJ, Pierson DJ, Hudson LD. Subcutaneous and

mediastinalemphysema. Pathophysiology, diagnosis and

management. Arch Intern Med 1984;144:1447–53.

Javed A. Pneumothorax: Aetiology, complications and

outcome. J Coll Physicians Surg Pak 1998;8:14–6.



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