Special Case Study of Exploratory Thoracotomy in Pneumothorax Patients et causa Rupture of Giant Bullae

Marantuan, Randolph Serep and Simanjuntak, Erica Gilda Misnawati and Olata, Jasmine Nydia and Pakilaran, Arnold William (2024) Special Case Study of Exploratory Thoracotomy in Pneumothorax Patients et causa Rupture of Giant Bullae. Galore International Journal of Health Sciences and Research, 9 (4). pp. 90-95. ISSN 2456-9321

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Abstract

Background: Pneumothorax is an accumulation of extrapulmonary air in the chest usually due to air leakage from the lungs. Air leaks can be primary or secondary and can be spontaneous, traumatic, iatrogenic, or catamenial. Pneumothorax may occur with pneumonia, usually with empyema; it can also occur secondary to lung abscess, gangrene, infarction, rupture of an emphysematous cyst or bleb (in asthma), or a foreign body in the lung. In infants with staphylococcal pneumonia, the incidence of pneumothorax is relatively high. Case Description: Baby patient with the initials ZKP, female, aged 0 years 3 months, treated in the emergency room at Dr. RSUD. Chasbullah Abdulmadjid Bekasi City on September 29 2024 with complaints of shortness of breath. The patient was brought by his mother to the emergency room at CAM Bekasi Hospital on September 29 2024 with complaints of shortness of breath. According to the patient's family, complaints of shortness of breath had been felt since 1 day at SMRS. The patient had a WSD installed one week ago. The patient denied complaints of fever and cough. Family history of TB was denied. The patient's immunization is incomplete, the patient has not received the BCG vaccine. Post-inpatient patient at Hermina Jatinegara Hospital with the same complaint with a primary diagnosis of Empyema and secondary diagnoses of Bronchopneumonia, sepsis e.c Staphylococcus capitis MDR, and Diarrhea. Conclusion: Open thoracotomy provides several advantages in the management of pneumothorax. First, it allows direct visualization and assessment of the underlying pathology. This is especially useful in cases where there is suspicion of significant lung or pleural disease, such as bullae, blebs, or bronchopleural fistulas. By accessing the chest cavity directly, surgeons can identify and address any specific abnormalities that contributed to the pneumothorax, facilitating targeted treatment and reducing the risk of recurrence Keywords: pneumothorax, thoracotomy, lung disease, shortness of breath

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