AI Article Synopsis
- Secondary spontaneous pneumothoraces are common in individuals over 50, particularly difficult to manage due to existing respiratory conditions.
- A case study highlights a 54-year-old woman with leiomyosarcoma experiencing multiple pneumothorax episodes, effectively treated with small-bore chest tubes for outpatient care.
- The findings support the feasibility of managing patients with drained spontaneous pneumothoraces in a palliative context, improving comfort and quality of care.
Article Abstract
Introduction: Secondary spontaneous pneumothoraces account for 35% of all pneumothoraces after the age of 50. Their management is still debated and can be challenging due to the underlying respiratory condition. In our observation, the use of small-bore chest tubes allowed prolonged ambulatory care in a palliative setting.
Case Report: We report the case of a 54-year-old woman suffering from a leiomyosarcoma with multiple pulmonary metastases who had repeated episodes of pneumothorax, one of which was bilateral. Treatment involved the bilateral insertion of 8.5F pigtail catheters connected to Heimlich valves that allowed management as an outpatient. Recurrences were treated similarly, in association with oncological management, providing great additional benefits for patient comfort in this palliative context.
Conclusion: Altogether, this case report confirms the applicability of outpatient management for drained spontaneous secondary pneumothoraces, even bilateral, especially in a palliative-care setting.
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| http://dx.doi.org/10.1016/j.rmr.2021.05.006 | DOI Listing |
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