Slovenská chirurgia 1/2021

Kontralatral pneumothorax after pneumonectomy – a case report

Pneumothorax (PNO) is a pathological condition characterized by air accumulation in the pleural cavity. Traditionally, pneumothorax is classified as traumatic and spontaneous. The incidence of spontaneous pneumothorax is in the range of 7-18 cases / 100,000 people. The clinical manifestation depends on the size and severity of the pneumothorax. It ranges from completely asymptomatic forms to life-threatening conditions. The main symptoms of the disease include a triad as dyspnoea, chest pain and cough. Rapid diagnosis is the basis of successful treatment. Chest X-ray is the gold standard in diagnosis. The basis of treatment of symptomatic pneumothorax is drainage of the pleural cavity. From this point of view drainage can be understood as a life-saving procedure. Without adequate treatment, the disease progresses rapidly to the development of shock with respiratory and cardiac arrest. Pneumonectomy is a surgical intervention involving complete surgical removal of the lung in the hemitorax and is indicated for various reasons. A case report of 58-year-old patient who was admitted to JIS of clinic of surgery UPJŠ LF and UNLP in Košice in a shock state with circulatory arrest and the need for cardiopulmonary resuscitation (CPR) immediately during the admission of the patient will be described in our current case report.

Keywords: CPR, pneumonectomy, pneumothorax, bullous emphysema