Recurrent hydropneumothorax as a presenting feature of malignant mesothelioma.
A 73-year-old former smoker with previous occupational exposure to asbestos presented with a pneumothorax that was initially managed by simple aspiration. Despite this, it re-accumulated and a bronchopleural fistula was suspected. A video-assisted thoracoscopic procedure was performed and revealed an abnormally thickened pleura that turned out to be a mesothelioma. All persistent pneumothoraces should be investigated.
Guha
Kaushik
K
Department of Respiratory Medicine, Knight Centre for Cystic Fibrosis, Frimley Park Hospital NHS Foundation Trust, Camberley, Surrey GU16 7UJ, UK.
Jones
Daniel
D
Hull
James H K
JH
Ho
Timothy B L
TB
D000368:Aged; D001194:Asbestos / Q000633:toxicity; D003937:Diagnosis, Differential; D006801:Humans; D006872:Hydropneumothorax / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control*; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis* / Q000209:etiology; D016273:Occupational Exposure; D010997:Pleural Neoplasms / Q000175:diagnosis* / Q000209:etiology; D012008:Recurrence; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed
D001194:Asbestos