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A Case of Pneumothorax Ex Vacuo Associated with COVID-19

Pneumothorax is a known complication of coronavirus disease 2019 (COVID-19). The concept of pneumothorax ex vacuo has also been proposed to describe pneumothorax that occurs after malignant pleural effusion drainage. Herein, we present the case of a 67-year-old woman who had abdominal distension for...

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Autores principales: Yoshino, Ryusei, Yoshida, Nana, Yasuda, Shunsuke, Ito, Akane, Nakatsubo, Masaki, Kitada, Masahiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10142456/
https://www.ncbi.nlm.nih.gov/pubmed/37109667
http://dx.doi.org/10.3390/medicina59040709
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author Yoshino, Ryusei
Yoshida, Nana
Yasuda, Shunsuke
Ito, Akane
Nakatsubo, Masaki
Kitada, Masahiro
author_facet Yoshino, Ryusei
Yoshida, Nana
Yasuda, Shunsuke
Ito, Akane
Nakatsubo, Masaki
Kitada, Masahiro
author_sort Yoshino, Ryusei
collection PubMed
description Pneumothorax is a known complication of coronavirus disease 2019 (COVID-19). The concept of pneumothorax ex vacuo has also been proposed to describe pneumothorax that occurs after malignant pleural effusion drainage. Herein, we present the case of a 67-year-old woman who had abdominal distension for 2 months. A detailed examination led to the suspicion of an ovarian tumor and revealed an accumulation of pleural effusion and ascitic fluid. Thoracentesis was performed, raising the suspicion of metastasis of high-grade serous carcinoma arising from the ovary. An ovarian biopsy was scheduled to select subsequent pharmacotherapy, and a drain was inserted preoperatively into the left thoracic cavity. Thereafter, a polymerase chain reaction analysis revealed that the patient was positive for COVID-19. Thus, the surgery was postponed. After the thoracic cavity drain was removed, pneumothorax occurred, and mediastinal and subcutaneous emphysema was observed. Thoracic cavity drains were then placed again. The patient’s condition was conservatively relieved without surgery. This patient may have developed pneumothorax ex vacuo during the course of a COVID-19 infection. Since chronic inflammation in the thoracic cavity is involved in the onset of pneumothorax ex vacuo, careful consideration is required for the thoracic cavity drainage of malignant pleural effusion and other fluid retention.
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spelling pubmed-101424562023-04-29 A Case of Pneumothorax Ex Vacuo Associated with COVID-19 Yoshino, Ryusei Yoshida, Nana Yasuda, Shunsuke Ito, Akane Nakatsubo, Masaki Kitada, Masahiro Medicina (Kaunas) Case Report Pneumothorax is a known complication of coronavirus disease 2019 (COVID-19). The concept of pneumothorax ex vacuo has also been proposed to describe pneumothorax that occurs after malignant pleural effusion drainage. Herein, we present the case of a 67-year-old woman who had abdominal distension for 2 months. A detailed examination led to the suspicion of an ovarian tumor and revealed an accumulation of pleural effusion and ascitic fluid. Thoracentesis was performed, raising the suspicion of metastasis of high-grade serous carcinoma arising from the ovary. An ovarian biopsy was scheduled to select subsequent pharmacotherapy, and a drain was inserted preoperatively into the left thoracic cavity. Thereafter, a polymerase chain reaction analysis revealed that the patient was positive for COVID-19. Thus, the surgery was postponed. After the thoracic cavity drain was removed, pneumothorax occurred, and mediastinal and subcutaneous emphysema was observed. Thoracic cavity drains were then placed again. The patient’s condition was conservatively relieved without surgery. This patient may have developed pneumothorax ex vacuo during the course of a COVID-19 infection. Since chronic inflammation in the thoracic cavity is involved in the onset of pneumothorax ex vacuo, careful consideration is required for the thoracic cavity drainage of malignant pleural effusion and other fluid retention. MDPI 2023-04-04 /pmc/articles/PMC10142456/ /pubmed/37109667 http://dx.doi.org/10.3390/medicina59040709 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Yoshino, Ryusei
Yoshida, Nana
Yasuda, Shunsuke
Ito, Akane
Nakatsubo, Masaki
Kitada, Masahiro
A Case of Pneumothorax Ex Vacuo Associated with COVID-19
title A Case of Pneumothorax Ex Vacuo Associated with COVID-19
title_full A Case of Pneumothorax Ex Vacuo Associated with COVID-19
title_fullStr A Case of Pneumothorax Ex Vacuo Associated with COVID-19
title_full_unstemmed A Case of Pneumothorax Ex Vacuo Associated with COVID-19
title_short A Case of Pneumothorax Ex Vacuo Associated with COVID-19
title_sort case of pneumothorax ex vacuo associated with covid-19
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10142456/
https://www.ncbi.nlm.nih.gov/pubmed/37109667
http://dx.doi.org/10.3390/medicina59040709
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