The lungs sit in the chest, inside the ribcage. In this drawing, 1 lung is normal, and 1 has collapsed because air has leaked out of it. The air that has leaked out of the lung shown in blue has filled the space outside of the lung. For more information visit www. Tension pneumothorax is a severe condition. It is a life-threatening emergency and requires immediate medical attention. If your diagnosis is tension pneumothorax, the air outside your lung has no place to escape. Instead, it continues to increase and causes pressure on vital organs, such as your heart.
This eventually will cause your vital organs to shut down and stop working. Tension pneumothorax requires immediate medical attention as it can be fatal. The chest cavity needs decompression, or releasing of pressure, immediately. We then place a chest tube between your ribs to your lung to help you recover.
People with a small pneumothorax might not have any symptoms. They might find out that they have it when they have a chest X-ray for another reason. Your doctor or nurse will ask about your symptoms, do an exam, and do a chest x-ray. He or she might also do a CT scan. A CT scan is an imaging test. It creates pictures of the inside of your body to better check your lungs and surrounding organs. Your treatment will depend on your symptoms and how small or large the pocket of air outside your lungs are.
During thoracoscopy, the doctor will give you medicine to make you sleep. Then he or she will make 2 or 3 small cuts between the ribs in your chest. Post-operative CXR revealed successful re-expansion of the lungs Figure 4. The patient was then discharged from the hospital to follow up in the outpatient after smoking cessation counselling. Figure 4: Post-surgical film shows re-expansion of the lung with residual apical pneumothorax and chest tube in place.
View Figure 4. In this case report we discuss one of the unusual and life-threatening adverse effects of the most commonly used illicit substance in the United States as well as all around the world. The mechanism of bullae and spontaneous pneumothorax due to marijuana is not yet clear. Helyes, et al. Primary spontaneous pneumothoraces usually occur in the absence of lung pathology and is often small in size and benign. However, secondary spontaneous pneumothoraces similar to the presentation of this case is a life-threatening condition and prompt management is critical.
Our patient with a history of heavy marijuana and tobacco smoking presented initially with a spontaneous pneumothorax that was drained via thoracostomy tube and definitive surgical management was postponed due to the coronavirus pandemic.
Three months later, he presented with a large recurrent pneumothorax that was potentially life-threatening. His management was complicated with persistent air leak despite prolonged effective drainage requiring surgical intervention for the definite resolution of the pneumothorax. We argue that early surgical management should be considered when encountering a patient with cannabis-induced spontaneous pneumothorax to prevent recurrence and prolonged course of management.
A case series by Chardon, et al. Among these three patients, two were treated surgically and one was treated conservatively. The patient who was treated conservatively had a more complicated and prolonged course of management. Man recovering from collapsed lung after THC vaping. By Alexa Lightle.
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