J Clin Gynecol Obstet

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

Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc

Journal website https://www.jcgo.org

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

**Table 1.** Case Reports of Spontaneous Pneumothorax in Pregnancy
Study	Maternal age (years)	Gestational age (weeks)	History of prior pneumothorax	Success with initial chest tube placement	Success with VATS/pleurectomy	Complications	Management
C-section: cesarean section; TOP: termination of pregnancy; CT: computed tomography; VATS: video-assisted thoracoscopic surgery.
Miyasita et al, 1991 [18]	37	13	No	No	Yes	No
Levine et al, 1996 [14]	26	32	No	No	Yes	No	Recurrent thoracostomy with postpartum pleurectomy
Van Winter et al, 1996 [22]	26	23	No	No	Yes	Recurrent CT placements	Recurrent thoracostomy followed by antepartum thoracotomy with blebectomy and mechanical pleurodesis
Reid et al, 2000 [23]	29	32	No	No	Yes	Preterm contractions
Gorospe et al, 2002 [24]	25	34	No	Yes	N/A	No	Antepartum thoracostomy
Wong et al, 2006 [25]	34	32	Yes	No	Yes	No	Recurrent thoracostomy followed by postpartum VATS
Sills et al, 2006 [26]	21	5	Yes	No	Yes	Preterm birth (34 weeks)	Antepartum thoracostomy followed by thoracotomy with mechanical pleurodesis
Pinedo-Onofre et al, 2006 [20]	22	24	No	Yes	N/A	No
Lal et al, 2007 [11]	22	11	No	No	Yes	No
	27	15	Yes	No	Yes	Bilateral VATS
Tanase et al, 2007 [17]	25	34	No	Yes	N/A	No
Garg et al, 2008 [12]	30	28	No	No	N/A	No	Conservative management
Jain et al, 2009 [5]	38	32	No	No	Yes	No	Recurrent antepartum thoracostomy; postpartum VATS with pleurectomy
Sathiyathasan et al, 2009 [4]	37	40	Yes	Yes	N/A	Emergent C-section for respiratory distress	Postpartum thoracostomy
Avital et al, 2009 [13]	17	36	No	Yes	N/A	No	Antepartum thoracostomy
Mohammadi et al, 2011 [16]	27	38	No	Yes	N/A	Worsening pulmonary edema
Annaiah et al, 2011 [2]	33	14	No	Yes	N/A	Preterm birth (36 weeks)
Nwaejike et al, 2012 [3]	29	26	No	No	Yes	Preterm birth (36 weeks)	Recurrent thoracostomy followed by VATS
Akcay et al, 2013 [15]	19	15	No	No	Yes	No
	22	25	No	Yes	N/A	No
	20	19	Yes	Yes	N/A	No
Onodera et al, 2013 [19]	31	9	Yes	No	Yes	No
Kumar et al, 2014 [10]	30	36	No	No	Yes	No	Recurrent thoracostomy followed by postpartum pleurodesis
Yotsumoto et al, 2015 [21]	34	31	No	No	Yes	Recurrent CT placements
Hamid et al, 2016 [27]	36	22	No	No	N/A	Recurrent CT placements, refused surgical intervention	Recurrent antepartum thoracostomy
Kavurmaci et al, 2018 [8]	30	5	No	Yes	N/A	TOP	Antepartum thoracostomy
	28	22	No	No	Yes	No	Recurrent thoracostomy followed by VATS
Lateef et al, 2018 [7]	34	34	Yes	No	N/A	Recurrent CT placements, refused surgical intervention	Recurrent antepartum thoracostomy
Yasuda et al, 2018 [6]	35	22	Yes	No	Yes	No	Thoracostomy followed by VATS with pleurodesis
La Verde et al, 2022 [9]	23	41	No	No	No	No	Expectant management

Table 1. Case Reports of Spontaneous Pneumothorax in Pregnancy

Study

Maternal age (years)

Gestational age (weeks)

History of prior pneumothorax

Success with initial chest tube placement

Success with VATS/pleurectomy

Complications

Management

C-section: cesarean section; TOP: termination of pregnancy; CT: computed tomography; VATS: video-assisted thoracoscopic surgery.

Miyasita et al, 1991 [18]

Yes

Levine et al, 1996 [14]

Yes

Recurrent thoracostomy with postpartum pleurectomy

Van Winter et al, 1996 [22]

Yes

Recurrent CT placements

Recurrent thoracostomy followed by antepartum thoracotomy with blebectomy and mechanical pleurodesis

Reid et al, 2000 [23]

Yes

Preterm contractions

Gorospe et al, 2002 [24]

Yes

N/A

Antepartum thoracostomy

Wong et al, 2006 [25]

Yes

Recurrent thoracostomy followed by postpartum VATS

Sills et al, 2006 [26]

Yes

Preterm birth (34 weeks)

Antepartum thoracostomy followed by thoracotomy with mechanical pleurodesis

Pinedo-Onofre et al, 2006 [20]

Yes

N/A

Lal et al, 2007 [11]

Yes

Bilateral VATS

Tanase et al, 2007 [17]

Yes

N/A

Garg et al, 2008 [12]

N/A

Conservative management

Jain et al, 2009 [5]

Yes

Recurrent antepartum thoracostomy; postpartum VATS with pleurectomy

Sathiyathasan et al, 2009 [4]

Yes

N/A

Emergent C-section for respiratory distress

Postpartum thoracostomy

Avital et al, 2009 [13]

Yes

N/A

Antepartum thoracostomy

Mohammadi et al, 2011 [16]

Yes

N/A

Worsening pulmonary edema

Annaiah et al, 2011 [2]

Yes

N/A

Preterm birth (36 weeks)

Nwaejike et al, 2012 [3]

Yes

Preterm birth (36 weeks)

Recurrent thoracostomy followed by VATS

Akcay et al, 2013 [15]

Yes

N/A

Yes

N/A

Onodera et al, 2013 [19]

Yes

Kumar et al, 2014 [10]

Yes

Recurrent thoracostomy followed by postpartum pleurodesis

Yotsumoto et al, 2015 [21]

Yes

Recurrent CT placements

Hamid et al, 2016 [27]

N/A

Recurrent CT placements, refused surgical intervention

Recurrent antepartum thoracostomy

Kavurmaci et al, 2018 [8]

Yes

N/A

TOP

Antepartum thoracostomy

Yes

Recurrent thoracostomy followed by VATS

Lateef et al, 2018 [7]

Yes

N/A

Recurrent CT placements, refused surgical intervention

Recurrent antepartum thoracostomy

Yasuda et al, 2018 [6]

Yes

Thoracostomy followed by VATS with pleurodesis

La Verde et al, 2022 [9]

Expectant management