ABSTRACT
Pneumothorax is defined as the presence of air within the pleural cavity. It may be traumatic, iatrogenic, spontaneous secondary or primary. In the latter cause, the most frequent are subpleural and apical bulla in longiline patients, with connective tissue diseases and smokers. Treatment should be conservative in patients who present a small pneumothorax. Instead, a probe should be installed if it is greater. In the presence of frequent recurrences or persistent air leakage, pleurodesis should be considered, or resection of the bullous should be practiced. In this article we review a patient with Elhers Danlos syndrome, who presents a primary spontaneous pneumothorax due to subpleural bulla
El neumotórax se define como la presencia de aire dentro de la cavidad pleural. Puede ser traumático, iatrogénico, espontáneo secundario o primario, dentro de esta última causa la más frecuente son las bulas subpleurales y apicales, en pacientes longilíneos, portadores de enfermedades del tejido conectivo y fumadores. En neumotórax pequeños el tratamiento debe ser conservador, en cambio en los de mayor cuantía se debe proceder a la instalación de una sonda pleural. Frente a recidivas frecuentes o persistencia del escape aéreo, se debe considerar la pleurodesis o bien practicar la resección de las bulas.En el presente artículo se reporta a un paciente con síndrome de Elhers Danlos que presenta un neumotórax espontáneo primario debido a bulas subpleurales.
Subject(s)
Humans , Male , Pneumothorax/etiology , Pneumothorax/diagnostic imaging , Blister/complications , Pneumothorax/therapy , Radiography, Thoracic , Tomography, X-Ray ComputedABSTRACT
As lesões pulmonares císticas adquiridas fazem parte do contexto de sinais e sintomas de várias morbidades, podem ser sintomáticas ou assintomáticas e, às vezes, desaparecem espontaneamente. Realizou-se uma revisão bibliográfica com o objetivo de abordar as principais causas de lesões pulmonares císticas adquiridas e fornecer uma visão simples e objetiva das doenças relacionadas às lesões aeradas, na tentativa de dirimir as dificuldades com relação ao diagnóstico etiológico.
Acquired cystic lung lesions are part of the set of signs and symptoms of various conditions, and they may be symptomatic or asymptomatic and sometimes they disappear spontaneously. A literature review was carried out aiming at approaching the main causes of acquired cystic lung lesions, thus providing a simple and objective vision of diseases related to aerial lesions, in an attempt of overcome difficulties concerning the etiologic diagnosis.