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J Thorac Cardiovasc Surg 2006;132:1493-1494
© 2006 The American Association for Thoracic Surgery
Brief Communication |
Department of Thoracic Surgery, Guys Hospital, London, United Kingdom.
Presented at the Royal Society of Medicine, Cardiothoracic Section, Nov 2004.
Received for publication April 27, 2006; revisions received May 21, 2006; accepted for publication June 7, 2006. * Address for reprints: Tom Treasure, MD, Department of Thoracic Surgery, Guys Hospital, London SE1 9RT, United Kingdom. (Email: tom.treasure@ukgateway.net).
| The first 20% of the full text of this article appears below. |
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Clinical Summary
A 24-year-old Nigerian woman, resident in the United Kingdom, collapsed on a plane but quickly recovered with basic resuscitation and oxygen. She arrived safely in Nigeria, did not seek medical advice, and enjoyed her holiday. On returning to the United Kingdom, she had 2 admissions to the Accident & Emergency division of Guys Hospital 6 weeks apart.
On initial presentation with dyspnea and pleuritic chest pain, she was found to have reduced air entry on the left and, after a chest radiograph, was treated for primary spontaneous pneumothorax (needle thoracocentesis) before discharge. On representation and further radiography, she underwent formal chest drainage, which was stopped 5 days later because of apparent improvement. No radiograph was obtained after drain removal.
At this point, she was referred to our unit with a diagnosis of recurrent spontaneous pneumothorax for consideration of video-assisted thoracoscopy.
In the surgical clinic she told us that she had been given a diagnosis of asthma, but what she described was exertional dyspnea. She was
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