Successful management of recurrent pneumothorax in cystic fibrosis by localized apical thoracoscopic talc poudrage.
case_report · Level V
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Abstract
Thoracoscopic talc poudrage of the entire pleural surface constitutes successful treatment of recurrent pneumothorax in cystic fibrosis (CF); however, subsequent lung transplantation is seriously jeopardized due to the development of extensive pleural adhesions. We describe a 27-year-old patient with CF with recurrent right-sided pneumothorax, refractory to chest tube drainage and to chemical (tetracycline) pleurodesis, who was successfully treated with a localized, apical thoracoscopic talc poudrage, thereby preserving the possibility of subsequent lung transplantation.
Medical subject headings
- Cystic Fibrosis
- Pneumothorax
- Talc
- Thoracoscopy