Document Detail


The importance of an illicit drug history in the evaluation of suspected spontaneous pneumothorax.
MedLine Citation:
PMID:  22693289     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors present the case of a 27-year-old man who presented with acute left-sided pleuritic chest pain and dyspnoea managed as for a spontaneous pneumothorax with aspiration and subsequent chest drain insertion following a chest radiograph. Despite intervention, however, his chest radiograph showed what appeared to be a non-resolving pneumothorax. Further history revealed a large cannabis smoking exposure and subsequent CT imaging revealed large apical bullous disease with little residual pneumothorax. The patient was referred for cardiothoracic bullectomy and pleurodesis. The authors review the association between cannabis smoke inhalation and apical bullous lung disease and stress the importance of direct questioning on initial history. If a significant history is found, the authors argue that CT imaging and primary cardiothoracic intervention may then be the investigation and management of choice in a stable patient.
Authors:
A Shah; M Paramlal
Related Documents :
22623699 - Time-resolved ct angiography for the detection and classification of endoleaks.
24575889 - Hit the mark with diffusion-weighted imaging: metastases of rhabdomyosarcoma to the ext...
22392069 - Whole-body fdg pet/ct is more accurate than conventional imaging for staging primary br...
22868619 - Isolated tear of the pectoralis minor tendon in a high school football player.
22555569 - Spinal dural fistulas without swelling and edema of the cord as incidental findings.
22821359 - Persistent hypoglossal artery and its variants diagnosed by ct and mr angiography.
19151969 - The imaging of paediatric thoracic trauma.
10664429 - Spinal cord herniation into an extensive extradural meningeal cyst: postoperative analy...
22654139 - Magnetic resonance and computed tomographic features of 4 cases of canine congenital th...
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-06-30
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-13     Completed Date:  2013-04-29     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Affiliation:
Department of Respiratory Medicine, West Middlesex University Hospital, Uxbridge, UK. anandshah10@hotmail.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Humans
Male
Marijuana Abuse / complications*
Pneumothorax / etiology*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Lithobezoar--an unusual cause of dyspepsia.
Next Document:  A rare case of posterior vaginal wall cyst.