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Sanjay P. Tripathi
Malek G. Massad
Vinod K. Mehta
Alexander S. Geha
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Ann Thorac Surg 2000;69:266-267
© 2000 The Society of Thoracic Surgeons

Case Reports

Pneumothorax necessitans presenting as a presternal pneumothoracocele

Sanjay P. Tripathi, MDa, Malek G. Massad, MDa, Vinod K. Mehta, MDa, Enrico Benedetti, MDa, Alexander S. Geha, MDa

a Division of Cardiothoracic Surgery, Department of Surgery, The University of Illinois at Chicago, Chicago, Illinois, USA

Address reprint requests to Dr Massad, Division of Cardiothoracic Surgery (M/C 958), The University of Illinois at Chicago, 840 South Wood St, CSB Suite 417, Chicago, IL 60612

A 31-year-old woman who is an intravenous drug abuser developed sternoclavicular joint infection with mediastinal and subcutaneous tissue abscesses that communicated through an erosion in the manubrium caused by osteomyelitis. Air entrapment from a subsequent apical pneumothorax formed a localized anterior "pneumothoracocele." We referred to this condition as "pneumothorax necessitans," and we suggest including it in the differential diagnosis of anterior chest wall masses.






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