ETIOLOGY, PRESENTATION AND MANAGEMENT OUTCOME OF PNEUMOTHORAX

Authors

  • Nisar Khan
  • Mohammad Salim Wazir
  • Mohammad Yasin
  • Jan Mohammad
  • Arshad Javed

Abstract

Background: This study was carried to determine etiology, presentation, complications and management outcomes of pneumothorax in patients presenting at two hospitals in NWFP province of Pakistan.. Methods: Pneumothorax patients reporting at the chest unit of Post Graduate Medical Institute, Lady Reading Hospital, Peshawar, and Pulmonology unit of Ayub Teaching Hospital, Abbottabad from 1999 to 2002 were included in the study. Patients of all ages were included. They were admitted and followed up to the full recovery/late complications. Results: A total of 146 pneumothorax patients reported during this period. Majority of the patients were diagnosed to have pneumothorax due to pulmonary tuberculosis making about 36.30% of the total cases. Second most common cause was primary spontaneous pneumothorax (19.86%). Bacterial infections were also sizeable at 16.43%. Other causes included COPD, Asthma, Iatrogenic, Interstitial lung disease, tuberous sclerosis and bronchiectasis. Conclusion: It was concluded from this study that pulmonary tuberculosis is the commonest cause of pneumothorax in our setup.KEY WORDS:  Pneumothorax, Tuberculosis, Pulmonary, Lung diseases, Obstructive

References

Weisberg D, Refaely Y. Pneumothorax. Chest 2000;117(5):1279-85.

Sadikot RT, Greene T, Meadows K, Arnold AG. Recurrence of spontaneous pneumothorax. Thorax 1997;52:805-9.

Hussan R, Luke DA, McGevern E. Videoscopic pleurectomy– the way forward 1998;4(4):17-19

Brekel A, DUURKENS VAM, Vanderschueren RGJRA. Pneumothorax, Resuls of thoracoscopy and pleurodesis with Talc Poudrage and Thoracotomy. Chest 1993;103(2):345–7.

Light RW. Pleural diseases. Philadelphia:Lea and Febiger 1983.

Baronofsky ID, Warden HG, Kaufman JL. Bilateral therapy for unilateral spontaneous pneumothorax. J Thoracic Surgery 1957;34;340-3.

Forgaes P. Stature In Simple Pneumothorax. Guy’s Hospital Rep 1989;118:499

Kawakami Y, Irie T, Kamishima X. Stature, Lung Height And Spontaneous Pneumothorax. Respiration 1982;43:45-9.

Light RW. Pneumothorax. In: Light-RW, ed. Pleural diseases. Philadelphia; Lea and Febiger 1990; 237-62.

George RB, Herbert SJ, Shames JM. Pneumothorax complicating emphysema. J Am Med Assoc 1975;234:389.

Bense L, Eklund G, Wiman LG. Smoking and increased risk of contracting spontaneous pneumothorax. Chest 1987;92:1009-12.

Rossman MD, Mayock RL. Pulmonary tuberculosis In: Schlossherg D, ed. Tuberculosis. 3rd edn Philadelphia; Springer – Verlag 1993;95 –106.

Averbach O, Lipstein W, Broncho. Pleural Fistulae complicating pulmonary tuberculosis, clinical pathological study. J Thoracic Surgery 1938;8:348-52.

Ferraro P, Beaunchamp G, Lord F. Spontaneous primary and secondary pneumothorax; a 10-year study of management alternatives. Can J Surgery 1994;37:197-202.

Light RW. Veterans Administration Medical Center, Long Beach, and University of California, Irvine, California. Am Rev Resp Dis 1993;148;245-8.

Javed A. Pneumothorax: Aetiology, complications and outcome. JCPSP 1998;8;14-6.

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