title: An unusual case of persistent pneumothorax.
abstract: We herein report a case of a 45-year-old white male who referred to the emergency department for a right pneumothorax. A chest tube was emergently placed. Due to incomplete lung reexpansion, the patient underwent a right thoracoscopy disclosing the presence of several kinky vessels consistent of localized pleural angiomatosis, and a talc pleurodesis was performed. Computed tomographic scan and angiography confirmed an anomalous vascular connection between systemic and pulmonary circulation. Thus, a vascular percutaneous transcatheter embolization of the abnormal vessel was successfully executed and the patient was discharged without consequence.
authors.affiliation: Thoracic Surgery Unit, Maggiore and Bellaria Hospitals, Bologna, Italy.
authors.forename: Kenji
authors.initials: K
authors.lastname: Kawamukai
authors.affiliation: Department of Surgical Oncology, Thoracic Surgery Unit, Regina Elena National Cancer Institute, Rome, Italy. Electronic address: gio.leuzzi@yahoo.it.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Leuzzi
authors.affiliation: Emergency Surgery and Trauma Surgery Unit, Trauma Center, Maggiore Hospital, Bologna, Italy.
authors.forename: Salomone
authors.initials: S
authors.lastname: Di Saverio
authors.affiliation: Thoracic Surgery Unit, Maggiore and Bellaria Hospitals, Bologna, Italy.
authors.forename: Calogero
authors.initials: C
authors.lastname: Porrello
authors.affiliation: Thoracic Surgery Unit, Maggiore and Bellaria Hospitals, Bologna, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Lacava
mesh_terms: D000792:Angiography; D000798:Angiomatosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D015505:Chest Tubes; D002908:Chronic Disease; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic / Q000379:methods*; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D035422:Pleural Cavity; D010995:Pleural Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D018700:Pleurodesis / Q000379:methods*; D011030:Pneumothorax / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013902:Radiography, Thoracic; D012008:Recurrence; D013627:Talc / Q000008:administration & dosage*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*
chemical_list: D013627:Talc