Wang Yannan J, Negron-Rubio Elsio, Keshavamurthy Jayanth H, Bates William B
Department of Radiology, Augusta University Medical College of Georgia, Augusta, Georgia, USA.
Department of Diagnostic Radiology, Augusta University Medical College of Georgia, Augusta, Georgia, USA.
BMJ Case Rep. 2018 Feb 27;2018:bcr-2017-222354. doi: 10.1136/bcr-2017-222354.
A 25-year-old man with a history of Marfan syndrome, asthma and smoking presented with worsening dyspnoea and right-sided chest pain worsened with deep breathing after a fall 2 days prior. Diagnostic imaging revealed a spontaneous right-sided pneumothorax due to ruptured subpleural bullae in the apex of the right lung. Smaller subpleural bullae were also noted in the apex of the left lung. A chest tube was placed to reduce the right pneumothorax successfully.
一名25岁男性,有马凡综合征、哮喘和吸烟史,2天前跌倒后出现呼吸困难加重,深呼吸时右侧胸痛加剧。诊断性影像学检查显示,右肺尖部胸膜下大疱破裂导致自发性右侧气胸。左肺尖部也发现较小的胸膜下大疱。放置胸腔引流管成功减轻了右侧气胸。