Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
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Case Report

Volume 13, Number 2, June 2024, pages 35-40


Treatment of Primary Pneumothorax in Pregnancy With Thoracostomy Tube and Video-Assisted Thoracoscopic Surgery

Figures

Figure 1.
Figure 1. CTPA revealing left sided pneumothorax. CTPA: computed tomography pulmonary angiography.
Figure 2.
Figure 2. Chest X-ray after thoracostomy tube placement with residual apical pneumothorax.

Table

Table 1. Case Reports of Spontaneous Pneumothorax in Pregnancy
 
StudyMaternal age (years)Gestational age (weeks)History of prior pneumothoraxSuccess with initial chest tube placementSuccess with VATS/pleurectomyComplicationsManagement
C-section: cesarean section; TOP: termination of pregnancy; CT: computed tomography; VATS: video-assisted thoracoscopic surgery.
Miyasita et al, 1991 [18]3713NoNoYesNo
Levine et al, 1996 [14]2632NoNoYesNoRecurrent thoracostomy with postpartum pleurectomy
Van Winter et al, 1996 [22]2623NoNoYesRecurrent CT placementsRecurrent thoracostomy followed by antepartum thoracotomy with blebectomy and mechanical pleurodesis
Reid et al, 2000 [23]2932NoNoYesPreterm contractions
Gorospe et al, 2002 [24]2534NoYesN/ANoAntepartum thoracostomy
Wong et al, 2006 [25]3432YesNoYesNoRecurrent thoracostomy followed by postpartum VATS
Sills et al, 2006 [26]215YesNoYesPreterm birth (34 weeks)Antepartum thoracostomy followed by thoracotomy with mechanical pleurodesis
Pinedo-Onofre et al, 2006 [20]2224NoYesN/ANo
Lal et al, 2007 [11]2211NoNoYesNo
2715YesNoYesBilateral VATS
Tanase et al, 2007 [17]2534NoYesN/ANo
Garg et al, 2008 [12]3028NoNoN/ANoConservative management
Jain et al, 2009 [5]3832NoNoYesNoRecurrent antepartum thoracostomy; postpartum VATS with pleurectomy
Sathiyathasan et al, 2009 [4]3740YesYesN/AEmergent C-section for respiratory distressPostpartum thoracostomy
Avital et al, 2009 [13]1736NoYesN/ANoAntepartum thoracostomy
Mohammadi et al, 2011 [16]2738NoYesN/AWorsening pulmonary edema
Annaiah et al, 2011 [2]3314NoYesN/APreterm birth (36 weeks)
Nwaejike et al, 2012 [3]2926NoNoYesPreterm birth (36 weeks)Recurrent thoracostomy followed by VATS
Akcay et al, 2013 [15]1915NoNoYesNo
2225NoYesN/ANo
2019YesYesN/ANo
Onodera et al, 2013 [19]319YesNoYesNo
Kumar et al, 2014 [10]3036NoNoYesNoRecurrent thoracostomy followed by postpartum pleurodesis
Yotsumoto et al, 2015 [21]3431NoNoYesRecurrent CT placements
Hamid et al, 2016 [27]3622NoNoN/ARecurrent CT placements, refused surgical interventionRecurrent antepartum thoracostomy
Kavurmaci et al, 2018 [8]305NoYesN/ATOPAntepartum thoracostomy
2822NoNoYesNoRecurrent thoracostomy followed by VATS
Lateef et al, 2018 [7]3434YesNoN/ARecurrent CT placements, refused surgical interventionRecurrent antepartum thoracostomy
Yasuda et al, 2018 [6]3522YesNoYesNoThoracostomy followed by VATS with pleurodesis
La Verde et al, 2022 [9]2341NoNoNoNoExpectant management