Spontaneous Chest Wall Interstitial Emphysema Secondary to Chronic Empyema Thoracis
Published: June 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6082
Venkatraman S Bhat, Manjunath Poojaramuddanahalli, Natarajan Rajagopalan, Karthik Gadabanahalli
1. Director of Imaging Services, Department of Radiology, Narayana Health, Bangalore, Bommasandra, India.
2. Resident, Department of Pulmonology, Narayana Health, Bangalore, Bommasandra, India.
3. Senior Consultant, Department of Pulmonology, Narayana Health, Bangalore, Bommasandra, India.
4. Consultant, Department of Radiology, Narayana Health, Bangalore, Bommasandra, India.
Correspondence
Dr. Venkatraman S Bhat,
309, Greenwoods Apt, Royal Gardenia, Bommasandra, Bangalore-560099, India.
E-mail : bvenkatraman@gmail.com
Spontaneous extension of air from the pleural space to the chest wall, also referred to as pneumothorax necessitans (PN), is a rare occurrence. Few of such cases have been reported in the literature, some appear to have a pattern of extension from pleural cavity to chest wall. Clinical conditions known to predispose to this complication are pneumothorax, empyema thoracis and tuberculosis of the pleural space or rib. We report a case of PN arising as complication of postpneumonectomy empyema (PPE) secondary to broncho-pleural fistula. Imaging features are highlighted emphasizing the likely pattern of spread.
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