Neumotórax espontaneo y enfisema bulloso en un paciente joven? A propósito de un caso: Spontaneous pneumothorax and bullous emphysema in a young patient? About a case

María Manuela Rodriguez-Gutierrez; Hernán  Cardona-Gaviria; Luisa María  Hincapie-Cano; María Camila  Oyuela-Gutiérrez; Tatiana Ximena  Quevedo-Cristancho; Daniela  Valencia-Riascos; Juliana  Gómez-Raigosa; María Carolina  Díaz-Rivera

doi:10.25176/RFMH.v23i3.5878

Authors

María Manuela Rodriguez-Gutierrez https://orcid.org/0000-0003-0945-4853
Hernán Cardona-Gaviria Cirujano General Universidad Nacional Bogotá, Colombia
Luisa María Hincapie-Cano Semillero de investigación en Ciencias Médicas Quirúrgicas, Facultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Colombia
María Camila Oyuela-Gutiérrez Semillero de investigación en Ciencias Médicas Quirúrgicas, Facultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Colombia
Tatiana Ximena Quevedo-Cristancho Semillero de investigación en Ciencias Médicas Quirúrgicas, Facultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Colombia
Daniela Valencia-Riascos Semillero de investigación en Ciencias Médicas Quirúrgicas, Facultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Colombia
Juliana Gómez-Raigosa Semillero de investigación en Ciencias Médicas Quirúrgicas, Facultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Colombia
María Carolina Díaz-Rivera

DOI:

https://doi.org/10.25176/RFMH.v23i3.5878

Keywords:

spontaneous pneumothorax, emphysema, surgery, case report

Abstract

Introduction

Pneumothorax is a pathology prevalent in traumatic accidents in the thorax, but it can also be found spontaneously due to causes attributable to bullous disease, pneumonia, airway obstruction, malignancy, among others.

Case report

Young male patient who debuted with spontaneous pneumothorax who required management in the intensive care unit with subsequent appearance of bullae in diagnostic images and pathology.

Discussion

Primary spontaneous pneumothorax (PSP) in the young population is influenced by psychosocial factors such as age, gender, habits, environment, and genetic factors. In 80% of patients with PSP, the presence of bullae or apical blebs has been demonstrated, in addition from the porosity of the pleura that usually occurs in tall adolescents with athletic bodies; but it is also observed that tobacco use can increase the risk.

Conclusions

Spontaneous pneumothorax due to bullous emphysema has increased in young people due to the use of psychoactive substances, vapers, and cigarettes.

Downloads

Download data is not yet available.

Author Biographies

María Manuela Rodriguez-Gutierrez

Semillero de investigación en Ciencias Médicas Quirúrgicas, Facultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Colombia

Capítulo Futuros Cirujanos, Asociación Colombiana de Cirugía

María Carolina Díaz-Rivera

Semillero de investigación en Ciencias Médicas Quirúrgicas, Facultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Colombia

Cirujana General Fundación Universitaria Ciencias de la Salud, Bogotá, Colombia

References

Kimura B, Kidokoro T, Hashizume M, Tokimitsu S, Takaoka K, Oishi F, Murata Y. [11 operated cases of spontaneous hemopneumothorax]. Kyobu Geka. 1994 Sep;47(10):822-4. Japanese.

Ng CS, Wong RH, Wan IY, Lau RW, Hsin MK, Yeung EC, Wan S, Underwood MJ. Spontaneous haemopneumothorax: current management. Postgrad Med J. 2011 Sep;87(1031):630-5.

Tatebe S, Kanazawa H, Yamazaki Y, Aoki E, Sakurai Y. Spontaneous hemopneumothorax. Ann Thorac Surg. 1996 Oct;62(4):1011-5

Huan NC, Sidhu C, Thomas R. Pneumothorax: Classification and Etiology. Clin Chest Med. 2021 Dec;42(4):711-727.

Rodríguez-de Mingo E, Fraga-Pérez A, Morón-Erroz S. Un caso de hemoneumotórax espontáneo [Spontaneous haemopneumothorax: A case report]. Aten Primaria. 2019 Jun-Jul;51(6):382-383. Spanish.

Chen Y, Guo Z. Unusual case of primary spontaneous hemopneumothorax in a young man with atypical tension pneumothorax: a case report. J Med Case Rep. 2018 Jul 2;12(1):188.

Pahal P, Avula A, Sharma S. Emphysema. 2023 Jan 26. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan.

Stern EJ, Webb WR, Weinacker A, Müller NL. Idiopathic giant bullous emphysema (vanishing lung syndrome): imaging findings in nine patients. AJR Am J Roentgenol. 1994 Feb;162(2):279-82.