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Vol. 14. Issue 5.
Pages 693-697 (September - October 2008)
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Vol. 14. Issue 5.
Pages 693-697 (September - October 2008)
Caso Clínico/Clinical Case
Open Access
Um caso de pneumotórax espontâneo recorrente
A case of recurrent spontaneous pneumothorax
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Isabel Carvalho1,
Corresponding author
carvalho.isabel@gmail.com

Correspondência: Isabel Carvalho, Serviço de Pediatria, Centro Hospitalar de Vila Nova de Gaia – Unidade 2, Rua Dr. Francisco Sá Carneiro, 4400 Vila Nova de Gaia.
, Jorge Romariz1, José António Miranda2, Lúcia Rodrigues1
1 Serviço de Pediatria, Centro Hospitalar de Vila Nova de Gaia
2 Serviço de Cirurgia Cárdio-Torácica, Centro Hospitalar de Vila Nova de Gaia
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Resumo

O pneumotórax espontâneo é uma patologia rara na idade pediátrica estando, na maioria dos casos associado a um factor predisponente.

Apresenta-se o caso clínico de uma criança de 9 anos, com antecedentes de prematuridade e ventilação mecânica no período neonatal, internado por pneumotórax espontâneo. Apesar da melhoria clínica e radiológica significativa após drenagem pleural, verificou-se recorrência do pneumotórax cerca de três meses depois, identificando-se uma área de enfisema local e necessitando de tratamento cirúrgico.

O caso clínico descrito distingue-se pela baixa frequência desta patologia neste grupo etário e pela eventual relação com os antecedentes neonatais da criança.

Rev Port Pneumol 2008; XIV (5): 693-697

Palavras-chave:
Pneumotórax espontâneo
recidiva
criança
ventilação mecânica
Abstract

Spontaneous pneumothorax is a rare disease at paediatric age and in most cases is associated to predisposing factors.

The authors present a case of spontaneous pneumothorax in a 9 year-old child with a history of prematurity and mechanical ventilation at neonatal stage.

In spite of clinical and radiological improvement after pleural drainage, pneumothorax recurred three months later and emphysema was identified, leading to surgery.

This case is important due to the rarity of the disease in this age group and its possible relation to prior neonatal medical history.

Rev Port Pneumol 2008; XIV (5): 693-697

Key-words:
Spontaneous pneumothorax
recurrence
child
mechanical ventilation
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Bibliografia
[1.]
J.L. Michel.
Le pneumothorax spontané de l’enfant.
Arch Peadiatr, 7 (2000), pp. 39-43
[2.]
J.M. Porcel.
Neumotórax espontâneo.
Medicina Integral, 38 (2001), pp. 3-7
[3.]
D. Poenaru, S. Yazbeck, S. Murphy.
Primary spontaneous pneumothorax in children.
J Pediatr Surg, 29 (1994), pp. 1183-1185
[4.]
D.T. Wilcox, P.L. Giick, H.L. Karamanoukian, I.E. Allen, R.G. Azizkhan.
Spontaneous pneumothorax: a single institution, 12-year experience in patients under 16 years of age.
J Pediatr Surg, 30 (1995), pp. 1452-1454
[5.]
S. Gardikis, V. Didilis, A. Polychronidis, D. Mikroulis, E. Sivridis, G. Bougioukas, C. Simopoulos.
Spontaneous pneumothorax resulting from congenital cystic adenomatoid malformation in a pre-term infant: case report and literature review.
Eur J Pediatr Surg, 12 (2002), pp. 195-198
[6.]
D. Rigante, G. Segni, A. Bush.
Persistent spontaneous pneumothorax in an adolescent with Marfan’s syndrome and pulmonary bullous dysplasia.
Respiration, 68 (2001), pp. 621-624
[7.]
C.W. Parry, M.E. Juniper, J.E. Dussek.
Surgical intervention in spontaneous pneumothorax.
Respir Med, 86 (1992), pp. 1-2
[8.]
A. Wakabayashi.
Thoracoscopic ablation of blebs in the treatment of recurrent or persistent spontaneous pneumothorax.
Ann Thorac Surg, 48 (1989), pp. 651-653
[9.]
J.J. Rivas de Andrés, E. Canalis, L.M. Lopez-Rodó, J.P. Ferrer, A.T. Garcia, J.T. Lanzas, Arch Bronconeumol.
Normativa sobre diagnóstico y tratamiento del neumotórax.
, 38 (2002), pp. 589-595
[10.]
K.S. Wong, H.P. Liu, K.S. Cheng, C. Hsuch.
Pathological case of the month.
Arch Pediatr Adolesc Med, 154 (2000), pp. 845-846
[11.]
I.X.I. Terradillos, J.L. Maya, P.G. Cabanillas.
Neumotórax.
An Pediatr, 58 (2003), pp. 30-34
[12.]
S. Sawada, Y. Watanabe, S. Moriyama.
Video–assisted thoracoscopic surgery for primary spontaneous pneumothorax. Evaluation of indications and long-term outcome compared with conservative treatment and open thoracotomy.
Chest, 127 (2005), pp. 2226-2230
Copyright © 2008. Sociedade Portuguesa de Pneumologia/SPP
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