Is It Time to Modify Definition of Occult Pneumothorax!FundingNone.
23 September 2019 (online)
Advanced medical technology has enabled diagnosis and management of pneumothorax rapidly and accurately. However, diagnostic dilemma arises when clinical picture does not correlate with normal appearing chest X-ray. We present such a case of an occult pneumothorax diagnosed timely by an ultrasound and promptly addressed. This report compels us to think that should we not redefine occult pneumothorax as “Pneumothorax not suspected in initial chest X-ray or clinical examination but detected on a CT scan or ultrasonography chest”?
- 1 Ball CG, Kirkpatrick AW, Feliciano DV. The occult pneumothorax: what have we learned?. Can J Surg 2009; 52 (05) E173-E179
- 2 Wall SD, Federle MP, Jeffrey RB, Brett CM. CT diagnosis of unsuspected pneumothorax after blunt abdominal trauma. AJR. Am J Roentgenol 1983; 141 (05) 919-921
- 3 Tocino IM, Miller MH, Frederick PR, Bahr AL, Thomas F. CT detection of occult pneumothorax in head trauma. AJR. Am J Roentgenol 1984; 143 (05) 987-990
- 4 Zhang M, Teo LT, Goh MH, Leow J, Go KT. Occult pneumothorax in blunt trauma: is there a need for tube thoracostomy?. Eur J Trauma Emerg Surg 2016; 42 (06) 785-790
- 5 Soldati G, Testa A, Sher S. Pignataro G, La Sala M, Silveri NG. Occult traumatic pneumothorax: diagnostic accuracy of lung ultrasonography in the emergency department. Chest 2008; 133 (01) 204-211
- 6 Rowan KR, Kirkpatrick AW, Liu D, Forkheim KE, Mayo JR, Nicolaou S. Traumatic pneumothorax detection with thoracic US: correlation with chest radiography and CT–initial experience. Radiology 2002; 225 (01) 210-214
- 7 Lichtenstein DA, Mezière G, Lascols N. et al. Ultrasound diagnosis of occult pneumothorax. Crit Care Med 2005; 33 (06) 1231-1238