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Mentions: A 38-year-old Afro-Caribbean woman presented at 32 weeks of pregnancy with chest pain and shortness of breath. She was a non-smoker with no history of pulmonary disease. Her body mass index (BMI) was 38 and she had conceived following in vitro fertilisation (IVF) treatment. Infection screen gave negative results. On examination, she was found to be mildly tachypnoeic with decreased air entry and had a hyperresonant percussion note over the left hemithorax. Pulse oximetry showed an oxygen saturation of 95% on air. Blood gas analysis confirmed normal arterial oxygen and carbon dioxide tension. Chest X-ray revealed a large left pneumothorax with a collapsed lung (Figure 1).
Recurrent spontaneous pneumothorax during pregnancy: a case report
Bottom Line: The disease was managed with the insertion of an intercostal drain on three occasions, which was then followed by surgical intervention immediately after pregnancy.No adverse maternal or foetal outcome has been reported in well-managed cases.Management involves good coordination between the obstetric and surgical teams.
Affiliation: Department of Obstetrics and Gynaecology, University Hospital Coventry and Warwickshire NHS Trust, Coventry, CV2 2DX, UK.
Introduction: Spontaneous recurrent pneumothorax during pregnancy is a rare condition. Few cases have been reported previously in the literature. There is no universal guideline for the management of this condition. Treatment options include conservative management with intercostal drain and surgical management in the form of thoracotomy or video-assisted thoracoscopy.
Case presentation: We report a case of recurrent spontaneous pneumothorax in a 38-year-old Afro-Caribbean woman on her third trimester of pregnancy. The disease was managed with the insertion of an intercostal drain on three occasions, which was then followed by surgical intervention immediately after pregnancy.
Conclusion: The diagnosis of pneumothorax should be considered in the differential diagnosis of pregnant women experiencing chest pain and dyspnoea. No adverse maternal or foetal outcome has been reported in well-managed cases. Management involves good coordination between the obstetric and surgical teams.