Pediatric Radiology

, Volume 25, Issue 6, pp 449–451 | Cite as

Localized pneumothorax with lobar collapse and diffuse obstructive airway disease

  • K. Nimkin
  • P. K. Kleimman
  • R. G. Zwerdling
  • M. R. Spevak
  • B. P. O'Sullivan
Originals

Abstract

Localized pneumothorax adjacent to a collapsed lobe has been reported in children with bronchial obstruction. We present our findings in seven children with a similar phenomenon occurring in association with diffuse obstructive airway disease. The children, aged from 3 weeks to 17 years, were admitted for diffuse obstructive airway disease and, subsequently, developed lobar collapse with adjacent localized pneumothorax. In five of the seven patients there was a paradoxical shift of the mediastinum toward the side of the pneumothorax. In six cases, the pneumothorax resolved spontaneously with lobar reexpansion. A conservative treatment approach to patients with this constellation of radiographic findings appears justified.

Keywords

Public Health Conservative Treatment Treatment Approach Pneumothorax Airway Disease 

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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • K. Nimkin
    • 1
  • P. K. Kleimman
    • 1
  • R. G. Zwerdling
    • 2
  • M. R. Spevak
    • 1
  • B. P. O'Sullivan
    • 2
  1. 1.Department of RadiologyUniversity of Massachusetts Medical CenterWorcesterUSA
  2. 2.Department of PediatricsUniversity of Massachusetts Medical CenterWorcesterUSA

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