The benefit of indwelling pleural catheter with ambulatory pneumothorax device and autologous blood patch pleurodesis in lymphangioleiomyomatosis with persistent air leak

We report a 35‐year‐old woman who presented with dyspnoea and chest pain for 1 week. High‐resolution computed tomography (HRCT) thorax revealed bilateral pneumothoraces with diffuse lung cysts. Bilateral intercostal chest tubes were inserted, and there was a persistent air leak (PAL) bilaterally. We...

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Autores principales: Ng, Boon Hau, Low, Hsueh Jing, Nik Abeed, Nik Nuratiqah, Jailaini, Mas Fazlin Mohamad, Abdul Hamid, Mohamed Faisal, Ban Yu‐Lin, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2023
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10098059/
https://www.ncbi.nlm.nih.gov/pubmed/37065172
http://dx.doi.org/10.1002/rcr2.1143
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author Ng, Boon Hau
Low, Hsueh Jing
Nik Abeed, Nik Nuratiqah
Jailaini, Mas Fazlin Mohamad
Abdul Hamid, Mohamed Faisal
Ban Yu‐Lin, Andrea
author_facet Ng, Boon Hau
Low, Hsueh Jing
Nik Abeed, Nik Nuratiqah
Jailaini, Mas Fazlin Mohamad
Abdul Hamid, Mohamed Faisal
Ban Yu‐Lin, Andrea
author_sort Ng, Boon Hau
collection PubMed
description We report a 35‐year‐old woman who presented with dyspnoea and chest pain for 1 week. High‐resolution computed tomography (HRCT) thorax revealed bilateral pneumothoraces with diffuse lung cysts. Bilateral intercostal chest tubes were inserted, and there was a persistent air leak (PAL) bilaterally. We performed an autologous blood patch pleurodesis (ABPP) for the left PAL. For the right PAL, she underwent a successful right video‐assisted thoracic (VATS) surgery, wedge biopsy, and surgical pleurodesis. Histopathology examination confirmed the diagnosis of lymphangioleiomyomatosis (LAM). The left pneumothorax recurred. An indwelling pleural catheter (Rocket® IPC™; Rocket Medical plc; WASHINGTON) was inserted and the patient was discharged after 1 day with an atrium pneumostat (Pneumostat™; Atrium Medical Corporation, Hudson, NH, USA) chest drain valve. The patient was initiated on Sirolimus 2 mg daily. The left PAL resolved at 6 weeks. This case highlights the benefit of IPC with an ambulatory pneumothorax device in a patient with LAM with PAL.
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spelling pubmed-100980592023-04-14 The benefit of indwelling pleural catheter with ambulatory pneumothorax device and autologous blood patch pleurodesis in lymphangioleiomyomatosis with persistent air leak Ng, Boon Hau Low, Hsueh Jing Nik Abeed, Nik Nuratiqah Jailaini, Mas Fazlin Mohamad Abdul Hamid, Mohamed Faisal Ban Yu‐Lin, Andrea Respirol Case Rep Case Reports We report a 35‐year‐old woman who presented with dyspnoea and chest pain for 1 week. High‐resolution computed tomography (HRCT) thorax revealed bilateral pneumothoraces with diffuse lung cysts. Bilateral intercostal chest tubes were inserted, and there was a persistent air leak (PAL) bilaterally. We performed an autologous blood patch pleurodesis (ABPP) for the left PAL. For the right PAL, she underwent a successful right video‐assisted thoracic (VATS) surgery, wedge biopsy, and surgical pleurodesis. Histopathology examination confirmed the diagnosis of lymphangioleiomyomatosis (LAM). The left pneumothorax recurred. An indwelling pleural catheter (Rocket® IPC™; Rocket Medical plc; WASHINGTON) was inserted and the patient was discharged after 1 day with an atrium pneumostat (Pneumostat™; Atrium Medical Corporation, Hudson, NH, USA) chest drain valve. The patient was initiated on Sirolimus 2 mg daily. The left PAL resolved at 6 weeks. This case highlights the benefit of IPC with an ambulatory pneumothorax device in a patient with LAM with PAL. John Wiley & Sons, Ltd 2023-04-12 /pmc/articles/PMC10098059/ /pubmed/37065172 http://dx.doi.org/10.1002/rcr2.1143 Text en © 2023 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Ng, Boon Hau
Low, Hsueh Jing
Nik Abeed, Nik Nuratiqah
Jailaini, Mas Fazlin Mohamad
Abdul Hamid, Mohamed Faisal
Ban Yu‐Lin, Andrea
The benefit of indwelling pleural catheter with ambulatory pneumothorax device and autologous blood patch pleurodesis in lymphangioleiomyomatosis with persistent air leak
title The benefit of indwelling pleural catheter with ambulatory pneumothorax device and autologous blood patch pleurodesis in lymphangioleiomyomatosis with persistent air leak
title_full The benefit of indwelling pleural catheter with ambulatory pneumothorax device and autologous blood patch pleurodesis in lymphangioleiomyomatosis with persistent air leak
title_fullStr The benefit of indwelling pleural catheter with ambulatory pneumothorax device and autologous blood patch pleurodesis in lymphangioleiomyomatosis with persistent air leak
title_full_unstemmed The benefit of indwelling pleural catheter with ambulatory pneumothorax device and autologous blood patch pleurodesis in lymphangioleiomyomatosis with persistent air leak
title_short The benefit of indwelling pleural catheter with ambulatory pneumothorax device and autologous blood patch pleurodesis in lymphangioleiomyomatosis with persistent air leak
title_sort benefit of indwelling pleural catheter with ambulatory pneumothorax device and autologous blood patch pleurodesis in lymphangioleiomyomatosis with persistent air leak
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10098059/
https://www.ncbi.nlm.nih.gov/pubmed/37065172
http://dx.doi.org/10.1002/rcr2.1143
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