Department of Radiology, School of Medicine, Pamukkale University, 20100 Denizli, Turkey.
Department of Radiology, School of Medicine, Pamukkale University, 20100 Denizli, Turkey.
Am J Emerg Med. 2021 Nov;49:440.e5-440.e6. doi: 10.1016/j.ajem.2021.04.084. Epub 2021 May 1.
Spontaneous pneumothorax (SP) is characterized by the escape of broncho-alveolar air into presence of air in the pleural space without preceding blunt or penetrating trauma. SP requires prompt diagnosis and treatment. SP is divided into two groups as primary and secondary. Primary SP is usually seen in tall and thin patients with no clinically evident underlying lung disease (especially in tall and thin subjects), whereas secondary SP cases have an underlying lung disease, such as cystic lung disease, cavitary lung lesions, severe asthma, emphysema or pneumonia. Patients with Coronavirus-2019 (COVID-19) may experience the SP during the diagnosis and treatment processes, and it is a significant cause of morbidity. However, late-onset SP after recovering from COVID-19 is unusual. Herein we present a case with post-COVID-19 pulmonary fibrosis-like changes and subsequent late onset spontaneous pneumothorax (SP). We also present the patient's radiological findings.
自发性气胸（SP）的特征是支气管肺泡空气逸入胸膜腔存在空气，而没有先前的钝器或穿透性创伤。SP 需要及时诊断和治疗。SP 分为原发性和继发性两种。原发性 SP 通常见于无明显临床下肺部疾病的高瘦患者（尤其是高瘦人群），而继发性 SP 病例则有肺部疾病，如囊性肺疾病、空洞性肺病变、严重哮喘、肺气肿或肺炎。患有 2019 年冠状病毒病（COVID-19）的患者在诊断和治疗过程中可能会出现 SP，这是发病率的一个重要原因。然而，COVID-19 康复后出现迟发性 SP 并不常见。在此，我们报告了一例 COVID-19 后出现肺纤维化样改变和随后迟发性自发性气胸（SP）的病例。我们还介绍了患者的影像学发现。
