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Primary Spontaneous Pneumothorax
Cristina Fuss, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Pneumothorax (PTX)
                • Primary spontaneous pneumothorax (PSP)
              • Definitions

                • PTX that occurs without precipitating event in otherwise healthy patient without obvious evidence of underlying lung disease
                  • Most cases associated with apical bullae

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Akıncı SM et al: The results and outcome of primary spontaneous pneumothorax in adolescents. Int J Adolesc Med Health. 33(3):127-31, 2020
                                        2. Asban A et al: Mechanical or chemical and mechanical pleurodesis for spontaneous pneumothorax: what is the most effective approach in preventing recurrence? A systematic review and meta-analysis. Eur J Cardiothorac Surg. 58(4):682-91, 2020
                                        3. Daccord C et al: Birt-Hogg-Dubé syndrome. Eur Respir Rev. 29(157), 2020
                                        4. Ghisalberti M et al: Age and clinical presentation for primary spontaneous pneumothorax. Heart Lung Circ. 29(11):1648-55, 2020
                                        5. Liu WL et al: Comparison of efficiency and safety of conservative versus interventional management for primary spontaneous pneumothorax: a meta-analysis. Am J Emerg Med. ePub, 2020
                                        6. Ruppert AM et al: Detection of secondary causes of spontaneous pneumothorax: comparison between computed tomography and chest X-ray. Diagn Interv Imaging. 101(4):217-24, 2020
                                        7. Wang YJ et al: Primary spontaneous pneumothorax in conjunction with Marfan syndrome. BMJ Case Rep. 2018, 2018
                                        8. Haynes D et al: Management of pneumothorax. Semin Respir Crit Care Med. 31(6):769-80, 2010
                                        9. Noppen M: Spontaneous pneumothorax: epidemiology, pathophysiology and cause. Eur Respir Rev. 19(117):217-9, 2010
                                        10. Ha HI et al: Imaging of Marfan syndrome: multisystemic manifestations. Radiographics. 27(4):989-1004, 2007
                                        11. Adley BP et al: Birt-Hogg-Dubé syndrome: clinicopathologic findings and genetic alterations. Arch Pathol Lab Med. 130(12):1865-70, 2006
                                        12. Cardillo G et al: Videothoracoscopic talc poudrage in primary spontaneous pneumothorax: a single-institution experience in 861 cases. J Thorac Cardiovasc Surg. 131(2):322-8, 2006
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Pneumothorax (PTX)
                                                      • Primary spontaneous pneumothorax (PSP)
                                                    • Definitions

                                                      • PTX that occurs without precipitating event in otherwise healthy patient without obvious evidence of underlying lung disease
                                                        • Most cases associated with apical bullae

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Gross Pathologic & Surgical Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Akıncı SM et al: The results and outcome of primary spontaneous pneumothorax in adolescents. Int J Adolesc Med Health. 33(3):127-31, 2020
                                                                              2. Asban A et al: Mechanical or chemical and mechanical pleurodesis for spontaneous pneumothorax: what is the most effective approach in preventing recurrence? A systematic review and meta-analysis. Eur J Cardiothorac Surg. 58(4):682-91, 2020
                                                                              3. Daccord C et al: Birt-Hogg-Dubé syndrome. Eur Respir Rev. 29(157), 2020
                                                                              4. Ghisalberti M et al: Age and clinical presentation for primary spontaneous pneumothorax. Heart Lung Circ. 29(11):1648-55, 2020
                                                                              5. Liu WL et al: Comparison of efficiency and safety of conservative versus interventional management for primary spontaneous pneumothorax: a meta-analysis. Am J Emerg Med. ePub, 2020
                                                                              6. Ruppert AM et al: Detection of secondary causes of spontaneous pneumothorax: comparison between computed tomography and chest X-ray. Diagn Interv Imaging. 101(4):217-24, 2020
                                                                              7. Wang YJ et al: Primary spontaneous pneumothorax in conjunction with Marfan syndrome. BMJ Case Rep. 2018, 2018
                                                                              8. Haynes D et al: Management of pneumothorax. Semin Respir Crit Care Med. 31(6):769-80, 2010
                                                                              9. Noppen M: Spontaneous pneumothorax: epidemiology, pathophysiology and cause. Eur Respir Rev. 19(117):217-9, 2010
                                                                              10. Ha HI et al: Imaging of Marfan syndrome: multisystemic manifestations. Radiographics. 27(4):989-1004, 2007
                                                                              11. Adley BP et al: Birt-Hogg-Dubé syndrome: clinicopathologic findings and genetic alterations. Arch Pathol Lab Med. 130(12):1865-70, 2006
                                                                              12. Cardillo G et al: Videothoracoscopic talc poudrage in primary spontaneous pneumothorax: a single-institution experience in 861 cases. J Thorac Cardiovasc Surg. 131(2):322-8, 2006