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Reminder of important clinical lesson
CASE REPORT
Primary spontaneous pneumothorax in conjunction with Marfan syndrome
  1. Yannan J Wang1,
  2. Elsio Negron-Rubio2,
  3. Jayanth H Keshavamurthy3,
  4. William B Bates2
  1. 1Department of Radiology, Augusta University Medical College of Georgia, Augusta, Georgia, USA
  2. 2Department of Radiology, Augusta University Medical College of Georgia, Augusta, Georgia, USA
  3. 3Department of Diagnostic Radiology, Augusta University Medical College of Georgia, Augusta, Georgia, USA
  1. Correspondence to Dr William B Bates, wibates{at}augusta.edu

Summary

A 25-year-old man with a history of Marfan syndrome, asthma and smoking presented with worsening dyspnoea and right-sided chest pain worsened with deep breathing after a fall 2 days prior. Diagnostic imaging revealed a spontaneous right-sided pneumothorax due to ruptured subpleural bullae in the apex of the right lung. Smaller subpleural bullae were also noted in the apex of the left lung. A chest tube was placed to reduce the right pneumothorax successfully.

  • radiology
  • genetics

https://doi.org/10.1136/bcr-2017-222354

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    Footnotes

    • Contributors JHK and ENR were involved in the care of the patient and thus contributed to the planning of the manuscript and framing of the teaching points. JHK and ENR were also involved in drafting and editing portions of the manuscript involving radiologic interpretation. WBB was involved in editing portions of the manuscript. YJW consented the patient and drafted the case presentation. YJW and JHK are the guarantors.

    • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.