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Case Report 


Recurrence of Primary Spontaneuous Pneumothorax of Female with Presented of Left Inferior Lobe Lung Bullae : A Case Report and Review

Yessicha Kurniawati, Kadek Surya Atmaja, Wayan Wahyu Semara Putra, Ni Made Dwita Yaniswari.

Abstract
Background: Pneumothorax is defined as a presence of air in the pleural space. Pneumothorax classified in to spontaneous and nonspontaneous pneumothorax based on presence of precipating factor or any cause. Base on underlying pulmonary disease Spontaneous pneumothorax then further classified into primary spontaneous pneumothorax (PSP) and secondary spontaneous pneumothorax. A rupture of small subpleural blebs or bullae were commonly being the culprit of PSP. Case Presentation : A 34 year old female patient came to emergency clinic with a chief complaint of three day history of acute worsening shortness of breath. The shortness of breath is accompanied by cough, chest tightness, and chest pain or pleuritic exertional chest pain. Based on patient history and other laboratory finding, patient were then assesed with PSP, chest tube was then performed on this patient. On seventh day of admission the re-expansion of the lung was documented on chest x-ray and patient got discharge afterward. Following fifth days of dischared, patient came back with the same symptom, and chest x-ray revealed sign of pneumothorax. A Computed Tomography performed in this patient revealed left lung bullae. Patient then referred to thoraxic surgeon. Conclusion: PSP is an urgent clinical condition that need proper and imidiate management. Management consist of allowing re-expansion of the lung and prevent the reccurence. Combining pleurodesis and bullectomy or blebectomy by surgical stapler by Video assisted Thoracoscopy surgery (VATS) or open approaches is consider the most effective treament in preventing recurrence of PSP.

Key words: Keyword: Primary Spontaneous Pneumothorax, Bullae, Pleurodesis and Bullectomy.


 
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How to Cite this Article
Pubmed Style

Kurniawati Y, Atmaja KS, Putra WWS, Yaniswari NMD, . Recurrence of Primary Spontaneuous Pneumothorax of Female with Presented of Left Inferior Lobe Lung Bullae : A Case Report and Review. Int J Med Rev Case Rep. 2022; 6(2): 46-49. doi:10.5455/IJMRCR.Primary-spontaneuous-pneumothorax-recurrence


Web Style

Kurniawati Y, Atmaja KS, Putra WWS, Yaniswari NMD, . Recurrence of Primary Spontaneuous Pneumothorax of Female with Presented of Left Inferior Lobe Lung Bullae : A Case Report and Review. https://www.mdpub.net/?mno=59394 [Access: September 11, 2022]. doi:10.5455/IJMRCR.Primary-spontaneuous-pneumothorax-recurrence


AMA (American Medical Association) Style

Kurniawati Y, Atmaja KS, Putra WWS, Yaniswari NMD, . Recurrence of Primary Spontaneuous Pneumothorax of Female with Presented of Left Inferior Lobe Lung Bullae : A Case Report and Review. Int J Med Rev Case Rep. 2022; 6(2): 46-49. doi:10.5455/IJMRCR.Primary-spontaneuous-pneumothorax-recurrence



Vancouver/ICMJE Style

Kurniawati Y, Atmaja KS, Putra WWS, Yaniswari NMD, . Recurrence of Primary Spontaneuous Pneumothorax of Female with Presented of Left Inferior Lobe Lung Bullae : A Case Report and Review. Int J Med Rev Case Rep. (2022), [cited September 11, 2022]; 6(2): 46-49. doi:10.5455/IJMRCR.Primary-spontaneuous-pneumothorax-recurrence



Harvard Style

Kurniawati, Y., Atmaja, K. S., Putra, W. W. S., Yaniswari, N. M. D. & (2022) Recurrence of Primary Spontaneuous Pneumothorax of Female with Presented of Left Inferior Lobe Lung Bullae : A Case Report and Review. Int J Med Rev Case Rep, 6 (2), 46-49. doi:10.5455/IJMRCR.Primary-spontaneuous-pneumothorax-recurrence



Turabian Style

Kurniawati, Yessicha, Kadek Surya Atmaja, Wayan Wahyu Semara Putra, Ni Made Dwita Yaniswari, and . 2022. Recurrence of Primary Spontaneuous Pneumothorax of Female with Presented of Left Inferior Lobe Lung Bullae : A Case Report and Review. International Journal of Medical Reviews and Case Reports, 6 (2), 46-49. doi:10.5455/IJMRCR.Primary-spontaneuous-pneumothorax-recurrence



Chicago Style

Kurniawati, Yessicha, Kadek Surya Atmaja, Wayan Wahyu Semara Putra, Ni Made Dwita Yaniswari, and . "Recurrence of Primary Spontaneuous Pneumothorax of Female with Presented of Left Inferior Lobe Lung Bullae : A Case Report and Review." International Journal of Medical Reviews and Case Reports 6 (2022), 46-49. doi:10.5455/IJMRCR.Primary-spontaneuous-pneumothorax-recurrence



MLA (The Modern Language Association) Style

Kurniawati, Yessicha, Kadek Surya Atmaja, Wayan Wahyu Semara Putra, Ni Made Dwita Yaniswari, and . "Recurrence of Primary Spontaneuous Pneumothorax of Female with Presented of Left Inferior Lobe Lung Bullae : A Case Report and Review." International Journal of Medical Reviews and Case Reports 6.2 (2022), 46-49. Print. doi:10.5455/IJMRCR.Primary-spontaneuous-pneumothorax-recurrence



APA (American Psychological Association) Style

Kurniawati, Y., Atmaja, K. S., Putra, W. W. S., Yaniswari, N. M. D. & (2022) Recurrence of Primary Spontaneuous Pneumothorax of Female with Presented of Left Inferior Lobe Lung Bullae : A Case Report and Review. International Journal of Medical Reviews and Case Reports, 6 (2), 46-49. doi:10.5455/IJMRCR.Primary-spontaneuous-pneumothorax-recurrence