Article

Refractory pneumothorax secondary to lung cancer in a patient with idiopathic pulmonary fibrosis.

Department of Integrated Medicine and Informatics, Ehime University Graduate School of Medicine, Toon, Japan.
Internal Medicine (impact factor: 0.94). 02/2008; 47(13):1251-4. pp.1251-4
Source: PubMed

ABSTRACT An unusual case of refractory pneumothorax secondary to lung cancer in a 69-year-old man patient with idiopathic pulmonary fibrosis (IPF) is described. High-pressure suction applied through chest tube did not resolve the large right pneumothorax. Acute exacerbation of IPF has also appeared. Respiratory state worsened acutely, and the patient died on the fifth hospital day. In the present case, the large right pneumothorax was initially thought to be associated with IPF because pneumothorax is common in patients with IPF. However, postmortem microscopic examination revealed that the refractory pneumothorax was secondary to perforation of the pleura due to a necrotic peripheral lung cancer.

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Keywords

69-year-old man patient
 
Acute exacerbation
 
fifth hospital day
 
High-pressure suction
 
idiopathic pulmonary fibrosis
 
lung cancer
 
necrotic peripheral lung cancer
 
patients
 
perforation
 
postmortem microscopic examination
 
refractory pneumothorax
 
refractory pneumothorax secondary
 
Respiratory state
 
unusual case
 

Toru Kadowaki